Women’s Urinary Incontinence: 5 Questions to Ask Yourself
Are You From Venus? Women with Urinary Incontinence May Feel Like They Are
Women’s Urinary Incontinence: 5 Questions to Ask Yourself
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?
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
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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Medications for Overactive Bladder or Urge Urinary Incontinence
- stress urinary incontinence (SUI)
- urge urinary incontinence (UUI) also called overactive bladder (OAB)
- mixed urinary incontinence (MUI, stress plus urge)
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: When You Gotta Go at Night
What Can You Do About Urinary Incontinence at Night?
Luckily, depending on the severity of symptoms, you can take steps to decrease urine leakage at night, or limit the amount of cleanup necessary. Here are three do-it-yourself steps you might want to try.
1. Bladder Retraining
Bladder retraining involves urinating at regular intervals during the day, whether you feel like you need to go or not. The goal is the increase the interval of time so that you urinate less and less frequently during the day. This will often relieve symptoms of nighttime urine leakage.
To assist you with bladder retraining, you may need to program your cell phone or a small timer to “beep” at certain intervals, reminding you to go to the bathroom. For instance, during the first week you may want to set the timer for an hour or 90 minutes. If you feel the urge to urinate before your timer has beeped, breathe deeply and relax. Do a Kegel or pelvic floor contraction or two or suppress the urge. Then urinate at the appointed time.
Each week gradually increase the interval between bathroom visits until you have reached a 3 hour interval. At this point you should definitely see improvement in your nighttime urine leakage symptoms.
2. Strengthen Your Pelvic Floor Muscles
When you strengthen your pelvic floor muscles with Kegels, they will help hold everything in place “down there” both during the day and at night. The key is to do “correct” Kegels. Many women think they are tightening the correct pelvic floor muscles during a Kegel, but in fact are squeezing their thighs or buttocks instead.
To learn how to do a correct Kegel, download our ebook, which has step-by-step instructions on how to perform a correct Kegel. The ebook also gives offers two great tests to help you measure the strength of your pelvic floor muscles.
3. Stop Fluid Intake before Bed
While you definitely need to stay hydrated during the day, since not drinking enough water can worsen symptoms of urinary incontinence, you can decrease night time leakage by stopping your fluid intake 3 hours before bed. Most women report that this 3-hour interval works well to decrease urine leakage at night.
Finally, to prevent messy cleanups or having the change your linens, consider sleeping on a waterproof pad or wearing an adult brief to bed. It can save a lot of hassle during the night so you can rest easy and have sweet dreams!
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Women’s Urinary Incontinence: Post-Partum Statistics You Should Know
It’s sad, but true. During pregnancy, a woman’s body undergoes many physical and hormonal changes. These changes can result in urinary urgency, urge urinary incontinence, and incomplete emptying of the bladder during pregnancy.
While some women who experience urinary incontinence during pregnancy do not have urine leakage after delivery, many do. The opposite is also true: women who were continent during their pregnancy may discover that they leak urine post-partum.
Some Statistics about Women’s Urinary Incontinence Post-Partum
What’s a mom-to-be or a new mom to think? Well, here are some statistics which may offer you some guidance on what to expect (according to Carolyn Sampselle as reported in the American Journal of Nursing):
- Vaginal delivery is linked to a high rate of urinary incontinence in the period directly after birth
- 21% of women experience urinary incontinence after their first vaginal delivery with spontaneous birth
- 36% of women experience urinary incontinence after their first vaginal delivery with forceps delivery
Women who experience urinary incontinence for a period of time post-partum are three times as likely to have urinary incontinence five years later.
In addition, in a study by Brown and Lumley (2000), urinary incontinence was one of the three major health factors associated with poor emotional well-being post-partum. The other two factors were tiredness and a higher than usual number of minor illnesses. Ultimately, if left untreated, these factors can lead to long-term depression.
So What is a Post-Partum Mom to Do?
If you suffered from urinary incontinence during your pregnancy, or post-partum, then you should take definite and immediate action. Make an appointment and speak honestly with your doctor about your condition. Find out what conservative measures you can take to improve your symptoms.
Then take charge and be your own best health advocate! Browse through the various posts on this blog to learn how to find the best doctor, talk to your doctor, prepare for your appointment, and more. Or, download our free ebook, “What’s Up Down There” and do a quick self-assessment of your situation “down there.” The ebook also gives you step-by-step instructions on how to do a correct pelvic floor contraction, or Kegel, which helps alleviate many symptoms of urinary incontinence.
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Women’s Urinary Incontinence: Peeing by the Clock Can Help
Timed voiding is one of the conservative therapies that doctors often recommend for women suffering from urge and mixed urinary incontinence. Timed voiding is part of the therapy called bladder retraining. There are two ways to practice timed voiding, or peeing by the clock.
