I had a long labour (particularly at the end, many hours at 10cm while he was stuck, born on way to ecs), episiotomy, biggish baby and slight tearing.
I paid attention to exercises and have been really good with them. I've in the 14 months since seen a huge improvement in my pelvic floor, my dh comments ex is the same and I have great muscle control compared to before. Sorry if tmi but it's all tight.
This though hasn't helped solve my bladder control fully. I can sneeze and cough but running or jogging is beyond me. I feel embarrassed that at 28 I can't join in with PE with the kids (I'm a teacher) or the teacher's race because I know I'd have a wet patch. It's impacted on my fitness as I've given up trying to run and I'll only do aerobics at home with a DVD and a sanitary towel.
I'd love to be 'normal' again, muck around on the trampoline with kids etc. and take up running. Is there anything I can do? All the midwives spoke of was pelvic floor, but I've been a saint with them and as I said I've seen improvements in muscle tone yet it doesn't stop the leaking. I feel like an old lady showering after I do the 30 day shred and doing it at weird hours so no one notices the wee smell/ wet patch if it goes through (obviously I go to the loo straight before and during)/
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General health
post baby bladder control- leaking when exercising
JacksonPollocks · 31/07/2011 20:46
Am so sorry 
. Definitely get a referral to a specialist gynae physio. Even though you think you are doing the pelvic floor exercises right, you might not be and a physio will be able to advise you. You might also need a bit of extra help - I've been using Neurotrac Continence and my physio reports that in 6 weeks my pelvic floor strength has gone from 0/5 to 2/5 and in some places 3/5! Might also be worth getting a referral to a gynae who specialises in pelvic floor issues. There's loads that can be done to improve things. If you are in London, I can recommend my physio and gynae if it would help, although I am seeing them privately. PM me if you like. X
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I''m also massively into pilates and have very good body awareness. Was convinced I was doing pelvic floors correctly. But due to the damage I have, including some nerve damage (not wanting to scare you!) I wasn't! So it might still be worth getting it checked. As much as anything, if you are doing them just fine but still have these problems, then that is valuable information that will help with diagnosis and treatment plans. I have a cystocele (amongst other horrors) which is where the bladder and urethra collapses down into the front of the vaginal wall. This is partly due to pelvic floor damage, but also due to damage to the vaginal muscles. It is most noticeable after I've exercised, when things really collapse inwards. What might be useful is for you to have a feel internally before you exercise, have a good work out (the more jumping around the better!) and then have a feel afterwards. Your muscle tone may well be good enough to hold everything up enough when you are at rest or just doing normal everyday stuff, but not strong enough to keep things together when you exercise. Useful info for the GP/consultant.
Other than the test that ginger describes, the 'gold standard' test for bladder dysfunction like this is urodynamics where they do things with tubes and pressure sensors - can't give a better description as I haven't had mine yet. I have that particular joy next week 
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My gynae, Vik Khullar, is at St Mary's on the NHS. He is FAB and LOVELY.
I have been attending 'continence clinic' at my local NHS hospital with specialist physio, and using the Neuro trac as well. I am older than you but was determined not to be a tena-lady
You should not have to rely on pads forever, so bite the bullet and get down to your GP for referral
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