Dr. Patricia Sullivan ad creative
Dr. Patricia Sullivan
Dr. Patricia Sullivan

Inactive· since Aug 28, 2026

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I would pay $10,000 to pee like I was 20 just one more time. I am 51 and I am not being cute about it. Three nights a week I dream I am hunting for a toilet, and every one I find is filthy, broken, or has no door on it. Last month I learned thousands of women my age have this exact dream. That was when I stopped thinking it was in my head. My name is Sarah. I have run the scheduling desk at a dental practice for nineteen years. I have a husband called Rob, two grown kids, and a bladder that started running my life somewhere around forty-eight. Let me describe the last two years to you, because if any of this is familiar you are going to want to keep reading. I pee about twenty times a day. I have counted. More than once. I go from not needing to go, to needing to go, to going, in about twelve seconds. There is no warning any more. There used to be a warning. Here is my favourite part. My bladder is completely calm right up until I reach the bathroom door. The second I get there it goes off like a fire alarm. Every time. I have started calling it the toilet proximity alarm, and I have never once said that out loud to another human being. And then, having sprinted to the toilet, I cannot actually empty the thing. I lean forward. I rock. I push, I pause, I push again. I stand up holding tissue because I know there is more coming. My bladder is like a toddler I have to negotiate with. And it never ends in satisfaction. Not once in two years. I get up four times a night. I have stopped drinking anything after seven. I gave up coffee. I gave up wine. I gave up fizzy water, which I did not even know was on the list. I still pee every hour. I take the aisle seat at everything. I plan drives around service stations. I have declined two trips and one hike and told everybody I was busy. And I have stopped laughing properly, because I cannot laugh, cough, or sneeze without consequences. I used to think it was funny when my mother did that. I do not think it is funny now. Here is where it stopped being a story I could make jokes about. I drove seventy-five miles to a training day. I had done the maths, the way I always do. Two stops on the way. Nothing to drink after the second one. I pulled into the car park, turned off the engine, and my bladder let go before I had my seatbelt off. I sat in that car for a very long time. Then I drove seventy-five miles home in it. I did not go to the training. I did not call anyone. I got in, put everything straight in the machine before Rob was home, sat on the edge of the bath, and cried until it was time to make dinner. I never told him. I have not told anybody until right now. And then, a few days later, I got angry. Not at my body. At the fact that nobody told me. They tell you about the hot flashes. They tell you about the mood, and the sleep, and the weight. Nobody sits you down and says: by the way, the thing that is going to take your dignity is your bladder. I found a forum full of women my age, at two in the morning, and the top comment said "why didn't anyone tell us about this garbage" and had over a hundred replies underneath it, all saying the same thing. I sat there in the dark and cried again, but a different kind. I had spent two years thinking I was the only woman in the world doing the leaning-forward thing. So then I did what everybody does. I tried the list. I cut every irritant I was told to cut. I have already told you how that went. I did Kegels. A hundred a day, for the better part of a year, because someone told me to. I found out much later that a lot of us are not too weak down there. Some of us are too tight, and the Kegels make it worse. Nobody checked which one I was. I went on the waiting list for pelvic floor therapy, which everyone says is the real answer, and I believe them. I am still on that list. It has been months. I bought the bladder supplement from the drugstore aisle. Took it for two months. It did almost nothing and I decided the whole category was a con. I got tested for a urinary infection four separate times because it burned like one. Negative. Negative. Negative. Negative. And eventually I got the vaginal estrogen, which I had to ask for twice and then look a person in the face and explain my humiliating problem to get. I want to be very clear about the estrogen, because I know some of you are on it. It helped. It genuinely helped. It also took about six weeks, it is a lifelong commitment now, and after all of it I was still getting up three times a night and still doing the lean-forward routine. That is the part nobody warns you about either. That you can do the right thing, wait the six weeks, and still not have your life back. Which brings me to Pam. Pam and I have known each other twenty-two years and we drive up to see her sister together every so often. On that drive I made her pull over three times in ninety minutes. The third time, she did not say anything for a while. Then she said: "I used to do that." Used to. I nearly drove us into a hedge. Pam had the whole thing. The nights, the sprinting, the not-emptying. She said she still uses her cream and she is not coming off it, but she added one thing about a year and a half ago and her nights went first, and then everything else followed slowly. She wrote the name on the back of a receipt in the car park. I looked it up on my phone before we pulled out. Bloom & Bond. Pumpkin seed oil and saw palmetto. I actually laughed at her. Rob takes saw palmetto. For his prostate. I do not have one of those. And pumpkin seed oil I had filed under "hair pill," because that is the only place I had ever seen it. Pam said: read it properly before you decide it is for men. So I did. And this is the part I want to explain to you, because once I understood it I could not un-understand it. There are two separate things wrong with a menopausal bladder, and almost nobody explains the second one. ⚠️ Problem one is the tissue. Your bladder, your urethra and the muscle that holds it all up are built out of tissue that runs on estrogen. When the estrogen leaves in menopause, that tissue gets