Timed Voiding Method #1 for Women’s Urinary Incontinence
The whole point of timed voiding is to retrain your bladder so that you urinate when you choose to, not when your bladder decides to “let go.” The first way to practice timed voiding is by delaying urination by 10 minutes when you feel the need to “go.”
Although this may be difficult at first, there are two ways to help you create this delay. One way is to focus your attention elsewhere for 10 minutes. Read a book, watch television, or otherwise distract yourself.
The other way is to do some Kegels, if possible, to buy yourself some time. This also strengthens your pelvic floor muscles.
Once you have been able to delay urination for 10 minutes, work on extending the delay to 20 minutes. This may take a while, but keep working at it. This “retrains” your bladder in a mind over matter kind of way.
Timed Voiding Method #2 for Women’s Urinary Incontinence
The second method to “pee by the clock” is to actually set a schedule for your urination. This usually means scheduling bathroom breaks every 2-3 hours. By setting and following this kind of schedule, you are retraining your bladder. Now you are in control of your bladder rather than the other way around.
As with the first method, this will take a little bit of practice. You may have to adjust your fluid intake as well to accommodate your schedule. However, this method does work for many women with urinary incontinence, especially if you are strict about following your set schedule. This method also means that your voiding more closely mimics that of a healthy bladder. Women with healthy bladders urinate six to eight times per day, rather than 10 or more times.
Timed Voiding Takes Practice
As with all conservative approaches to managing women’s urinary incontinence, consistency is the key. Practicing one or both timed voiding approaches above will, over time, change the way your bladder works. When added to other conservative therapies, including medications and pelvic floor muscle rehabilitation, timed voiding can be especially effective.
Give it a try. This method is discreet and can be practiced in the privacy of your home. What have you got to lose other than your wet panties?
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Women’s Urinary Incontinence: Check out SitOrSquat.com for the Nearest Toilet
Nope. Because technology will come to the rescue!
SitOrSquat.com is Help for Women’s Urinary Incontinence
If you can use a computer, then you’ve got a lot of resources at hand if you have to travel, and don’t know where to find bathrooms. Just visit this website, designed especially for people with incontinence:
The website has three major features:
- Helps you find a toilet near you (just type in your location)
- Offers an online support community
- Provides mobile applications for iPhone, iPod Touch, Blackberry, Android, or via text messaging
Women with urinary incontinence need all the help they can get when traveling … so if you are planning a trip soon, be sure to check out the website before you leave home. You might also want to check out these additional travel tips to help your trip go more smoothly:
Travel Tips for Women with Urinary Incontinence
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Women’s Urinary Incontinence: Better Get Mad Not Sad
If you suffer from women’s urinary incontinence, chances are that you will experience one of two emotions about your situation: you’ll be mad or you’ll be sad.
Well guess what? It’s better to be mad rather than sad.
Why Being Mad is Better than Being Sad
When it comes to women’s urinary incontinence, you are far better to get angry about your situation than to feel sad or depressed.
Why? Because studies show that women who feel sad or depressed about their situation are less likely to see help.
In addition, women who are sad or depressed are more likely to:
- Overeat, which only contribute to urine leakage
- Abuse alcohol or sedatives, both of which dull the senses and can interfere with the awareness of the need to urinate
- Lack the incentive to get up and go to the bathroom
While getting angry isn’t necessarily the healthiest emotional response, anger is a more active emotional response. The woman who is angry or frustrated enough about her urine leakage is more likely to pick up the phone and make an appointment with her doctor to get help.
The Bottom Line about Urinary Incontinence
The bottom line, literally, is that when it comes to urine leakage and wet panties, you are far better served if you get mad about your situation than if you just feel sad. Sadness and depression are stagnant emotions, and tend to keep you stuck in the status quo.
If you feel sad or depressed about your urinary incontinence, then stop it. Get mad instead! Think about all the parts of your life that you are missing out on because of your urine leakage problem. Think about all the social situations you no longer attend, all the friends you no longer see, and all the sex you might be missing out on.
Then get mad … and get help! Here are some tips to help you choose the right doctor, prepare for your visit, and use the right words at your appointment:
Find the Right Doctor
3 Step to Prepare for Your Doctor’s Visit
Use the Right Words at Your Appointment
Urinary Incontinence: Does the Sound of Water Make You “Go”?
