Women’s Urinary Incontinence: Understanding Your Water Works

As they say, “Knowledge is power.” If you have women’s urinary incontinence, power means having knowledge about how your urinary system works. After all, if you want to understand why and how you are leaking urine or experiencing urinary urgency or frequency, then you have to first understand how your urinary system works, right?

So… if you want the knowledge that will empower you about your urinary incontinence, prepare yourself for a VERY SIMPLE anatomy lesson on your urinary system. Don’t worry, we’ll keep it simple. We will only relay the facts you absolutely MUST know to understand how your water works, work!

The Parts of Your Urinary System
When your urinary system is healthy, it acts as a well-synchronized system of organs that remove waste from your body. Your urinary system includes:

  • kidneys
  • bladder
  • ureters
  • urinary sphincters
  • urethra
  • your brain

Yup, your brain is part of your urinary system! Your brain sends and receives signals from your organs, coordinating them all so that you arrive at the bathroom in time to urinate.

How Your Urinary System Works
Your urinary system is not complicated, especially when it is working! The whole process starts with your kidneys, which produce urine by filtering waste products and excess water out of your bloodstream. Your kidneys send this waste material to your bladder via tubes called ureters.

Your bladder then stores the urine until you are ready to urinate. Your bladder, a hollow muscular organ that sits in the bowl of your pelvis, should be able to hold one to two cups of urine for up to two to five hours. As your bladder fills, circular muscles (called sphincters) keep the urine in your bladder, preventing leakage.

When your bladder is full, nerves in your bladder send signals to your brain, which results in your feeling the urge to urinate. Hopefully, at that point, you seek out a bathroom in plenty of time, and spell R-E-L-I-E-F. Specifically, when you are ready to urinate, your brain tells those urinary sphincters to relax and your bladder to contract. As a result, urine leaves the bladder, travels through the urethra, and out of your body (and hopefully into the toilet and not onto your panties)!

Not Too Complicated, Right?
So there you have it… the anatomy and workings of your urinary system. When everything works in synchrony, you have no problems. However, when the signals get mixed up along the way, the result is women’s urinary incontinence. The resulting symptoms include urinary urgency, frequency, and leakage. If you have these symptoms, it’s time to schedule an appointment with your doctor or specialist!

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Not Enough Beauty Sleep Can Lead to Women’s Urinary Incontinence

Many women are concerned about getting enough sleep so they can stay beautiful. Studies indeed show that getting enough sleep helps with healthy skin, hair, weight, and overall health.

But get this: getting enough beauty sleep (insomnia) can actually reduce your risk of having women’s urinary incontinence.

Now get this. According to the National Sleep Foundation (NSF):

  • at least 40 million Americans suffer from 70 different types of sleep disorders
  • at least 60 percent of those adults have sleep issues multiple nights of the week
  • 40% of adults have daytime sleepiness severe enough to interfere with daily activities a few days a month

That’s a lot of adults suffering from insomnia. For the many women affected by lack of sleep, this may lead to an increased risk for symptoms of urinary incontinence, such as urinary urgency, frequency, and leakage.

How Insomnia is Linked to Women’s Urinary Incontinence
If you already suffer from women’s urinary incontinence, then you already understand how symptoms like urinary urgency can interfere with your sleep, especially if you have to get up one or more times per night to urinate.

But did you know that the reverse is also true? Lack of sleep can also lead to women’s urinary incontinence. Here’s why.

1. Overall Physical Weakness
When you don’t get enough sleep, your body suffers as a whole, resulting in physical weakness. According to Frank Ervolino, N.D., L.Ac., “Staying up late at night is a big risk factor for urinary incontinence. Your body needs to rest and reset every night or it will get weaker over time, which can bring on urinary incontinence much quicker.”

2. Poor Food Choices
Certain foods and beverages can irritate the bladder. Specifically, these types of foods and drinks are likely to make your bladder unhappy:

  • acidic
  • contain caffeine
  • have alcohol
  • contain tyrosine, tyramine, tryptophan, aspirate, and phenylalanine
  • cause allergies in your body

When you are tired, you are less likely to make smart food choices. Instead of paying attention to what you eat and avoiding bladder irritants, you are more apt to reach for whatever food is handy. Or, you might reach for alcohol at night and coffee in the morning, both of which can irritate your bladder. Read more about bladder irritants HERE.

3. Emotional Distress
According to the American Psychological Association, getting less than eight hours of sleep per night, on average, can lead to emotional disorders and distress. Other studies indicate that emotional disturbances can cause or worsen certain symptoms of women’s urinary incontinence, such as urinary urgency and frequency, or even urinary leakage.

