Pelvic Floor Therapy for Urinary Incontinence in San Diego
Leaking isn't just a "mom thing." It's treatable.
You cross your legs before you sneeze. You skip the trampoline with your kids. You wear a pad "just in case." You've been told it's normal, especially after having babies.
It's common. But it's not something you have to live with.
Urinary incontinence affects millions of women, and pelvic floor physical therapy is the first-line treatment recommended by doctors and urogynecologists. I'm Dr. Ashlee Gendron, and I help women across North County San Diego stop leaking and get back to living without worrying about their bladder.
Types of Incontinence
Stress Incontinence
Leaking when you cough, sneeze, laugh, jump, run, or lift something heavy. This is the most common type I see, especially in postpartum women and active women.
Urge Incontinence
That sudden, overwhelming "I need to go NOW" feeling. Sometimes you don't make it to the bathroom in time. This often comes with going to the bathroom way more than you should need to.
Mixed Incontinence
A combination of both stress and urge. Many women deal with both.
Frequency and Urgency
Feeling like you always need to pee, even when your bladder isn't full. Running to the bathroom 10+ times a day. Planning your errands around bathroom locations.
More Than "Just Do Kegels"
Leaking isn't just about a weak pelvic floor. A lot of times it's actually the opposite. If you leak when you cough, sneeze, or jump, you might assume you need strengthening. More often, the pelvic floor is already constantly contracted. When abdominal pressure spikes, those muscles can't contract any further to maintain closure, and they can't fully relax and lengthen either, which makes them weak in the position they need to recover from. That's a coordination and timing issue, not pure weakness. Doing more kegels in that pattern makes the tension worse and the leaking more stubborn. That's why I don't hand out kegels as a default. I assess which way the dysfunction runs first.
Tells for a Tight Pelvic Floor
- Constipation
- Pelvic pain
- Pain with intercourse
- Recurrent UTIs
Tells for a Weak Pelvic Floor
- Urinary incontinence
- Pelvic organ prolapse
Full Assessment
Internal and external evaluation of your pelvic floor, core, hips, and breathing patterns. I figure out what's actually causing the leaking, not just treat the symptom.
Targeted Muscle Training
Strengthening what's weak, releasing what's tight, and retraining coordination so your pelvic floor responds when you need it to.
Bladder Retraining
For urgency and frequency issues, I help you retrain your bladder's habits so you're not running to the bathroom every 30 minutes.
Functional Training
We practice the things that cause you to leak, whether that's jumping, running, lifting your kids, or sneezing, so your body learns to manage pressure without losing control.
You Don't Have to Plan Your Life Around Your Bladder
I see women who have been leaking for years. Some since their first pregnancy, some since menopause, some who've never been pregnant at all. Almost all of them were told it was "just how it is."
It's not. Pelvic floor therapy works, and it works well. The research backs it up, and I see it every day in my practice. Most women start seeing improvement within 4-6 sessions.
Incontinence Treatment Across North County
Available as a home visit anywhere in North County San Diego, in-clinic at Rancho Bernardo on Wednesdays and Fridays, or virtual.
See full service areas →Transparent Pricing
Initial evaluation $150-$200 (90 min) · Follow-up $125-$185 (60 min)
No immediate referral needed in California. I provide superbills for PPO insurance reimbursement.
See full pricing options →Urinary Incontinence FAQ
Yes. Pelvic floor physical therapy is the first-line treatment for urinary incontinence, recommended by the American Urological Association and the American College of Obstetricians and Gynecologists. Most of my patients see significant improvement within 4-8 sessions.
Absolutely. Incontinence can happen at any age and regardless of whether you've given birth. Hormonal changes, high-impact exercise, chronic constipation, surgery, and menopause can all contribute. Pelvic floor therapy helps regardless of the cause.
Not at all. I work with women who have been leaking for 5, 10, 20+ years. Your pelvic floor muscles can still be retrained. It's never too late to get help.
That's actually one of the most common things I hear. Kegels only help if the problem is pelvic floor weakness, and even then, most women don't do them correctly. If your pelvic floor is too tight, kegels can make things worse. I figure out what's really going on before prescribing any exercises.
Ready to Stop Planning Your Life Around Your Bladder?
Start with a free 15-minute phone call. We'll talk through what's going on and whether pelvic floor therapy can help.