When it comes to urinary incontinence, most women just know that they have to deal with wet panties and endless inconvenience. What a lot of women don’t know is that there are actually three kinds of urinary incontinence:
– Stress Urinary Incontinence
– Urge Urinary Incontinence
– Mixed Urinary Incontinence
If the sound of water makes you leak urine, then you most likely have urge urinary incontinence, which is also called overactive bladder. If you also leak urine when you cough or sneeze, then you have mixed urinary incontinence, which is a combination of stress and urge urinary incontinence. Finally, if you only have urine leakage when you put pressure on your abdominal cavity, like when you step off a curb or jump around, then you have stress urinary incontinence.
It’s important to know what kind of urinary incontinence you have so you can get the right treatment. Each kind of urinary incontinence is treated differently.
To learn more about each of the different kinds of women’s urinary incontinence, check out the links below. Knowledge is power. If you are tired of dealing with wet panties and adult diapers, the first step in changing your life is to learn more. Start learning here:
Stress Urinary Incontinence
Urge Urinary Incontinence
Mixed Urinary Incontinence
And then, visit a doctor to get a true diagnosis of your condition. Need help finding a doctor? Here are some tips to get you started:
Triggers for Women’s Urinary Incontinence
Triggers for Urinary Incontinence
Depending on what form of urinary incontinence you have, the events that trigger urine leakage will vary. With stress urinary incontinence, triggers include anything that increases pressure on or inside your abdomen, usually some form of physical activity or exercise. For some women the trigger can be as slight as stepping off a curb or walking vigorously. For others, the trigger may be more extreme, such as sneezing, picking up a heavy object, or doing aerobic exercise.
If you have urge urinary incontinence, your triggers are different. For most women, hearing the sound of running water or feeling the sensation of water on their hand can trigger the uncontrollable urge to urinate. Spicy foods, carbonated beverages, caffeine, and other foods and drinks that irritate the bladder can also trigger urge urinary incontinence.
For women with mixed urinary incontinence, any of the above triggers may bring on a leakage accident.
Finding Your Triggers for Urinary Incontinence
If you are not sure what triggers your urinary incontinence, keep a journal for a week or so. Track your food and water intake, as well as any events that seem to trigger urine leakage. You can also experiment with some lifestyle habits to see whether they improve or worsen your symptoms. Some good places to start experimenting include:
– decreasing your intake of caffeinated, alcoholic, and carbonated beverages
– stopping or decreasing smoking
– increasing your fiber intake to reduce constipation
You will also want to record the times and amounts of urine leakage, as well as how often you make it to the bathroom to urinate. All of this information will help your doctor determine your type of urinary incontinence and the best ways to treat it.
The more you know about your urinary incontinence, the more empowered you will be as an advocate for your own health and well-being. No matter how long you have dealt with urinary incontinence, it’s never too late to start improving your situation. So get some pen and paper, and start tracking your triggers!
Debunking Myths About Stress Urinary Incontinence (SUI)
Can having too much sex cause SUI? What about drinking too much water during the day? If you experience stress at the workplace, will that cause you to have stress urinary incontinence?
Surprisingly, many women don’t know the answers to these questions—even women who currently have SUI. There are quite a few “old wives’ tales” about this condition floating around out there. Many women continue to believe them because, as it turns out, urinary incontinence is less understood than conditions like allergies or diabetes.
Beliefs About SUI – True or False?
What do you believe? Here are some statements about SUI that the National Association for Continence used to survey women’s beliefs about this condition. See if you can tell whether these statements are true or false.
Drinking a lot of liquids puts a woman at risk for SUI.
False. Forty-two percent of women believe this myth. In fact, drinking too little liquid can actually worsen symptoms of urinary incontinence. A better option would be to focus on strengthening your pelvic floor muscles to prevent leakage, and modifying certain aspects of your lifestyle. This may include bladder retraining and timing your fluid intake.
Feeling stressed at home or in the office is a risk factor for SUI.
False. Over one-quarter of the women surveyed believe this myth. Actually, the “stress” part of SUI means that you leak urine when you put stress on your abdominal cavity, such as when you cough or sneeze.
The average age of women when they first experience symptoms of SUI is 44.
True. In fact 40% of women first experience SUI symptoms even before they are 40, and 23% had symptoms before they were 30. Despite these statistics, over half those surveyed believe that the average age at which women experience SUI symptoms is 50 and over. This reflects the myth that SUI is a sign of aging.
Having too much sex puts a woman at risk for SUI.
False. Women ages 25-34 are most likely to believe this myth (29% of them do), while 20% of women ages 18-24 also believe it. In reality, a healthy active sex life that encourages you to exercise your pelvic floor muscles reduces the risk of SUI.
How Did You Score?
Were you able to tell which statements above were myths and which were true? Do you want to learn more about SUI and other forms of urinary incontinence? Stay tuned for our next blog post, in which we debunk yet more myths about this subject. Also, you can learn more about pelvic floor health by visiting the Wet Matters website: