IVIVA

Bladder & Pelvic Floor Care

Personalized for You

Clear assessment. Practical treatment. No embarrassment.

Leakage, urgency, or pelvic discomfort are common — but not something you have to live with. We assess the cause and manage it properly.

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Learn How We Help

Most women ignore these
symptoms for years.

Or are told: “It’s normal after childbirth” or "Happens after menopause"

That’s not good enough. And does not solve your problem! Bladder and pelvic floor problems are common, but treatable — when diagnosed and assessed properly.

Is this right for you?

Who this service is for

This service may be right for you if:

You leak urine when coughing, sneezing, or exercising

You pass urine very frequently

You need to rush to the toilet (and sometimes/often barely make it)

You feel heaviness or dragging in the pelvis

Your symptoms are affecting confidence or daily life

You are waking up multiple times at night to pass urine (disrupting your sleep)

Not sure? Book a consultation →

What we offer

Common symptoms we assess

This service may be right for you if:

Leakage (Stress incontinence)

Leakage when coughing, sneezing, laughing, or exercising. Usually due to pelvic floor weakness — common after childbirth or with age, but very treatable.

Overactive bladder causing urgency

A sudden, strong need to pass urine that is difficult to control. Often leads to anxiety about being near a toilet and can affect daily activities.

Frequency

Passing urine more often than normal, sometimes every hour or more. This can disrupt work, travel, and sleep, and often has an underlying cause. The bladder contracts unpredictably, even when not full. Leads to urgency, frequency, and sometimes leakage.

Pelvic pressure / heaviness

A dragging or heavy sensation in the lower abdomen or vagina. May indicate early prolapse or pelvic floor weakness.

What we offer

What We Do

We don’t guess. We assess.

Important point: menopause is often a clinical diagnosis. Blood tests can sometimes help, but they do not replace proper history and judgement.

No vague reassurance. No over-treatment. Just a clear plan.

Our role is not just to prescribe something and hope for the best. We start by understanding the pattern, severity, and impact of your symptoms, then put that into the wider context of your age, cycle history, risk factors, and life requirements and goals.

Our assessment may include:

  • Detailed symptom review
  • Menstrual and bleeding history
  • Review of previous contraception or hormone use
  • Consideration of bone, heart, and long-term health factors
  • Relevant investigations if needed

Frequently asked questions

1Am I too young for perimenopause?
Not necessarily. Some women begin to notice changes in their late 30s or early 40s. The pattern matters more than a single age threshold.
2Do I need blood tests to diagnose menopause?
Often not. Menopause and perimenopause are usually diagnosed clinically. Blood tests may help in selected situations, but they are not always necessary or reliable.
3Is HRT safe?
For many / most women, yes. Suitability depends on your age, symptoms, risk factors, and medical history. This is something we assess individually.
4Can menopause cause anxiety and "brain fog"?
Yes. Hormonal changes can affect mood, concentration, sleep, and resilience. These symptoms are common and real.
5Can I still get pregnant during perimenopause?
Yes you can. Fertility declines, but pregnancy is still possible until menopause is complete (atleast 1-2 year after periods have stopped). This matters for both contraception and fertility planning. We always ask you what are your thoughts on the matter and if you need contraception to be considered as well.
6What if my main issue is bleeding rather than hot flushes?
That is common in perimenopause. Bleeding changes often need proper assessment, especially if heavy, frequent, or prolonged.
Menopause is not something to simply "bear with" until you get used to it

  • It is a stage that deserves proper assessment, clear explanation, and sensible treatment.

  • If you feel your symptoms are affecting your life — or you just want proper clarity about what is happening — we can help.

Book your menopause consultation

Get a clear understanding of your symptoms, your options, and what to do next.

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