Leaking When You Laugh? Why It’s Common—But Not Normal

You’re out with friends, someone cracks a joke, and suddenly—uh oh! You’re crossing your legs and hoping no one noticed. If this sounds familiar, you’re definitely not alone. But here’s the truth: leaking when you laugh, sneeze, cough, or move is common, yes—but it’s not normal, and you don’t have to live with it.

At The Nest Wellness Collective, we see this all the time—especially in pregnancy, postpartum, or even years after having a baby. Our team of pelvic health professionals is here to help you understand what’s happening down there and what you can do to feel confident again.

So What’s Going On?

When you leak with activity, it’s often a sign that the pelvic floor muscles, which support your bladder and other organs, aren’t coordinating properly with your core and diaphragm. Sometimes they’re weak, sometimes they’re too tight (yes, that can cause leaking too!), and often they just need a little re-training—especially after pregnancy or birth.

“But I Thought This Was Just Part of Being a Mom?”

We hear this a lot. The reality is: leaking isn’t a badge of motherhood—it’s a treatable condition. Whether you’re newly postpartum or you had your last baby 20 years ago, pelvic floor physical therapy can help.

At The Nest, we take a whole-body approach to bladder health. That means looking at your posture, breathing patterns, daily movement habits, and even scar tissue from things like C-sections. We help you retrain your body to manage pressure properly—so sneezing doesn’t feel like a high-stakes event.

Ready to Laugh Without Leaking?

Let’s ditch the pads and get back to the activities you love—without worry. You deserve a body that supports you through motherhood and beyond.

Here are some practical strategies to try at home: 

1. Practice 360° Breathing
Place your hands on the sides of your ribcage, inhale through your nose, and feel your ribs expand outward—not just your belly rise.
Why it matters: This helps regulate intra-abdominal pressure and teaches your diaphragm and pelvic floor to work together (a huge win for bladder control!).

2. The “Squeeze Before You Sneeze” Trick
Before you sneeze, cough, lift a baby, or even stand up—exhale gently and engage your lower abs like you’re zipping up tight jeans.
Why it matters: This pre-emptive exhale and brace activates your core and pelvic floor, helping prevent pressure leaks before they happen.

3. Don’t Just Kegel—Coordinate
Kegels are helpful if done right. Try doing them with your breath—not against it. Inhale to relax, exhale to lift.
Why it matters: Proper coordination > random squeezing. Your pelvic floor needs to be responsive, not just strong.

Dena Gearhart, RN

RN, Certified Nurse Coach

Dena is a Certified Nurse Coach who specializes in helping women calm the overwhelm and create sustainable, life-giving habits that support healing and balance. With a background in ER nursing and a passion for guiding patients through meaningful lifestyle change, she brings empathy, encouragement, and practical tools to every session. Outside of coaching, Dena enjoys life on her busy homestead with her husband, three boys, and a menagerie of animals.

Kathryn Faraj, FNP-C, SAFM-CFM

Family Nurse Practitioner | Functional Medicine provider

As a board-certified nurse practitioner with a background in critical care, Kathryn Faraj, FNP-C, brings both clinical expertise and compassionate insight to her functional medicine practice. She works with women to identify and correct the root causes of fatigue, mood changes, and hormonal dysfunction through integrative, evidence-based care. Outside of the clinic, Kathryn enjoys family adventures with her husband and three children, strength training, and creating spaces that inspire wellness and connection.

Kimberly Kin, M.Ed, CHES

Fitness & Nutrition Coach

Kim is passionate about helping others take control of their health through nutrition and fitness. As a dedicated group fitness instructor and nutrition advocate, she thrives on empowering individuals to break through their comfort zones and achieve their goals—both in and out of the gym. With a dynamic and encouraging approach, Kim creates an uplifting environment where people feel motivated to push past their limits, build confidence, and embrace a healthier lifestyle. Whether leading a high-energy class, a personal training session, or offering guidance on nutrition, she is committed to inspiring others to unlock their full potential and discover the strength they never knew they had.

Certifications:

  • Certified Health Education Specialist (CHES)
  • Certified Group Fitness Instructor
  • Certified Nutrition Coach

Hannah Crane, LLPC, PMH-C

Therapist

Hannah is a dedicated counselor with a passion for helping individuals navigate life’s transitions with resilience and self-compassion. Drawing from her background in leadership, marketing, and community engagement, she brings creativity and insight to her therapeutic work. Through an integrative, empathy-driven approach, Hannah supports clients experiencing stress, relationship challenges, and perinatal transitions.

