1 letter a week from a urologist.
1 idea, 1 exercise and 1 reader question, in a 3-minute read. From Dr. Dana Kivlin, to your inbox, every Sunday.
If you remember 1 number from my letters, make it this one: 56%.
In a Cochrane review, 56% of women with stress leaks who trained reported cure. Without training, 6%.
6 things you can count on
Every letter, for every reader. The app pays for it.
Sunday morning, 3 minutes to read. Nothing in between.
Dr. Dana Kivlin writes or approves every line.
Each number links to its study, so you can check it.
We use it to send the letter. Nobody else gets it.
Every email ends with an unsubscribe link that works at once.
Read 3 before you join
Train before the baby
A Cochrane review of 11 trials found that training during pregnancy lowers the risk of leaks in late pregnancy by 22%. Here is how to start, and when to check first.
Six weeks is the start
Every trial behind Kegels ran 3 to 6 months. Here is the timeline the research supports, and the daily dose that gets you there.
Squeeze before you sneeze
A 1-second squeeze, timed right, cut leakage by 98% on a medium cough in one study. It is called the Knack. Here is how to learn it this week.
Questions
What does it cost?
Nothing. Class Notes is free, for good. The app funds it.
How often will you email me?
1 letter every Sunday. When a new program opens in the app, you may get 1 short extra note that week.
Who writes it?
Dr. Dana Kivlin, a board-certified urologist at Middlesex Health. Each letter carries its sources.
Can I reply?
Yes. Reply with your question. Some questions become the reader question of a future letter, without your name.
How do I unsubscribe?
Click "unsubscribe" at the bottom of any letter. It works at once, with no login.
Your first letter arrives Sunday.
Short, sourced and kind. Each Sunday, Dr. Dana sends the one thing she wants every woman to know about her pelvic floor.
- 1 ideaWhat the research says, in plain words, with its source.
- 1 exerciseA 2-minute move to try the same day.
- 1 questionA reader asks. Dr. Dana answers.