thinner, drier and easily irritated. That is the burning. That is the phantom infection feeling. That is why the test keeps coming back negative and you keep being sent home. ⚠️ Problem two is the signalling, and this is the one nobody was treating. On top of the thinning tissue, the bladder muscle itself starts squeezing when it has no business squeezing, and the urgency nerves start firing false alarms. That is the twelve seconds. That is the bladder that says nothing for two hours and then screams at the bathroom door. That is the toilet proximity alarm. It is not a full bladder. It is a false alarm from an over-sensitive nerve, set off by a cue. The first time I read that I put my phone down on the kitchen counter and stared at the wall, because somebody had just described the single strangest thing my body does, and it had a reason. Here is how Bloom & Bond splits the two. The pumpkin seed oil works on the tissue side. It is rich in the fatty acids and vitamin E that support irritated urinary tissue, its magnesium helps the bladder muscle relax instead of clenching, and its plant lignans give estrogen-starved tissue a gentle, plant-based nudge toward the support it lost. It is not a hormone. It does not go anywhere near your estrogen. The saw palmetto works on the signalling side. Its fatty acids help quiet the receptors that tell the bladder muscle to squeeze, and help settle the urgency nerves that keep sounding the false alarm. One calms the tissue. One calms the alarm. And that is when I went and found the old drugstore bottle in the back of the cupboard and read the label properly. Pumpkin seed. On its own. I had not been wrong about the ingredient. I had been sold half of it. I started taking it and I kept everything else exactly the same. Same cream, same nothing-after-seven, same everything. ✅ The first two weeks, nothing. I want to say that plainly, because I nearly stopped. ✅ Somewhere around the third week the alarm got quieter. Not gone. But I got the door open and my trousers down before it started shouting, and if you know, you know what that is worth. ✅ Around week five I counted two. Two wake-ups. I had been counting four every night for two years, so I noticed the way you notice a missing tooth. ✅ Around week seven or eight the routine got shorter. One evening I stood up and it was done. No leaning. No rocking. No standing there holding tissue at myself like a woman waiting for a bus. I stood in my own bathroom and said "oh" out loud. ✅ Around the third month I sneezed in the middle of the supermarket and nothing happened. I stood in that aisle for a good few seconds like an idiot. I have had a coffee. I sat through a whole film in a middle seat. I drove to Pam's sister's without doing the service station maths in my head. And a while ago I realised I could not remember the last time I had the dream about the broken toilets. That one got me more than any of it. Now let me tell you what this is not, because I have been lied to enough. It did not fix me. I still know where the bathrooms are. Old habits. It is not a drug and it is not a cure and I am not telling you a capsule did all of this on its own. I stayed on my estrogen and I am not coming off it, and neither should you without talking to somebody. This sat alongside what I was already doing, which is exactly the point. It took weeks, not days. Bodies are different and yours may not run to my timetable. What it is, is two plant ingredients in one capsule, taken once a day, that support the tissue and help quiet the signal, working on the half of this that nothing else I tried was touching. No prescription. No appointment. Nobody to look in the face and explain anything to. That last one mattered more than I expected it to. I think some of you reading this are exactly where I was. You know where every toilet on your route is. You take the aisle seat automatically now. You have a bag with a spare pair of everything in the boot of your car and you have never told a soul why. You have cut the coffee and the wine and it did not fix it. You have done the Kegels nobody checked you needed. You are on a waiting list. You might be on the cream already and quietly devastated that it was not enough. And you have decided, somewhere in the last year, that this is just what you are now. I decided that too. I was wrong. I want you to picture a night that goes from bedtime to morning in one piece. I want you to picture standing up from the toilet the first time and it being finished. I want you to picture sneezing in public and simply carrying on with your day. And I want you to picture going a whole month without once working out where the nearest bathroom is, because you stopped needing to know. I did not think I was getting any of that back. https://trybloomandbond.com/pages/menopause-bladder They do a money-back guarantee, which is the only reason I ordered it at all after the drugstore bottle. If it does nothing for you, you send it back and you are out nothing but the time. Give it more than two weeks. That is my whole piece of advice. P.S. If you already tried pumpkin seed oil for your bladder and it barely did anything, please read the mechanism part again. You were not wrong about the ingredient. It was working alone, and on its own it only does half the job. That was the single thing I got wrong for two years. P.P.S. You do not have to give up your estrogen to try this. I did not. Nobody should ask you to. This goes alongside it. P.P.P.S. If you have been told you cannot have estrogen at all, for your own reasons or your family history, this is not a hormone and it does not behave like one. I am not your doctor and you should ask yours. But there is a door here that is not the door everyone keeps pointing you at. P.P.P.P.S. The dream. The one with the toilets that are all broken. I did not mention it in this letter to be dramatic. I mentioned it because for two years it was the clearest proof I had that this thing had got into a part of my life I could not control, and I never told anybody about it, and it stopped. I hope you get your nights back. That is the whole reason I wrote this down.

Menopause made me pee twenty times a day

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