Certifications:

  • Limited Licensed Professional Counselor (LLPC)
  • Perinatal Mental Health Certified (Postpartum Support International)

Dr. Courteney Benck, PT, DPT

Pelvic Health & Orthopedic Physical Therapist

Dr. Courteney is a skilled physical therapist with specialized training in pelvic floor rehabilitation, orthopedic manual therapy, and neurological recovery. Her work is rooted in education, empowerment, and evidence-based strategies that promote whole-body healing. She has completed advanced coursework in bowel and postpartum rehab, coccydynia, and abdominal wall manual therapy. Outside the clinic, Courteney enjoys yoga, dance, special-effects makeup, and building computers with her husband—all while being lovingly supervised by her three cats: Boo, Bones, and Boris.

Certifications:

  • Herman & Wallace Trained Pelvic Health Physical Therapist
  • LSVT BIG Certified (Parkinson’s)
  • Craniosacral Therapy, Level 1 – Upledger Institute

Annie Phillips, LMSW, PMH-C

Perinatal Mental Health Therapist

Annie is a compassionate therapist dedicated to supporting individuals and families through the emotional transitions of fertility, pregnancy, and postpartum. With a Master of Social Work from the University of Michigan and certification in Perinatal Mental Health and EMDR, she creates a safe, trauma-informed space for healing and growth. Annie’s approach combines empathy, education, and advocacy to help families feel seen, supported, and empowered.

Certifications:

  • Licensed Clinical Social Worker (LMSW)
  • Perinatal Mental Health Certified (Postpartum Support International)
  • EMDR Certified Therapist
  • Certified School Social Worker

 

Emma Hess, ACSM-CPT

Fitness & Wellness Specialist

Emma is a certified personal trainer and wellness coach with a dancer’s heart and a passion for empowering clients through joyful movement. Since 2019, she’s helped individuals of all backgrounds build strength, confidence, and consistency through creative, evidence-based fitness. Emma brings contagious energy and compassion to every session, helping clients connect movement with everyday wellness. In her spare time, she loves roller skating, biking, swimming, and spending time with her cat, Levi.

Certifications:

  • ACSM Certified Personal Trainer
  • Certified SPIN Instructor
  • Certified TRX Yoga Instructor
  • Certified Prenatal & Postpartum Fitness Trainer

Dr. Kristin McLellan, PT, DPT

Pelvic Health & Orthopedic Physical Therapist

Dr. Kristin began her career in outpatient orthopedics before discovering her passion for pelvic health during her first pregnancy. She now specializes in perinatal care, urinary incontinence, and chronic pelvic pain conditions such as endometriosis and interstitial cystitis. Kristin’s empathetic and collaborative style ensures patients feel supported throughout their healing journey. When she’s not in the clinic, she enjoys gardening, cooking, and spending time with her family.

Certifications:

  • Herman & Wallace Trained Pelvic Health Physical Therapist
  • Pregnancy & Postpartum Corrective Exercise Specialist
  • Trigger Point Dry Needling Trained

Dr. Sarah Stine, PT, DPT

Pelvic Health Physical Therapist

Dr. Sarah is a compassionate pelvic health physical therapist who brings a trauma-informed, patient-centered approach to her work. After earning her bachelor’s in Health Sciences from Oakland University and Doctorate in Physical Therapy from the University of Michigan Flint, she pursued advanced pelvic health training inspired by her own experience as a gymnast. Sarah helps patients regain confidence and comfort through manual therapy, movement re-education, and individualized care plans. Outside the clinic, she enjoys reading, biking, crafting, and spending time with her pets, Julius, Delilah, and Simon.

Certifications:

  • APTA-Trained Pelvic Health Physical Therapist
  • Pregnancy & Postpartum Corrective Exercise Specialist
  • Trigger Point Dry Needling Trained

Dr. Jenny Jeshurun, PT, DPT

Founder & Pelvic Health Physical Therapist

Dr. Jenny is a Doctor of Physical Therapy with advanced specialization in pelvic health. Inspired by her own journey through pregnancy and postpartum, she founded Inspire Physical Therapy & Wellness and The Nest Wellness Collective to transform women’s healthcare through connection, compassion, and holistic care. Her approach blends manual therapy, functional movement, and patient education to empower individuals to heal confidently and live fearlessly. Jenny treats across the lifespan—“anyone with a pelvis”—with a particular focus on fertility, pregnancy, postpartum recovery, and chronic pelvic pain.

Certifications:

  • APTA Certificate of Achievement in Pelvic Health Physical Therapy
  • Pregnancy & Postpartum Corrective Exercise Specialist
  • Trigger Point Dry Needling Trained