woman thinking

Women’s Urinary Incontinence and Menopause Don’t Always Go Together

by Find the Right DoctorStress Urinary IncontinenceUrge Urinary Incontinence

woman thinkingReally, no kidding. Women’s urinary incontinence can and does regularly occur when mature women reach menopause, but it doesn’t have to. Despite the popular belief that urinary incontinence is “natural” or “normal” when a woman reaches menopause, it simply isn’t true for all women … especially women who have been exercising their pelvic floor muscles.

Why Does Urinary Incontinence Occur with Menopause?
Like almost everything associated with menopause, urinary incontinence occurs because of the hormonal shifts in a woman’s body during this phase of life. Primarily, levels of the female hormone estrogen drop significantly during and after the process of menopause.

This is significant because estrogen is important for keeping the bladder and urethra healthy. Also, lower levels of estrogen in the body contribute to thinning of the urethral, vaginal, and bladder lining. With a thinner lining, the pelvic floor muscles responsible for keeping urine from leaking tend to weaken, which can lead to urinary incontinence.

What Kinds of Urinary Incontinence are Common Post-Menopause?
Women going through menopause or who are post-menopausal most commonly experience either stress urinary incontinence (SUI) or urge urinary incontinence (UUI).

With SUI, urine leaks when you put any pressure on your abdominal cavity, such as when you sneeze, laugh, or step off a curb. This happens because the weakened pelvic floor muscles that are supposed to keep urine in the bladder can’t withstand the sudden increase in abdominal pressure, and allow urine to leak.

With UUI, you experience a sudden and urgent need to urinate, often before you have time to reach the bathroom. This occurs because the bladder muscles squeeze at the wrong time. Many women with UUI feel the urge to go when they hear the sound of running water.

What Should Menopausal Women Do?
If you are experiencing urinary incontinence during or after the process of menopause, seek help from your doctor, whether it be your regular family doctor, your gynecologist, or your urologist.

One of the common conservative medications prescribed for your situation is transvaginal hormones, specifically estrogen. Estrogen, has been shown to increase blood flow, improve nerve function, and rejuvenate the tissues in the urethra and vagina.

Transvaginal hormones have been shown to prevent urinary tract infections in post-menopausal women. These hormones are available in the form of creams, tablets, or a time-release intravaginal ring. Note that transvaginal hormones are different than oral hormone replacement, which may actually worsen incontinence symptoms for some women.

Ready to Get Help?
Here are some resources to help you get help you want and need for your urinary incontinence:

How to Find the Right Doctor for You
Discreet Online Resources
Learn More about Urge Urinary Incontinence
Learn More about Stress Urinary Incontinence

 

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

Image courtesy of graur codrin / FreeDigitalPhotos.net

 

Bladder Health: Did You Know the Bladder Shrinks with Age?

by KegelsStress Urinary IncontinenceUrge Urinary Incontinence

Get this:

As you age certain parts of your body get larger (like your nose or ears) while other parts shrink, like your bladder.

Yikes! That’s bad news for those with women’s urinary incontinence. Leaking urine is bad enough, but the fact that the condition might worsen with aging due to a shrinking bladder can be downright depressing.

At age 25, the average person’s bladder can hold about two cups of urine before it has to be emptied. By age 65, that amount decreases to just one cup. That means twice as many trips to the bathroom.

Bladder Health: What to Do About the Shrinking Bladder
So what does a woman do about her incredible shrinking bladder? That’s a good question.

The answer is simple: train your bladder.

If you are otherwise fairly healthy, you can train your bladder so that you go when you want to, rather than when your bladder dictates you must. With bladder training, you are taking steps toward restoring bladder health.

Bladder Training and Bladder Health
The goal of bladder training is to learn to urinate before you have the urgent urge to go, or after you successfully reduce or eliminate the urge. Learning to urinate before the urgent need is upon you helps because running for the bathroom only makes urine leakage worse. Running tends to jiggle the abdominal organs, which increases the pressure on your bladder … and you end up with urine leakage.

With bladder training you focus on increasing the amount of time between urination. This technique is most effective for women with stress urinary incontinence or urge urinary incontinence (also called overactive bladder).

How to Train Your Bladder
To train your bladder, start out by urinating every two hours during the day, whether or not you feel you have to go. After you have successfully mastered this schedule, gradually increase the time between urination by half hour increments, until you reach four hours. Four hours is a reasonable period of time between urination, and at this point you won’t find the urge to go interfering with your life.

During bladder training, if you feel the urge to go during the two hour window, stop what you are doing and remain still. At the same time, perform a pelvic floor muscle contraction, also called a Kegel. Squeeze your pelvic floor muscles several times quickly, and do not relax fully between squeezes. These are similar to “quick Kegels,” and will help suppress the urge to urinate. Also stay calm and take deep breaths. Once the urge has passed, walk slowly to the bathroom while continuing to do some quick Kegels.

Bladder Health Takes Practice
As with all new exercises, bladder training takes practice. Don’t worry if your first attempts at doing this exercise don’t succeed. Just stay focused and keep practicing. Eventually your pelvic floor muscles will become much stronger and you will feel the urgent urge to go less frequently. Also consult your physician to see if there are other conservative therapies that will complement bladder training.

Finally, if you are not sure how to do a correct pelvic floor muscle contraction (and about half of all women are not), check out our step-by-step ebook that gives you step by step instructions.

Download the “What’s Up Down There” ebook here.

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

 

Got Women’s Urinary Incontinence? Tests You Can Expect

by General Urinary IncontinenceMixed Urinary IncontinenceOveractive BladderPelvic Organ ProlapseStress Urinary IncontinenceUrge Urinary IncontinenceUrinary Incontinence

If you have women’s urinary incontinence and are finally ready to discuss your condition, we congratulate you! One of the best ways that you can prepare for your doctor’s appointment is to understand the tests your doctor will likely perform to assess your condition. These tests are designed to help your doctor discover which form of urinary incontinence you experience: stress, urge (or overactive bladder), or mixed urinary incontinence. Learn about the three different types of women’s urinary incontinence here. In addition, these tests will inform your doctor about your symptoms, whether you have urinary urgency, leakage, or frequency (or all three)!

Tests for Women’s Urinary Incontinence
Don’t worry, none of the tests your doctor will perform to assess your urinary incontinence is painful. At the most, these tests are slightly embarrassing, but then, most women already feel embarrassed discussing their urinary incontinence with their doctors. If you have overcome that embarrassment and actually have an appointment with your doctor, these tests will be a breeze.

Initial Tests
Your doctor or specialists (urologist or ob/gyn or gerontologist) will first discuss your symptoms and condition. In addition, your doctor will perform some initial tests, which usually include a physical examination, a urinalysis, and a post-void residual. Here’s what each of those tests involves:

– Physical Exam: The physical examination will include a pelvic evaluation, so you may wish to take extra care with your hygiene prior to your appointment. This physical exam helps your doctor determine the anatomy associated with your incontinence. During this evaluation, the specialist will determine whether any of your pelvic organs have prolapsed or fallen out of place, which may contribute to your urinary incontinence issues.

– Urinalysis: This initial test helps your doctor rule out infection or blood in the urine as the cause of your urinary incontinence. You will be asked to provide a urine sample for testing. If the specialist suspects that you have a urinary tract infection, he or she will recommend a specific treatment plan to resolve the infection and send the sample for further testing. If blood is found in your urine, further testing may be needed to determine the cause.

– Post-void residual: This test confirms whether you are fully emptying your bladder when you urinate. A catheter or ultrasound machine is used to measure the urine remaining in your bladder after urination. A normal post-void residual is less than 100 ml

Further Testing
If your doctor is unable to fully determine the cause of your urinary incontinence, he or she may perform further tests. These can include a cystoscopy, urodynamic testing, and asking you to keep a bladder diary. These tests will include the following:

– Cystoscopy: A cytoscope is a thin, lighted viewing instrument that is inserted into the urethra and bladder. Your doctor will use this instrument to examine the interior lining of the bladder and urethra for issues, other than weakened pelvic floor muscles, that may be affecting your continence.

– Urodynamic Testing: This minimally invasive test focuses on your bladder’s ability to fill and empty. It measures how much your bladder can hold, how much pressure builds inside your bladder as it stores urine, and how full it is when you feel the urge to urinate. Urodynamic testing helps your doctor determine how well you might respond to certain treatments.

– Voiding Diary: Your physician may ask you to keep a voiding diary as part of your evaluation. This diary will allow you to communicate clearly with him or her about the status of your bladder, including how frequently you urinate during the day and at night, how much fluid you drink daily, and the volume of urine leakage you experience. The voiding diary will most likely also educate you about your own condition, too. Many women who keep a voiding diary are surprised at how frequently they urinate or have leakage accidents.

So there you have it. Now you have a better understanding of the tests your doctor or specialist may run to fully understand the causes of your women’s urinary incontinence. Knowledge is power, and at this point you are armed with the knowledge to confidently go to your doctor’s appointment to get on the path the relief!

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

 

Ladies: Read This if You Wonder What’s Up Down There

by Mixed Urinary IncontinenceOveractive BladderPelvic Floor WeaknessPelvic Organ ProlapsePOPStress Urinary IncontinenceUrge IncontinenceUrge Urinary Incontinence

Sometimes there is nothing like another person’s story to really motivate and empower us to take action for our own health. If you are concerned that you may have women’s urinary incontinence–meaning you have symptoms like urinary urgency, frequency, or leakage–the stories in this article may interest you. These stories may also interest you if you feel like something is falling out “down there”… or if your bedroom encounters have gone from “hot to not”!

If you wonder, “What IS up down there?” then read on… these stories may resonate with you plus motivate you to get the help you need!

Are You Like Jane?
Jane, in her mid-thirties, loves how kickboxing is helping restore her figure after she gave birth to her adorable son. What she doesn’t love is the amount of urine she leaks every time she kicks or boxes. In fact, the leakage happens so often that she is thinking of stopping her exercise program altogether.  Here’s what Jane doesn’t know.  She has stress urinary incontinence (also called stress incontinence), the most common form of urinary incontinence, which affects 26 percent of women over age 18 at some point in their lives. Childbirth is a major cause of stress incontinence. Most women with urine leakage wait more than six years to get help. Yet research shows that urinary incontinence in 8 out of 10 women with the condition can be improved. How long will Jane wait?

Jane solved her problem. Find out how by clicking HERE.

Are You Living Karen’s Story?
Sixty-two-year-old Karen has bathrooms on the brain. She has to urinate 10 to 12 times a day and a few times at night. Sometimes she feels a sudden urge and doesn’t make it to the bathroom in time–she then leaks a large volume of urine. Karen has to carry several changes of clothing with her and buys adult diapers in bulk. Her situation is bad, but her embarrassment about seeking help is worse, so she just keeps coping with the condition by herself.

This is what Karen should know. Karen is suffering from the most severe form of overactive bladder, called urge urinary incontinence. About 17 percent of women in the United States have urge incontinence, especially women 50 and older, but less than half seek help. Getting help is important, because about 60 percent of women with urge urinary incontinence also experience depression (though the two conditions are not always related). Help is also important because 70 percent of women with urge incontinence report symptom improvement with conservative treatments like medication or physical therapy.

Discover how Karen stopped leaking urine by reading her story HERE.

Does Jo’s Story Ring a Bell?
Jo, age 40 and very fit, faces a complex situation: she has the same symptoms as Jane and Karen, meaning she leaks urine when she exercises or laughs as well as because of sudden urges. She’s had symptoms for only 11 months but is definitely going to ask her doctor for help, even though she feels embarrassed. Her symptoms are frequent and serious.  What Jo will learn when she talks to her doctor: Jo’s doctor will tell her that she has mixed urinary incontinence, which is a combination of stress incontinence and urge incontinence or overactive bladder. Women with this mixed form of incontinence are more likely to seek help earlier because their symptoms tend to be worse and more frequent than symptoms of women who experience only stress or urge incontinence / overactive bladder. Mixed incontinence has a much stronger negative effect on quality of life, and women with this condition spend much more on laundry bills and adult diapers.

