
The Livelong Podcast
Heart disease is the number one killer of women. And sometimes the first symptom isn’t chest pain…. It’s urinary change.
In this episode, Livelong’s Erin Hunter talks to Aleece Fosnight, Medical Advisor at Aeroflow Urology, and a board-certified PA specializing in urology and women’s health, about the intersection between bladder health and aging.
Rather than dismissing urgency, leakage, or recurrent urinary tract infections (UTIs) as inevitable, Fosnight reframes them as symptoms that are shaped by hormone loss, pelvic floor mechanics, vascular health, nervous system function, and even bowel habits. Less understood is that changes in blood flow and vascular function — which can be early signs of cardiovascular issues, dementia, and stroke risk — are felt by the bladder before the heart, and Aleece argues for better screening protocols to stay on top of bladder and cardiovascular health.
They explore:
Bladder leakage is common, but not normal
Hormone loss as a precursor to muscle weakening
Why more than half of midlife UTI symptoms aren’t actually infections
How bladder changes might predict cardiovascular conditions
The long-term effects of constipation on bladder health
The underused first line of care to address early-onset bladder conditions
→ Craving more conversation about the real issues affecting real women? Come to the Livelong Women’s Health Summit. Go deeper into the science we write about every week, plus talk to experts for actionable strategies to age better. Prices increase on March 6.
The conversation challenges your reflex to blame age on bladder problems. Instead, it asks you to see urologic health as a reflection of muscle integrity, blood flow, and lifestyle, and something that deserves earlier, more serious attention.

Updates
Got questions about longevity? Try our new AI tool ‘LIV,’ which analyzes hundreds of studies, articles, and podcasts to give you real science-backed knowledge on longevity science and healthy aging. Chat with her here.
Seeking ambassadors for LLWHS: Our Women’s Health Summit is quickly approaching, and we’re looking for ambassadors to be part of the mission! Learn about ambassador opportunities.
Read next: 5 ways to slow skin aging (inspired by pigs). Read more here.
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The information provided about wellness and health is for general informational and educational purposes only. We are not licensed medical professionals, and the content here should not be considered medical advice. Talk to a doctor before trying any of these suggestions.