Jo was able to solve both types of urinary incontinence by using the steps outlined HERE.

Do You Share Susan’s Pain?
At age 68, Susan is suddenly experiencing low-back pain, chronic constipation, and the feeling that she is sitting on a ball. Luckily, she already has an appointment with her ob-gyn in a few weeks. She hopes her doctor will tell her what’s happening in her pelvic region.  What Susan’s ob-gyn will tell her at her appointment: Susan feels like she’s sitting on a ball because her pelvic organs have literally popped out of place. She has pelvic organ prolapse, in which one or more of her pelvic organs have moved out of place and now bulge into her vagina.  Susan’s ob-gyn will tell her that she is among the 3 to 6 percent of women who have severe pelvic organ prolapse, and will most likely need surgery to correct the problem. Surprisingly, between 43 and 76 percent of women have some degree of prolapse without knowing it and should be taking preventive action.

Susan was able to solve her pelvic organ prolapse issues with help from her doctor. Find out what Susan did HERE.

Do You Have “Not So Hot” Bedroom Encounters Like Cherie?
At age 42 Cherie is supposed to be in her sexual prime, at least according to the latest women’s magazines, but she feels far from sexy. With two children and a busy career, she considers sex to be at the bottom of her list. Further, sex with her husband just isn’t very pleasurable anymore because Cherie doesn’t feel much sensation in her sexual organs. She avoids sex as much as possible, but her husband is becoming upset and worried. She knows she needs to do something to resolve the situation, but she doesn’t know what.

How Cherie can solve her sexual problem: More than 40 percent of women are dissatisfied with their sex lives, and many of these women have decreased sexual sensation, which is what Cherie is experiencing. This decrease in sensation is often due to weak pelvic floor muscles, and the good news is that these muscles can easily be strengthened with pelvic floor muscle exercises. Studies show that women who do pelvic floor exercises reach orgasm more easily and experience more sexual desire. Cherie can improve her symptoms by following a simple pelvic floor exercise program, such as one from her physical therapist or the at-home program in chapter 7 in our book.

Cherie changed her bedroom encounters from “not, back to hot”… find out how by reading her story HERE.

Read, Plan, Do
Once you have read through these women’s’ stories, you should have a pretty good idea of what is going on with your pelvic health. Then make a plan. Will you call your family doctor for a referral to a urologist or will you visit your ob/gyn? Will you stop in and visit with your family doctor first?

Whatever you plan that takes you closer to solving your pelvic health issues is good. Then you must DO. A plan without action is not a very useful plan. So once you have your plan, do it! Take action for your own pelvic health. You will be surprised how much your quality of life will be affected by improving your pelvic health!

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

Surprising Causes of Stress Urinary Incontinence

by Stress Urinary IncontinenceUrinary Incontinence

Stress urinary incontinence, also called SUI, is the most common form of urinary incontinence. What is SUI? SUI is the leakage of urine anytime you put stress on your body, such as when you cough, sneeze, laugh, or exercise. Even standing up can cause leakage.

Specifically, this type of leakage occurs whenever your intra-abdominal pressure suddenly increases. SUI happens when the pelvic floor muscles that support the bladder and urethra are weak or because the urethral sphincter, which normally keeps urine from leaking, isn’t as strong as it should be.

Common Causes of SUI
If you have done any research into SUI, then you know that common causes of this form of women’s urinary incontinence include:

– weight gain
– childbirth
– smoking
– constipation
– aging

But what you may not know are the uncommon causes of SUI.

Uncommon Causes of SUI
Sometimes women are surprised by the appearance of SUI symptoms, especially if none of the above-mentioned risk factors apply. However, SUI symptoms can appear under certain unusual circumstances, including:

Timing
Because of hormonal changes, SUI symptoms may appear or worsen the week before your period. During this week, your estrogen levels are lowered, which can lead to decreased pressure around the urethra… possibly leading to leakage.

Pelvic Surgery
Many women are surprised when they develop SUI after a pelvic surgery such as a hysterectomy. Like childbirth, this type of pelvic surgery can weaken the pelvic muscles that support the bladder. The result is sometimes the occurrence of SUI.

Perimenopause or After Stopping HRT
While many women are aware that the onset of menopause can lead to SUI symptoms, what may be surprising is that these same symptoms can occur when a woman is perimenopausal, the transition period before menopause (when the  ovaries stop releasing eggs). During perimenopause, the body experiences a decline in estrogen, which can lead to decreased muscle support for the bladder and urethra. SUI symptoms may result.

The same thing can occur when women wean themselves off hormone replacement therapy because of a similar reduction of estrogen.

Don’t Be Surprised
Hopefully the above-listed uncommon causes of SUI will help you if you are surprised by the appearance of SUI symptoms. There are also other uncommon causes that are too many to list in the scope of this article.

Even though we can’t possibly list every possible cause of urinary incontinence, the good news is that you can (and should) always seek the advice of your favorite healthcare provider when you experience urine leakage. Urinary leakage is NOT normal, at any age, at any point in your life. If you experience urine leakage more than once, it’s time to call your doctor!

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

The Importance of Pelvic Floor Health

by KegelsPelvic Floor MusclesPelvic Floor WeaknessPelvic Organ ProlapsePessaryPOPStress Urinary Incontinence

Guest Post by Linda Grayling

A healthy pelvic floor serves as the supporting structure for the pelvic organs, which include the uterus, bladder and rectum. It supports the weight of the baby during pregnancy, and plays a role in core strength and posture. A strong pelvic floor can make childbirth and recovery easier, enhance sexual sensation, and help prevent pelvic floor disorders.

The extra pressure placed on the pelvic floor from supporting the baby throughout pregnancy and the strain of delivery can weaken this support system. This can lead to pain during or the inability to have sex, urinary incontinence, trouble with bowel movements, and prolapsed or displaced pelvic organs.

High-impact activities, heavy lifting, chronic coughing, frequently straining to produce a bowel movement, obesity, and smoking can also contribute to a weakened pelvic floor and increase the chance of developing a pelvic floor disorder.

Stress Urinary Incontinence
Stress urinary incontinence (SUI) is a common pelvic floor disorder that affects at least a third of all women at some point in their lives. It occurs when the stress from normal activities–like exercise, coughing or sneezing, laughing and even sex–triggers accidental urine leakage.

Many women experience minor issues with bladder control every now and then, but when incontinence becomes more frequent or interferes with daily life, they should talk to a doctor. Incontinence is directly related to the strength of the pelvic floor. Weakened pelvic floor muscles increase the odds of developing SUI.

Performing Kegel exercises daily can resolve symptoms of incontinence in just a few weeks. Not only will women stop experiencing embarrassing leakage during sex, but Kegels also heighten sexual sensation and help achieve orgasm.

Pelvic Organ Prolapse
Pelvic organ prolapse occurs when the pelvic floor is no longer strong enough to hold the pelvic organs in their proper place, allowing them to sag against the vaginal walls–and in severe cases, protrude from the vaginal canal. Prolapse occurs in half of all childbearing women, but is frequently without symptoms, making it a non-issue.

For women who do experience symptoms, they can include a pulling feeling or pelvic pressure, low back pain, problems with bowel movements and urinary problems, pain during sex, and unusual spotting or bleeding. Symptoms can worsen over time.

Women should always try conservative treatments before considering surgery. Strengthening the pelvic floor throughout pregnancy and after childbirth is especially important in avoiding pelvic organ prolapse later in life.

Physical therapists can offer personal instruction on locating, isolating and strengthening the pelvic floor, and may employ biofeedback therapy, pelvic massage or the use of vaginal weights. Doctors may also recommend the use of a vaginal pessary to keep pelvic organs in place.

In recent years, many women have had corrective surgical procedures using transvaginal mesh to strengthen the pelvic floor. The complications associated with transvaginal mesh are not always reversible, and include organ perforation, mesh erosion and the need for revision surgery.

These complications have prompted the Food and Drug Administration (FDA) to issue a warning stating that most cases of prolapse can be corrected without mesh and that mesh can expose patients to greater risk.

Women should ask their doctors about all of their surgical repair options, which can include using the patient’s own tissues or biologic products.

Linda Grayling writes for Drugwatch.com. Linda has a number of professional interests, including keeping up with the latest developments in the medical field. Join the Drugwatch community on our Facebook page to find out more.

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

 

 

Women’s Urinary Incontinence: What You Gain When You Seek Medical Help

by Find the Right DoctorGeneral Urinary IncontinenceOveractive BladderPelvic Organ ProlapsePessaryPOPStress Urinary IncontinenceUrge IncontinenceUrge Urinary IncontinenceUrinary Incontinence

In our last article, we discussed all the quality of life aspects that go out the window when women with urinary incontinence fail to seek medical help for their condition. In this follow-up article, we take a look at all the benefits you gain when you seek medical help for women’s urinary incontinence. Yes, we know, seeking medical help involves having that “red-faced” embarrassing conversation with your doctor about urinary urgency, frequency, and leakage. But after you read through all the benefits you will gain once you get through that conversation, our bet is that you will be willing to ask your doctor for help (if you haven’t already)!

Benefit #1: A Medical Diagnosis
A lot of women with urinary incontinence know that they have a problem, but they don’t know exactly what the problem is. They know they suffer from urinary urgency or frequency or leakage, but may not necessarily know the causes of these symptoms. This lack of knowing “what’s up down there” can create a sense of tension and stress for many women. Therefore, one of the biggest benefits of getting help from your doctor is that you get a true and medically-correct diagnosis about your condition. You will find out if you have stress, urge, or mixed urinary incontinence … or just a mild form of urge incontinence called overactive bladder (OAB). You will discover whether your pelvic organs have “fallen” out of place, causing some of your symptoms. Whatever the cause of your urinary incontinence symptoms, you will emerge from your conversation with your doctor with the knowledge of what is happening with your body. Since “knowledge is power,” you will emerge from your appointment with a new sense of self-empowerment. That is a pretty neat benefit.

Benefit #2: Knowledge of Treatment Options
Once your healthcare provider discovers the cause of your symptoms, such as urinary urgency or leakage, the next step is obviously to discuss treatment options. Depending on the type and severity of your symptoms, your doctor may recommend either conservative or surgical treatment options. Conservative options may include lifestyle changes, such as smoking cessation, weight loss, and dietary changes. Other conservative therapies include bladder retraining, pelvic floor muscle rehabilitation, acupuncture, pessaries, and percutaneous tibial nerve stimulation.

If your condition is more severe, especially if one or more of your pelvic organs has fallen out of place (a condition called pelvic organ prolapse, or POP), then your doctor may recommend some surgical options to treat your condition. The good news is that most of the surgical procedures for women’s urinary incontinence are minimally-invasive, plus have a high rate of success.  Most healthcare providers will recommend that you start with the most conservative therapy possible, and consider surgery only if your condition is not treatable with conservative approaches.

Benefit #3: Support on the Journey Back to Health
While talking to your doctor about your urinary symptoms may be embarrassing, you will find that most medical professionals are quite knowledgeable and compassionate about women’s urinary incontinence. By seeking help from your doctor, you will not only get the help you need to restore yourself to continence, but you will gain the knowledge that you are not alone. As the baby boomer generation ages, more and more doctors are helping women with urinary incontinence issues. Your doctor will not only provide you with solutions that will treat your condition, but can also reassure you that you are not alone. Your doctor may even be able to recommend resources, both online and offline, where you can find additional support from women dealing with the same kinds of symptoms.

Big Benefits from Seeking Help
As you can probably tell, seeking help from your doctor will yield some pretty major benefits for you. Not only will you be able to address your physical symptoms, but you will also be able to ease your mind as you gain knowledge about urinary incontinence. The more you know, the more control you will have over your condition. The more control you have, the less stress you will experience. All of these are major contributors to a good quality of life. Doesn’t that make a short conversation with your doctor worthwhile?

 

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

 

Embarrassed by Urine Leakage? How Quitting Smoking Can Reduce Bladder Spasms

by Mixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary Incontinence

This blog is part 4 of an 11 article series of 11 New Year’s resolutions that actually work and WILL improve your pelvic health. Get the full list of all 11 New Year’s resolutions HERE.

Did you know that smoking is one of the worst culprits when it comes to women’s urinary incontinence, especially those uncontrollable bladder spasms that cause embarrassing urine leakage!

If you smoke, you probably already know that it is one of the least-healthy activities you can do. For instance, women who smoke have four times the risk of developing bladder cancer. Not good. If you are a woman who smokes and suffers from bladder spasms and/or urine leakage, then you are definitely doing yourself a disservice.

The Link Between Smoking and Urine Leakage
Smoking is a risk factor for all three types of women’s urinary incontinence:

  • stress
  • urge (or overactive bladder)
  • mixed

With stress urinary incontinence, the pelvic floor muscles are too weak to hold urine in the bladder when abdominal pressure increases, such as when you cough or sneeze. If you smoke for a long period of time, chances are high that you will develop a chronic smoker’s cough. Each time you cough, you put immense downward pressure on your pelvic floor muscles. As time passes, this constant downward pressure will result in weakened pelvic floor muscles, and eventually urine leakage. Studies show that women who smoke are twice as likely to develop symptoms of stress urinary incontinence.

If you have urge urinary incontinence (also called overactive bladder), you experience frequent and sudden urges to urinate, whether or not you leak urine. These sudden urges are caused by bladder spasms which force urine out of your body when you least expect it. Smoking only worsens these bladder spasms since nicotine is a bladder irritant. More bladder spasms equal a greater frequency and urge to urinate.

With mixed urinary incontinence, you experience the symptoms of both stress and urge urinary incontinence. That means if you smoke, your symptoms will be doubly difficult to handle. In addition to bladder spasms from the nicotine, you can experience leakage every time you cough, sneeze, or exercise. More importantly, women who smoke are 28 percent more likely to develop some form of urinary incontinence!

The moral of this story should be crystal clear: if you want to avoid urine leakage, bladder spasms, and all other symptoms of urinary incontinence, stop smoking! If you feel you cannot stop smoking on your own, ask your doctor for help. Many smoking cessation methods are now available, and can provide the support you need to stop smoking today, and relieve your symptoms of urinary incontinence.

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

 

Women’s Pelvic Health: 11 New Year’s Resolutions That Actually Work!

by Decreased Sexual SensationGeneral Urinary IncontinenceOveractive BladderPelvic Organ ProlapsePOPStress Urinary IncontinenceUrge IncontinenceUrge Urinary IncontinenceWomen's Healthcare
Happy New Year! The New Year is always a great time to give thanks for all the gifts in our lives, and also the perfect time to look at ways in which we could improve certain areas of our lives. Hence the practice of making New Year’s resolutions.
New Year’s resolutions can be great motivators, especially when it comes to life goals or lifestyle changes. Many people look forward to making New Year’s resolutions with joy and hope. But for those whose resolutions have failed to live up to expectations in the past, there can be some anxiety about setting yet another resolution that might not work.
But don’t worry … be happy this New Year, especially if you are a woman and suffer from any symptoms of poor pelvic health! Why? Because in the coming days we are going to give you 11 New Year’s resolutions that actually work and WILL improve your pelvic health. These simple lifestyle changes can improve symptoms of all forms of urinary incontinence, as well as symptoms of pelvic organ prolapse and decreased sexual sensation. Plus, we will help you set yourself up for success with extra tips and techniques for staying focused on your resolutions throughout the year.
Sound good? Then listen up — here are the 11 lifestyle changes that we will be discussing in the next days and weeks:
1. At-Home Pelvic Floor Retraining
2. Pelvic Floor Retraining with a Physical Therapist
3. Keeping a Bladder Diary and Bladder Retraining
4. Smoking Cessation
5. Timed Fluid Intake
6. Diet Modification — Avoiding Certain Foods and Beverages
7. Diet Modification II — How to Avoid Constipation
8. Diet Modification III — What to Do When You Go Off Your Diet Plan
9. Weight Loss and Management
10. Acupuncture as a “Middle of the Road” Solution
11. Percutaneous Nerve Stimulation and Other Conservative Measures
Have a great New Year’s Day and keep your eyes and ears open for blogs and video blogs on these great upcoming New Year’s resolutions!

If you enjoyed this post, we invite you to leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.

 

Women’s Urinary Incontinence: 5 Questions to Ask Yourself

by General Urinary IncontinenceMixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary IncontinenceUrinary IncontinenceWomen's Healthcare
If you leak urine, whether a little or a lot, chances are that you have asked yourself whether you are “normal” or not. Many women mistakenly assume that urinary incontinence is a “normal” part of aging.Guess what? Women’s urinary incontinence is NOT normal at any age. A healthy bladder does not leak urine. So if you are wondering whether you are “normal,” here are 5 questions to ask yourself:#1: Does your bladder function normally?
A healthy bladder can hold about 2 cups of fluid comfortably for 2 to 5 hours. Can your bladder do that?

#2: Did your women’s urinary incontinence start with menopause?
While urine leakage often accompanies menopause, it is not normal. Luckily, there are many medications and conservative options to help with urinary incontinence that occurs with menopause.

#3: Do you urinate more than 6 to 8 times daily?
If you have a healthy urinary system, you should urinate no more than 6 to 8 times per day. If you have to urinate more frequently, then you may be suffering from overactive bladder (OAB), also called urge urinary incontinence. You may wish to keep a voiding diary to track how many times a day you have to urinate. The results may surprise you.

#4: Are you “coping” well with your slight urine leakage?
Many women assume that if their urine leakage is slight and that they can cope with it using absorbent pads, they don’t have a problem. Unfortunately, any amount of urine leakage isn’t normal. Of course, all of us have experienced “wet panties” once in a while when we laugh way too hard. But if you leak urine regularly, then it’s time to call your doctor for help.

#5: Do you urinate “just in case”?
If you visit the bathroom before every movie or before sitting down to most meals “just in case” you might have to go later, you are practicing what is called “defensive voiding.” Defensive voiding is a sign of women’s urinary incontinence, and can be a sign of overactive bladder (OAB) or urge urinary incontinence. If so, talk to your doctor about conservative measures you can take so you don’t have to practice defensive voiding. You’ll find it quite a relief …plus you’ll enjoy movies and meals much more!

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Do Herbal Remedies Work for Urinary Incontinence?

by General Urinary IncontinenceMixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary IncontinenceUrinary IncontinenceWomen's Healthcare
With the array of herbal and botanical formulas on the market today for women’s urinary incontinence, there is a strong temptation to “go natural.”After all, what could be better than using products from nature to deal with women’s urinary incontinence?

There is certainly nothing wrong with using herbs and other natural products. The question is whether these products actually help with urine leakage symptoms, or simply are a waste of time and money.

The best way to discover the effectiveness of herbal products for improving urinary leakage issues to read scientific peer-reviewed studies of the products. Here are just a few products that have been reviewed by the scientific community, as opposed to simply tested by “in-house” teams employed by the companies that make the products.

A Review of 5 Natural Products for Women’s Urinary Incontinence
Some of the more common natural products that have been touted for improving urinary incontinence symptoms include pumpkin seeds, cornsilk, buchu, bromelain, and magnesium. Let’s see how these products act to improve women’s urinary incontinence.

#1: Pumpkin Seeds
Pumpkin seeds have actually been under significant clinical investigation for treating urinary incontinence. Studies have shown that certain ingredients in pumpkin seeds, including essential fatty acids and compounds like “phytoesterol,” do support a woman’s bladder, especially after menopause. In fact, in one study 75% of postmenopausal women taking pumpkin seeds achieved better bladder control after six weeks.

#2: Cornsilk
Corksilks are the long silky fibers found at the top of an ear of corn. High in flavonoids and polyphenols, both of which have anti-inflammatory properties, cornsilk is believed to reduce inflammation in the bladder. As a result, some women experience a reduced urge to urinate, especially if their urine leakage is related to inflammation.

#3: Buchu
Many herbalists currently prescribe this South American herb for recurring urinary tract infections and overall bladder health. Many doctors point out that urine leakage issues are often related to bladder inflammation, or even mild infections. Even mild inflammation of the bladder can cause a continuous urge to urinate and prevent you from completely emptying your bladder. Since buchu has mild antiseptic properties, it is believed that this herb prevents inflammation.

#4: Bromelain
Bromelain comes from the pineapple plant, and is commonly known to be an anti-inflammatory. As with some of the other herbs mentioned in this article, bromelain is believed to have a healing effect on bladder inflammation.

#5: Magnesium
Athletes know that magnesium is essential to muscle health, and studies indicate that people with Parkinson’s disease find relief from urine leakage symptoms when taking this supplement. Doctors also recognize that magnesium may be useful in controlling bladder spasms, which can cause incomplete emptying of the bladder. In addition, some women find that taking magnesium before bedtime can relieve nighttime wetting issues.

If you suffer from women’s urine incontinence, exploring all your options are key to finding relief. This can include the natural remedies mentioned in this article, medication, physical therapy, acupuncture, and even surgery. The point is that not all solutions work for all women, but there is a solution out there for your urinary incontinence issues. Keep looking until you find a solution that works for you!

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Dealing with Women’s Urinary Incontinence While Exercising

by General Urinary IncontinenceMixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary IncontinenceUrinary IncontinenceWomen's Healthcare
If you suffer from women’s urinary incontinence, you are probably wary about exercising in public. The embarrassment of a urine leakage accident occurring while you jog on a crowded public trail or ride an exercise bike at the gym can be enough to keep you at home!Unfortunately, avoiding workouts won’t really help your urine leakage problem. In fact, lack of exercise–and the resulting weight gain–can actually worsen your urinary leakage problems. That’s why it is important to deal with your urinary incontinence so that you can work out in a way that is comfortable for you. We have some tips that can empower you to return to the gym without fear of urinary leakage.

Five Ways to Cope with Urinary Incontinence While Exercising
There are many conservative measures you can take to prevent or minimize urinary leakage when you exercise. Here are five ways you can help yourself stay dry while you exercise.

Tip #1: Limit Fluid Intake
While it is important to stay hydrated when you exercise, limiting your fluid intake just before your exercise session can help prevent urine leakage. You are the best judge of how much fluid you need to drink before and during your workout to stay hydrated while preventing leakage accidents. Experiment with different levels of fluid intake until you see some level of improvement in your urinary incontinence symptoms. Normally, women need to drink between four and nine cups of water per day to stay hydrated.

Tip #2: Urinate Just Before Working Out
Emptying your bladder before your workout can go a long way toward preventing leakage accidents. You can go a step further by practicing double voiding. Double voiding means urinating until you feel that your bladder is empty. Then, wait a few seconds, and urinate again. This allows your bladder to empty completely, which can help prevent symptoms of urge urinary incontinence, which is also called overactive bladder.

Tip #3: Use a Tampon or Urethral Insert
Both tampons and urethral inserts increase pressure on the urethra and support the bladder. Both of these actions can help prevent urine leakage during while you exercise, especially if you suffer from stress urinary incontinence.

Tip #4: Use Absorbent Pads or Diapers
While this option seems unattractive for many women, since pads and diapers can be bulky and uncomfortable, you might be surprised at the advances in these products. Trying different absorbent products until you find the one that works for you may allow you to return to an active lifestyle without worrying about that embarrassing “wet panty” look. Check out the different kinds of absorbent products on the market today, and see which ones fit your needs.

Tip #5: Exercise Your Body Inside and Out
Being able to work out at the gym without urine leakage may depend on how regularly you exercise your inner muscles “down there.” Regularly exercising your pelvic floor muscles can keep you toned and fit internally, which prevents urine leakage. For the scoop on pelvic floor muscle contractions (also called Kegels) check out our free informational ebook.

Download the “What’s Up Down There” ebook here.

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Capsaicin: Can Chili Peppers Help with Women’s Urinary Incontinence?

by General Urinary IncontinenceMixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary Incontinence
As odd as it may seem, capsaicin, the active component of chili peppers, may actually help some women with their urinary incontinence symptoms. This is odd because women suffering from urinary leakage are told to stay away from spicy foods … and that is good advice.However, recent studies show that capsaicin can actually help urinary leakage symptoms by desensitizing certain bladder nerves. This in turn reduces involuntary bladder leakage and, in some women, has been shown to increase bladder capacity.

That’s the good news. The bad news is that capsaicin, which is administered directly into the bladder, can actually worsen bladder and urine leakage symptoms temporarily. Luckily, there is a capsaicin analog called resiniferatoxin, which does not cause the same irritating response while still producing the same positive effects.

The use of capsaicin and its analog are still in the experimental phases of study, but you never know if and when it could become yet another conservative therapy that may help you deal with your women’s urinary incontinence symptoms.

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Women’s Urinary Incontinence: Keeping Young Women Out of Sports?

by General Urinary IncontinenceMixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary IncontinenceWomen's Healthcare
While women’s urinary incontinence is popularly believed to affect mostly mature women, a recent study in the British Journal of Sports Medicine demonstrates that urine leakage can affect much younger women, as well.In fact, this new study shows that younger women affected by urinary incontinence are being forced to change the sports in which they participate, or give up sports altogether. The study focused on 679 Italian women, all of whom participated in non-competitive sports and were still having regular periods.

One in seven of the women surveyed (15%) indicated they suffered from urinary incontinence, and on average these women had been dealing with the symptoms for about 6 years. Of those affected:

– about half experienced symptoms during routine activities
– one-third had symptoms occur solely during sporting activities
– one-fifth claimed symptoms during both regular and sporting activities

Based on the study results, the riskiest sports for women, when it comes to urinary incontinence, are (in descending order): basketball, athletics, and tennis or squash. What’s more:

– 10% of the women surveyed gave up their favorite sport because of their urinary incontinence
– 20% of women surveyed changed or limited their sporting activity to prevent further urine leakage issues

Wow! Those statistics include a large number of young women who can longer be as active as they once were because of urine leakage problems.

What’s a Young Woman with Urinary Incontinence to Do?
Luckily, young women with urine leakage problems do have options and solutions. In younger women, urinary incontinence is most often the result of pelvic floor weakness. Strengthening these muscles by doing regular Kegels can make a big difference.

If you have been unable to participate in your favorite sporting event because of urine leakage accidents, consider doing Kegels as part of your rehabilitation program. Kegels tone and strengthen the pelvic floor muscles, which are the muscles that hold urine in the bladder until you are ready to urinate.

If you have never done Kegels, or you have done Kegels but feel they are not effective for you, you may want to download our ebook “What’s Up Down There?” This ebook not only helps you determine the strength of your pelvic floor muscles, but also walks you through how to do a correct pelvic floor contraction (Kegel). Many women do Kegels, but incorrectly. This ebook helps you troubleshoot your Kegel contraction, and helps you do those contractions correctly. Kegels are both simple and effective once you learn to do them correctly.

Download the “What’s Up Down There?” ebook here

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Medications for Overactive Bladder or Urge Urinary Incontinence

by General Urinary IncontinenceMixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary IncontinenceUrinary Incontinence
If you are a woman and you leak urine then you suffer from women’s urinary incontinence. The question is, do you know which kind you have? There are actually three kinds of women’s urinary incontinence:
If you leak urine when you sneeze, step off a curb, or pick up a heavy object, then you most likely have SUI. If the sound of running water causes you to leak urine, or you simply leak involuntarily at odd moments, then you probably have UUI. If you have both kinds of symptoms, then you probably suffer from MUI.The good news for women who leak urine is that there are many treatment options. In this article, we cover the different kinds of medications used to treat overactive bladder, also known as UUI.

Which Type of Medication Should You Take?
Choosing the right medication for your overactive bladder or urge urinary incontinence should be a joint effort between you and your doctor. Not all medications work for all women with UUI, so it may take a little trial and error before you find the right medication for your symptoms.

There are two types of medications that treat OAB or UUI: short-acting and long-acting. If you simply need a little help to get through the Sunday church service without leaking urine, then you may want to take medication that acts in the short term-for 3 to 4 hours. This kind of medicine will work for you if you can manage your urine leakage most of the time, but want to prevent urine leakage during a special event.

On the other hand, if urine leakage is a more chronic problem and you need help all the time, then you need a more long-acting form of medication. You take this type of medicine once or twice a day, and the effect lasts 12 to 24 hours.

Long and Short-Acting Medications for OAB or UUI
Many medications come in both short-acting and long-acting forms. For example, tolterodine, commercially known as Detrol or Detrol LA, comes in both short and long acting forms. The same goes for oxybitynin, which comes in tablet, patch, and gel form.

As you can see, there are many choices of medicine for OAB or UUI. Whether you choose a medicine that has short-acting or long-acting effects is a decision that you should make with your doctor. Other factors to consider include the side effects of each kind of medication. For instance, the class of medication called anticholinergics can cause dry mouth, constipation, drowsiness, or confusion. This type of medication is also contraindicated for people who have glaucoma.

Along with possible side effects, other factors to consider when choosing your medication include price, effectiveness, and length of time before the benefits are realized. Many short-acting medications produce results right away, while long-acting medications can take between five and ten days to show benefit.

The point is that there are many medications available on the market approved by the FDA to treat overactive bladder or urge urinary incontinence. Medication can be a very effective conservative therapy for women’s urinary incontinence, and you shouldn’t give up hope if the first medication you try does not work for you. Keep consulting with your healthcare provider until you find a treatment that works for your UUI or OAB. Sometimes medication works best when combined with pelvic floor rehabilitation and other conservative therapies.

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Women’s Urinary Incontinence: More Than One Cause

by Mixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary Incontinence
“Why am I leaking urine?” This is one of the most common questions asked by women who experience urinary leakage. The answer to this question is not as simple or straightforward as it might seem, since there can be multiple causes for this condition. If you are leaking urine, then you may be looking for more than one culprit.

Risk Factors for Women’s Urinary Incontinence
Unfortunately, women are twice as likely as men to suffer from urine leakage. Part of the reason for this statistic is that pregnancy and childbirth are major contributors to urinary incontinence. Childbirth, especially vaginal deliveries, can stretch and tear the muscles and ligaments in the pelvic region, weakening the pelvic floor muscles and causing urine leakage.

Other risk factors that can contribute to urinary incontinence include:

Weight Gain and Obesity:Every pound puts downward pressure on the bladder and pelvic floor muscles

Aging:Muscles in the pelvic floor tend to sag, just like muscles everywhere else in the body

Smoking and Chronic Cough:Nicotine can irritate the bladder in some women while chronic coughing puts stress on the bladder, causing involuntary leakage

Menopause:Decreased levels of estrogen linked to menopause can lead to thinning of the urethral and vaginal walls, which in turn offer less support for the bladder

Medication:Certain classes of medicine, such as broncho-dilators and diuretics, can cause urine leakage

Urinary Tract Infections:Chronic infections in the bladder or urinary tract can eventually lead to urinary incontinence

Other causes include pelvic organ prolapse, dietary issues, and bladder stones. The key is to realize that more than one factor may be contributing to your urine leakage issues.

That’s why it is important to check with your healthcare provider as soon as you experience any symptoms of urinary incontinence. The earlier your doctor can diagnose your condition, the more easily your symptoms can be treated and cured. In addition, early detection means that conservative measures, such as physical therapy and lifestyle changes, are more effective.

Diseases That Contribute to Urinary Incontinence
In addition to the factors listed above, certain diseases can cause urinary incontinence. While this is more prevalent in the elderly or the ill, you are more likely to suffer urine leakage if you have or have had:

– Parkinson’s or Alzheimer’s disease
– diabetes
– multiple sclerosis
– stroke
– pelvic floor or spinal cord injuries
– bladder cancer

As always, knowledge is power and the more knowledge you have about your condition the more you can contribute to your own health and well-being. To be your own best health advocate, especially when it comes to matters “down there,” take two important steps:

1. Contact your healthcare provider to get an accurate diagnosis and explore your treatment options.

2. Learn are much as you can about your condition. You may wish to learn more about the different types of urinary incontinence or read our no-cost ebook.

Good luck and remember that urinary incontinence is neither inevitable nor untreatable!

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Women’s Urinary Incontinence: Pack a Small Bag When Out and About

by General Urinary IncontinenceMixed Urinary IncontinenceStress Urinary IncontinenceUrge Urinary IncontinenceWomen's Healthcare
An evening at the theater, an educational lecture, a “girls night out” … all of these activities should be fun and pleasurable, unless you suffer from women’s urinary incontinence. If you have a problem with urine leakage, then these social events can end up being torturous rather than fun.Pack a Bag for Social Events
Social events can become fun again with a little strategic planning. One way to deal with women’s urinary incontinence is to pack a small bag when you have to be out and about. And don’t worry, when we say “small bag” we mean small.

In fact, you can fit most of these items in your purse. To be prepared to deal with potential urine leakage accidents, carry these items around with you:

– an extra incontinence pad
– a tampon (wearing a tampon can support your urethra and prevent leakage)
– odor-neutralizing spray
– small fragrance spray

No big deal, right? The extra pad will keep you dry if you do have a urine leakage accident. The tampon will prevent further leakage, and the sprays will keep you smelling fresh and clean.

Some Additional Tips for Social Events
In addition to packing some extra supplies, you can also minimize embarrassment if you do have an accident by doing the following:

– watch what you eat and drink
– practice bladder retraining or timed voiding
– wearing dark clothing

Sounds simple, right? It can be. A little effort goes a long way when you deal with women’s urinary incontinence.

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Women’s Urinary Incontinence: Risk Factors for SUI

by General Urinary IncontinenceStress Urinary IncontinenceWomen's Healthcare
Do you involuntarily leak urine when you put stress on your bladder by coughing, sneezing, standing, exercising, or engaging in any physical activity? If so, then you probably have stress urinary incontinence, or SUI.As the name suggests, SUI is the condition where you leak urine when you “stress” the bladder or increase the intra-abdominal pressure. Just standing up or stepping off a curb can cause leakage–which can be discouraging to even the most optimistic of women.

Recent studies show that 26% of women over the age of 18 have experienced SUI. Experts estimate that general urinary incontinence affects 18 million women in the U.S. Specifically it affects 33% of women ages 45 to 64, and 24% of women ages 25 to 44. Sixty percent of women who have urinary incontinence suffer from SUI, which is the most common form of incontinence.

Risk Factors for SUI
Certain factors can put you at risk for developing SUI. These include any activities that weaken the pelvic floor muscles, such as chronic coughing. Specifically, risk factors for SUI include:

  • Being female (twice as many women have SUI than men)
  • Childbirth
  • Chronic coughing (such as chronic bronchitis and asthma)
  • Aging
  • Obesity
  • Diabetes
  • Steroid Use
  • Smoking
The good news is that conservative therapies, such as medication and weight loss, often vastly improve SUI symptoms. For instance, in one study sponsored by the National Institutes of Health, women who lost 8 percent of their body weight, or about 17 pounds, reduced their leakage incidences by almost half. That’s a lot!Want to learn more? Read up on SUI here:

Is This You?
About Stress Urinary Incontinence

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