Sleeping Beauty is a Healthy Woman
Are you starting to get the picture that getting enough sleep is a very important factor in preventing or reducing your risk of women’s urinary incontinence? Plus, getting enough sleep is just plain healthy for you. Getting enough sleep also reduces your risk of stroke, obesity and diabetes, anxiety and depression, cancer, and heart disease (read more HERE). So go ahead… sleep away. Not only is sleep a luxury that is good for you, but you are actually taking charge of your health when you get enough sleep!

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: How to Be a Better Patient 5 Ways

If you’ve got women’s urinary incontinence, then you probably know that the process of actually becoming a patient–that is, seeing a medical professional–isn’t all that easy. It takes a lot of courage to overcome embarrassment and make an appointment, not to mention show up at the appointment.

If you have already overcome the first hurdle of making an appointment, then make the most of your courageous act by following these 5 tips on how to be a better patient. What do we mean by “a better patient”? We mean an empowered patient. When you are an empowered patient, you are a powerful advocate for your health. You become a powerful force in relieving and even curing your symptoms of women’s urinary incontinence, such as urinary urgency, frequency, and leakage. You become the key to a new sense of freedom for your life.

Sound good? Then read the following tips on how to become a better patient!

How to Be a Better Patient: 5 Tips You Can Use Today
Knowledge is power, and you will discover that a lot of our tips on how to be a better patient are related to increasing your level of knowledge… or translating your doctor’s knowledge into terms that make sense to you.

Tip #1: Know Your Terminology
While most doctors will try to translate their technical medical knowledge into layman’s terms, you can help yourself by learning the terms related to your condition–women’s urinary incontinence. For instance, did you know that there are three different types of urinary incontinence? You may have stress, urge (or overactive bladder, also called OAB) or mixed urinary incontinence. Learning at least a little about each type of urinary incontinence will give you a head start when you discuss your condition with your doctor. Get an overview HERE or dig deep and learn the full details about each type of urinary incontinence HERE.

Tip #2: Insist on Having Your Questions Answered
If you take the time to research your condition, and your most probable type of urinary incontinence, then you will probably have a list of questions by the time you see your doctor. If for any reason your doctor does not seem to want to answer your questions, be politely but quietly persistent. If your doctor continues to ignore your questions, consider finding a new doctor. Getting the answers to your questions is crucial to relieving your symptoms of urinary incontinence, so a doctor who dodges your questions or will not give you a straight answer may not be the doctor for you. One way to ensure your questions are answered is to bring a buddy with you to the appointment. Your buddy’s job is to ensure that your questions are answered, and that you do not get distracted by a ton of medical jargon. Having a good gal pal at your appointment can make all the difference!

Tip #3: Ask for Clarification as Often as Necessary
Many doctors are used to using medical terminology on a regular basis. While many healthcare providers are good at explaining those terms in a way non-medical people can understand, other doctors are less skilled at this. If your doctor uses a term you don’t understand, gently stop him or her and ask for clarification. If your doctor’s explanation still leaves you confused, ask for even more clarification. Don’t worry about whether you appear “stupid.” You are paying for your doctor’s time and attention, so make the most of it without worrying about “saving face.”

Tip #4: Fire Doctors Who Don’t Respect Your Time
Healthcare providers are feeling the “crunch” of needing to see more patients in less time. The result is often that you, the patient, wait for a long time to see the doctor only to feel rushed during the appointment. One way to be a better patient is not to tolerate a doctor who disrespects your time in this way. While a certain amount of waiting is to be expected, regularly waiting 30 minutes or more to see your doctor AND routinely feeling like you are being speed-walked through your appointment is not acceptable. Like all professionals, your doctor can and should be held to a certain level of efficiency and skilled time management. If your doctor routinely makes you feel like his or her time is more valuable than yours, it’s time to fire that doctor and find a new one.

Tip #5: Don’t Tolerate an Inefficient Office Staff
Many times the receptionists, nurses, and assistants that make up the office staff act as the conduit between you and your doctor after and between appointments. If you find your doctor’s office staff inefficient or unprofessional, you might be putting your health at risk. Suppose your doctor prescribes a new medication, and you begin having side effects, you will probably call your doctor’s office. In all likelihood, your doctor’s staff will take a message to pass on. If that message does not get passed on in a timely manner–or not at all–the side effects could really affect your health. Do not tolerate members of your doctor’s office staff that fail to pass on messages or minimize your situation. One way to be a better patient is to insist on speaking with the doctor or find a new doctor.

How to Be a Better Patient–Why It Is Important
As you can see, being a better patient is really about being persistent in seeking solutions to your women’s urinary incontinence. If you are unable to easily communicate with your doctor or the office staff, even after your best efforts to clarify communications–chances are that you will need to find a new doctor. You are more likely to find the solutions you seek with a doctor who “clicks” with you. So go forth and seek your perfect 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.

 

Women’s Urinary Incontinence: What if Your Diagnosis is Unclear?

So you have finally worked up the courage to talk to your doctor about your women’s urinary incontinence symptoms. You have showed up at your appointment, discussed your symptoms (such as urinary urgency or leakage), and had some generalized tests. That’s all good.

But what do you do if your diagnosis is unclear? Yikes! You worked up all that courage to show up at the appointment, only to have an unclear diagnosis. What should you do?

Don’t panic. Check out the following tips, which may help you and your doctor find a clear diagnosis for your condition. After all, there are three types of urinary incontinence, not to mention multiple other possible causes for urinary issues. So you and your doctor may need to do a bit of sleuthing to come up with a final diagnosis.

What to Do if Your Diagnosis is Unclear
It is not uncommon for your doctor to be unable to pin down an exact diagnosis on your first visit. This is because the generalized tests he or she will probably perform are meant to exclude certain conditions while not necessarily generating specific diagnostic answers.

For instance, your discussion with your doctor may give him or her a general idea of your symptoms, such as urinary urgency, leakage, or frequency. However, these symptoms alone will not necessarily reveal what is causing your urinary issues. Your doctor may perform a urinalysis to rule out infection and discover whether you have blood or other substances in your urine. He or she may also run a blood test to find out whether medications or other chemicals and substances are present that could be causing your incontinence symptoms. These generalized tests help your doctor rule out temporary causes of urinary incontinence, including urinary tract infections or diuretic medications, which could cause urinary urgency and frequency.

If these generalized tests are inconclusive, then your doctor may not have a definitive diagnosis for you after your first visit. But don’t panic. Instead consider the following options:

1. More Tests
Ask your doctor whether more tests will help clarify your diagnosis. Chances are that your doctor will raise this issue anyway. Further tests can include postvoid residual measurements, stress tests, urodynamic testing, pelvic ultrasounds, pelvic exam, cystograms, and cystoscopies. All of these tests reveal more specific information about the health, position, and function of your urinary system. With these tests, your doctor will very likely be able to offer a specific diagnosis, as well as multiple therapies to address your condition.

2. Ask Questions
It is possible that your doctor may not have a specific diagnosis, but instead have several possible options. He or she may suggest that you try one or more therapies to address the most likely diagnosis. If the therapy is effective, then the diagnosis is confirmed. If the therapy does not alleviate your symptoms, then your doctor may suggest other therapies. The use of therapies to confirm a diagnosis is not uncommon. However, if you feel uncomfortable with the vagueness of this approach, do not hesitate to ask questions. You may wish to ask which diagnosis the suggested therapy is meant to confirm. Or ask which diagnosis is most likely and why.

No questions are ever “stupid,” and you are visiting your doctor because he or she has expertise and information relevant to your condition. So avail yourself of that expertise. Keep asking questions until you are satisfied. If you run out of time during the appointment, ask whether you can discuss your remaining questions with another member of the staff, or request a follow-up email or phone consultation. A question that is never asked might never be answered. Your doctor cannot read your mind, so it is up to you to raise any issues not covered in your discussion.

3. Get Another Opinion
If you are unable to get satisfactory answers and information from your doctor about your condition, there is absolutely nothing wrong with seeking the opinion of another doctor. You may even wish to ask for a referral to a new or different kind of specialist.

For instance, if your urinary incontinence symptoms did not start until menopause, you may want to ask your doctor for a referral to a healthcare provider who specializes in problems associated specifically with menopause. If your doctor is a man and you would feel more comfortable with a woman, ask for a referral for a female physician, either within the same practice or in a different practice. Other referral options include urologists, ob/gyns, and gerontologists. There is no point in continuing to see the same doctor if you are not getting the help you need. If you have asked your doctor for information and assistance more than once, and do not get the help you seek, look elsewhere.

Persistence Pays
When it comes to women’s urinary incontinence, persistence always pays. The women who are most successful at alleviating or even curing their symptoms are the ones who are most persistent. These women are not afraid to keep asking questions until they get the answers they seek. These women are willing to try multiple therapies, either singly or in combination, until they find a solution that works. These women will ask for referrals or will follow up via phone or email after appointments until their problems are solved. These women are, in short, persistent!

The question is, are you willing to be that persistent to gain relief from your urinary incontinence symptoms? We hope so! If you are not yet ready to visit your doctor but have questions, ask us on our Facebook page… you ask and we will answer!
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.

 

5 Simple Ways to Speed Weight Loss and Reduce Women’s Urinary Incontinence

In our past two articles on our blog we have discussed ways women can lose weight as a conservative therapy to alleviate symptoms of urinary incontinence, such as urinary urgency, frequency, and leakage. These weight loss tips are useful for any woman who is carrying even a few extra pounds and who has urinary incontinence symptoms. Being even 5% overweight can worsen these types of symptoms, so dropping just 5 or 10 pounds could equal a lot of relief!

Be sure to read our last few blog posts if you are unsure why extra weight contributes to and worsens symptoms of women’s urinary incontinence. The short version is that extra weight between your collarbone and your pelvis puts pressure on your bladder and urinary system, which equals urinary urgency and possible leakage. This is true whether you are a new mom or a menopausal woman!

How to Slim Down Fast – 5 Simple Ways
Assuming that you have already committed to losing weight as a way to reduce or even stop your urinary incontinence symptoms, we have 5 simple tips on how you can slim down even faster. These tips enhance what you are already doing by eating healthy, staying hydrated, and getting some moderate exercise. These tips are designed to maximize the effectiveness of your weight loss plan by making a few tweaks.

Tip #1: Intensify Workouts
Whether you walk or visit the gym or do yoga at home, you can always take steps to make each workout a little more intense. Studies in exercise science show that short intense workouts burn fat faster than longer workouts that are slower and less intense. While you still need to get enough cardiovascular workouts to ensure heart and circulatory health, aim to intensify at least one or two of your weekly workouts.

For instance, if walking is your workout of choice, you can intensify each session by climbing a hill or two as part of your route. You can also take longer strides, walk off-road, or carry light weights to burn fat faster. By the same token, yoga does not have to be all about serene music and slow movements. Moving through certain poses–such as some forms of the Sun Salutation–can be quite intense. Or hold the Down Dog position for three to five minutes to really work your arms, core, and legs. If you are not sure which poses will work best for you, join a yoga class for a few weeks or months until you find a workout plan that is effective for you.

Tip #2: Eat Breakfast
While this tip is a no-brainer, a surprising number of women skip breakfast anyway. Nutritional studies demonstrate that eating a healthy breakfast keeps you full throughout the morning, and helps you avoid food cravings and snacking before lunch. A healthy breakfast, eaten within one hour of getting out of bed, also stabilizes your blood sugar, which provides you with plenty of energy all morning.

Tip #3: Sneak In Workouts
Instead of spending your energy figuring out how to sneak snack foods into your diet plan, focus on sneaking quick workouts into your day. Intense workouts do not have to be long in order to be effective. Spending just 15 minutes on your spin bike at home or speed-walking around the block between coming home from work and spending time with your family is all you need for your daily workout. You know your workout is intense if you are able to build up a sweat during that 15-minute period.

Tip #4: Eat a Bite Before Your Workout
If you find yourself fading fast during workouts–especially during evening sessions after work–try eating a small snack before you workout. Try eating a heaping spoonful of peanut butter or a few healthy crackers. Your snack will give your body some extra calories to fuel your workout, not to mention stabilizing your blood sugar so you feel enthusiastic about your exercise session.

Tip #5: Setup Rewards for Yourself
Without rewards, exercising and dieting can feel like one long jog down a dark tunnel–with no visible light at the end! Choose a reward that will really motivate you to stick with your dietary and exercise goals. For instance, if you absolutely adore Rocky Road ice cream, promise yourself a bowl of it when you have stuck with your program for 30 days in a row. Or if massage is more your style, buy yourself some time on the table when you have lost 7 pounds. Studies show that reward is an extremely effective motivational tool, so use it to boost your commitment to your weight loss program!

Beat the Leak with Weight Loss
While weight loss continues to be the most popular New Year’s Resolution, this goal is especially important for women who experience urinary urgency, leakage, or frequency. If you are overweight, shedding a few pounds will go a long way toward helping you “beat the leak”! Plus, you will be contributing to your overall health–and you will LOVE the way you look. Hopefully the five tips in this article will enhance your weight loss plan and help you slim down faster while getting healthier.

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.

 

Is Your Pregnancy Weight Gain Contributing to Your Urinary Incontinence?

Almost every expectant mother has been warned to expect some symptoms of urinary incontinence during pregnancy–everything from urinary urgency and frequency to actual urinary leakage. As the baby grows and takes up more room in the abdomen, internal organs, such as the bladder, are pushed into an increasingly smaller space. The result? Urinary incontinence issues.

But new studies show that it’s not just baby who contributes to women’s urinary incontinence during pregnancy. Excessive weight gain during pregnancy is another issue to consider. Whether a woman is pregnant or not, she is at risk for urinary incontinence if she carries too much extra weight. Every extra pound below the collarbone and above the pelvis puts downward pressure on the bladder and urinary system, causing symptoms of urinary incontinence.

Gain the Right Amount to Reduce Risk of Urinary Incontinence
During pregnancy many women fall prey to the idea that they are “eating for two,” mistakenly believing that this means they can eat twice as much as they normally do. Not so.

In fact, women who have a normal body mass index (BMI), or who started at a normal weight before pregnancy do not need to increase their caloric intake during the first trimester according to the American Academy of Nutrition and Dietetics. The same organization recommends that women at a healthy weight increase calories by 350 calories per day during the second trimester, and 450 calories per day during the last trimester. Women who start out under or overweight should work with their healthcare providers to adjust these calorie guidelines accordingly.

Eating the right number of calories during each trimester should result in healthy rather than excess weight gain, which decreases a woman’s chance of urinary incontinence symptoms both during pregnancy and after delivery. According to the Institute of Medicine, underweight women (with a BMI of 18.5 or less) should gain between 28 and 40 pounds. Normal weight women (BMI between 18.6 and 24.9) should strive for an overall weight gain of 25 to 35 pounds, while overweight women (BMI between 25 and 29.9) need to gain only 15-25 pounds. Obese women (BMI of 30 or higher) are encouraged to gain just 11 to 20 pounds.

Studies show that women who gain more than the weight recommended by the Institute of Medicine tend to have more trouble losing weight post-partum (http://bit.ly/15o3ait). Again, the excess weight is a definite contributing risk factor to women’s urinary incontinence.

The Importance of Shedding Baby Weight
If you don’t think that a few extra pounds of baby weight puts you at risk for urinary urgency, frequency, or leakage, consider these studies. In one study, overweight women with urinary incontinence who lost 8 percent of their body weight saw a 47 percent decrease in leakage accidents. Other studies demonstrate that losing 5 to 10 percent of excess weight is as effective for alleviating urinary incontinence symptoms as any other form of conservative treatment.

If you are unsure of how much weight you should gain during pregnancy, and how much weight you should lose after delivery, ask your healthcare provider. We stress that you may need to ask your healthcare provider because some may not volunteer that information.

In one recent study, only 42% of women received information on appropriate weight gain from their healthcare providers, while 22% of overweight women were advised to gain more than the recommended amount of weight (http://huff.to/13pfqxT). According to Glenn D. Braunstein, M.D., many healthcare professionals may be hesitant to broach the subject of weight gain because of the sensitivity of the topic. Others may simply feel ill-equipped to handle the conversation. That is why it is important for you to ask for the weight gain and post-partum weight loss information that is appropriate for your situation.

Dr. Braunstein points out that asking for this information before your baby is born is important because chances are that you will be too busy or tired to raise the subject after delivery. Yet, excess weight is a significant risk factor for women’s urinary incontinence. If you don’t want urinary urgency, frequency, and leakage to interfere with the joy of mothering your new baby, get your weight gain and weight loss facts straight before delivery. Then, have a plan that will help you achieve a healthy level of weight gain during pregnancy, and lose the excess baby weight at a healthy rate post-partum.

Stay tuned for upcoming articles on how to shed the “Mommy middle” after delivery to reduce your risk of post-partum 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.

Do You Have These 5 Problems Associated with Women’s Urinary Incontinence?

Women who have symptoms of urinary incontinence–such as urinary urgency, frequency, and leakage–already know all about the embarrassment of always looking for a bathroom or trying to avoid a leakage accident. Sadly, there are other problems associated with women’s urinary incontinence that go beyond the embarrassment. In this article, we talk about the five most common problems women with urinary incontinence face, and some simple strategies for coping.

Five Common Problems for Women with Urinary Incontinence
Because urinary incontinence is one of the least-discussed health issues, due to the embarrassment factor, women with urinary incontinence probably don’t have a clue how to cope with the five common problems associated with urinary incontinence. No one talks about it, so no one knows the answer. It’s a vicious cycle. Hopefully, this article will help shed some light on these issues, and offer common-sense solutions to cope with the situation.

1. Lack of Understanding
The fact that women with urinary incontinence are often humiliated with leakage accidents is bad enough, but the problem often goes beyond accidents themselves. The coping strategies employed by affected women are often misunderstood or even openly criticized. For instance, family members may not understand why their mother or daughter or sister, or wife always needs to go to the bathroom. Husbands may become frustrated when a women refuses to have sex because of a potential leakage accident. Even friends may become sarcastic when a women refuses to go out on “Girls’ Night Out” because she has difficulty enjoying socializing when all she can think of is how to get to the bathroom–again! Thus women with urinary incontinence often fall prey to depression and anxiety because this condition is neither socially understood nor well-tolerated.

2. Lack of Exercise and Weight Gain
Another vicious cycle perpetuated by symptoms such as urinary urgency or leakage is lack of exercise, leading to weight gain, leading to more lack of exercise. If a woman leaks urine when she exercises (or has urinary urgency and needs to run to the bathroom multiple times during an exercise class), chances are that she will stop exercising altogether. The hassle is just too much. As a result, she gains weight. Every pound of added weight above the pelvis puts more pressure on the bladder, which only increases the chance of leakage. The woman feels even less like exercising. She gains more weight, and so on and so forth. This vicious cycle can also lead to anxiety and/or depression.

3. Skin Problems
To make matters even worse, a woman who experiences frequent urinary leakage is prone to skin problems. Because the skin in the pelvic area is constantly damp due to leakage, affected women are prone to skin ulcers, rashes, or infections. Skin problems in the pelvic area can cause even sitting to be uncomfortable, never mind exercise or sex.

4. Urinary Tract Infections
Incontinence puts a woman at higher risk for urinary tract infections (UTIs) than women who are not subject to urinary urgency, frequency, and leakage. As with the skin problems, UTIs simply make affected women uncomfortable on a physical level, in addition to any mental or emotional discomfort they already experience.

5. Trouble at Work
Because women affected by urinary incontinence are reluctant to discuss their condition with their doctors, they are far less likely to discuss the condition with their bosses or co-workers. Yet symptoms like urinary urgency and frequency may cause affected women to jump up in the middle of meetings to run for the bathroom, or disrupt a conversation at the water cooler for the same reason. Co-workers may become confused and take the disruptions the wrong way. Bosses may feel that affected women are not doing their jobs. This can lead to all kinds of communication issues and trouble at work.

Five Solutions for Coping with Problems Caused by Women’s Urinary Incontinence
So what is an affected woman to do? How does she cope with these five common problems that result from urinary incontinence? We have some common sense solutions that address all of these problems. Some of these solutions are easier to achieve than others, but even the difficult ones are not impossible. In the long run, integrating some of these solutions into daily life will alleviate the stress and burden that comes with coping with symptoms of urinary incontinence. We hope affected women will take this list seriously, and use what they can. These are tried and true methods that have helped thousands of women cope with or even overcome urinary incontinence symptoms.

1. Get Educated About Women’s Urinary Incontinence
Knowledge is power. The more affected women know about urinary incontinence, the more power they will have to cope with the associated problems. There are many online resources that women can browse on the internet to discreetly add to their knowledge of this condition. Or read our book, “A Woman’s Guide to Pelvic Health,” which was written specifically so affected women can become knowledgeable while learning in the privacy of their own homes.

2. Get a Medical Diagnosis
While this is often the common sense solution that affected women have the most trouble with, having a correct medical diagnosis is the starting point of call coping and possibly cure. Here is a short list of reasons to obtain a correct medical diagnosis:

  • affected women know for certain “what’s up down there”
  • appropriate therapies can be recommended rather than the affected woman coping as best she can with home solutions
  • physicians can write letters to employers explaining the situation, possibly defusing trouble at work
  • women who bring their spouses to the appointment can educate their spouses at the same time
  • physicians can recommend other resources for affected women, including support groups for weight loss, etc.

3. Follow Through on Recommended Therapies
There is no point in experiencing the embarrassment of discussing the situation with a medical professional if no action is taken afterwards. While 50% of affected women are courageous enough seek help for urinary incontinence, many then fail to follow through on recommended therapies. These therapies can include pelvic floor retraining, pelvic floor physical therapy, medication, lifestyle changes, and/or surgery. As the Nike slogan goes, “Just do it.” Once the diagnosis has been obtained, the difficult step is already complete.

4. Educate Key People
Lack of knowledge leads to lack of understanding. For affected women, this means that spouses, children, friends, and people at work may not understand what is happening and why these women behave as they do. To reduce the emotional and mental stress of this situation, affected women may wish to discuss their situation with the key people in their lives. If discussion proves too difficult, a note from the doctor may suffice. Alternately, women can suggest their friends and spouses read the book suggested above. The people who really care will take the time to listen, learn, and understand.

5. Persistence
None of these solutions work all the time for all affected women. At the same time, many of these solutions will be useful to many affected women. If you are affected by women’s urinary incontinence, your main job is to look through and try as many of these solutions as seem reasonable to you. And then keep trying until you DO find solutions that work for you. For many women, this can mean trying several conservative therapies, serially or at the same time. This might mean handing their spouses and friends a book or pamphlet to read. This might mean getting a note from their doctor to hand to their employer. All of these steps are potentially humiliating or embarrassing in the moment, yet in the long run will pay off. What’s the payoff? Freedom from worry, misunderstanding, depression, anxiety, isolation, and–best of all–symptoms of women’s urinary incontinence. It doesn’t get much better than that, does it?

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

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.

What to Do When Your Doctor Can’t or Won’t Help with Women’s Urinary Incontinence

We recently received a comment on our blog from a wonderfully courageous and honest woman about the often embarrassing and humiliating experience of seeking medical help for urinary urgency, leakage, or frequency–in a word, urinary incontinence. If you read our blog regularly, then you know that we are big advocates of women getting an accurate diagnosis and help from a qualified medical professional for urinary incontinence.

What If Your Doctor Can’t Help You?
But sometimes seeking help from a doctor doesn’t always work out the way we think it will. While we would all like to think that our doctor has a sympathetic bedside manner, is chock-full of solutions, and can “fix” our problems right away, sometimes that doesn’t happen. As the woman points out in her comment on the blog, even if you build up the courage to seek help from your doctor, there can be two negative outcomes from this kind of encounter with your doctor:

1. Your doctor does not feel you have a medical problem, and hence offers no medical diagnosis and no solutions.
2. Your doctor gives you a specific diagnosis of urinary incontinence, but has no solutions to offer.

Now those are definite show-stoppers. What do you do now? You’ve spent all that time and energy working up the courage to talk to your doctor… and the results are definitely less-than-satisfying, if not downright depressing!

What to Do Next…
If either of the above options happens when you seek help from your doctor for symptoms like urinary urgency, leakage, or frequency, don’t despair (or, don’t spend more than five minutes having a pity party!). You have multiple options, and will need to choose the one or ones that best fit your situation.

One additional factor noted in the blog comment is that women who experience either of the above mentioned outcomes from their doctor tend to be highly disappointed, and also much less likely to seek a second opinion. They have, as it were, used up their reservoir of courage, and don’t have any more to spare.

However, there are actions that you can take, even if you feel like you have no more courage to seek help from additional sources. Here are three options that we know work for women after a “failed” encounter with a doctor.

1. Ask for a Referral Before You Leave
If you don’t get the answers or solutions for women’s urinary incontinence you seek while sitting in your doctor’s office, you can and should take action before you leave the office. Chances are that you have seen your family doctor or general practitioner, who may not have the resources or experience to properly diagnose your condition or offer you appropriate therapies. What your family doctor can do for you is give you a referral to a urologist, gynecologist, or other specialist who is more likely to be able to help you. After all, a urologist is more likely to know how to help you with urinary incontinence than your family doctor.

2. Get an Appointment Before You Leave
With most referral systems these days, the office of the referred doctor will likely call you rather than requiring you to call them. This means that you do not need to gather up the courage to make another appointment–the referral system will likely take care of that for you. You can even ask your doctor if this is how your healthcare network’s system works. If not–or regardless of how the system works–you can ask your doctor if his or her staff can call the urologist’s office–right then and there–and make the appointment for you. Most doctors are more than happy to accommodate. This simplifies your life and helps you avoid the embarrassment of making another appointment.

3. Get the Pertinent Medical Records
While you are still at the doctor’s office, you can take one further step to reduce embarrassment and simplify your life. Ask your doctor to print out the medical record of that day’s visit, plus any other relevant medical history. Bring that record with you to your appointment with the urologist to avoid repeating yourself to the urologist. Some doctor’s offices can also simply forward the records to the specialist’s office. However, we recommend getting a copy for your own records, just in case the records fail to get forwarded in time for your next appointment.

How to Prevent Negative Outcomes
If you have not yet seen your family doctor for help with your urinary incontinence, you can take some steps to prepare for your appointment and, quite possibly, avoid the negative outcomes described previously.

1. Keep a Bladder Diary
A bladder diary is just how it sounds. It is a record of your bladder behavior and habits. You record when and how often your urinate, how much you urinate, how often you experience urge without leakage, how often you have leakage accidents, and so forth. For more information on how to keep a bladder diary, click HERE.

We recommend keeping a bladder diary for a minimum of a week. You may be surprised at how often you have to urinate, or how many lifestyle factors can trigger your urinary incontinence. Once you have a week’s worth of data in a bladder diary, you are ready to visit your family practitioner. The bladder diary will “do all the talking” for you, and let your doctor know immediately whether you have bladder issues or not. In addition, we recommend that you do some research on your own to determine what is and is not “normal” when it comes to urinary habits. Our book, A Woman’s Guide to Pelvic Health, contains a lot of data on the three types of urinary incontinence–including what is normal. Armed with this knowledge, you can confidently speak with your doctor about your condition and insist on getting the help you need, even if that means getting a referral.

2. Call Your Family Doctor for a Referral
Depending on the kind of relationship you have with your family practitioner, you may possibly be able to avoid the embarrassment of having two conversations about your urinary incontinence: one with your family doctor and the other with a specialist. If you have a close and trusting relationship with your family practitioner, you may be able to simply call that doctor’s office and get a referral to a specialist. If you are able to do so, we still recommend that you educate yourself about your condition and keep a bladder diary prior to seeing the specialist. Both will help you get the answers and solutions you need for your urinary incontinence.

3. Ask a Friend for a Referral
If you know of friends who have seen doctors who have been helpful and sympathetic about urinary incontinence, ask those friends for the names of those doctors. Then make an appointment. If you are too “wiped out” after a negative first encounter with a doctor, ask your friend to help you make an appointment. Sometimes just having a friend standing next to you can give you the courage and support you need. You can go one step further and ask your friend to accompany you on your visit. If your friend has already been through the process of diagnosing and treating urinary incontinence, she will know the questions to ask as well as the answers you need to have ready for your doctor. Sometimes a good buddy is the best medicine!

A Little Preparation Goes a Long Way
As you can see, being prepared for appointments with medical professionals can help you make the most out of each encounter. Whether you have already seen your family doctor or not, you can take steps to get the solutions you need from any healthcare professional. Hopefully the tips in this article will be helpful and supportive to women who desperately want to get help for their urinary incontinence, but for some reason have not been able to obtain that help!
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.

 

Overactive Bladder: Risk Factors versus Triggers

If you are a woman suffering from urinary urgency, frequency, or leakage, then chances are that you have considered the fact that you may have overactive bladder, or OAB. You may have done some research to educate yourself about your condition, and learn about possible solutions. You may have even seen your doctor to get an accurate medical diagnosis.

And, if you are like many women, you may still be confused. Specifically, you may be confused about the difference between risk factors and triggers for OAB. If so, don’t worry. Many women with urinary incontinence are unclear about these two terms, so you are not alone. The good news is that this kind of confusion is simple to clear up!

Risk Factors for Overactive Bladder
In a previous article  we discussed the risk factors for OAB. When we use the term “risk factors,” we are describing the constant or chronic factors in your life that may be causing your urinary urgency, frequency, or leakage.

Being overweight is an example of a lifestyle factor that puts you a risk for OAB. Another example of a risk factor is having a low level of estrogen, which is a chronic condition that can cause bladder irritability, leading to OAB symptoms.

In other words, risk factors are the constant conditions in your life that cause or put you at risk for OAB symptoms. When you adjust your lifestyle in a permanent way–by losing weight or stopping smoking, for instance–you reduce your risk of experiencing symptoms like urinary urgency and frequency. By removing the causes of OAB from your lifestyle, you reduce your chances of getting or having this condition.

Triggers for Overactive Bladder
Unlike risk factors, triggers do not refer to constant lifestyle conditions. Instead, triggers are momentary events that may immediately bring on symptoms such as urinary urgency or leakage.

For instance, some women with OAB may feel the urge to urinate when they hear the sound of running water. Other women have symptoms triggered by drinking caffeinated beverages or eating spicy foods. Additional triggers include immersion in cold water, sudden changes in position, or drinking small amounts of liquid.

One lifestyle risk factor that is also a trigger for OAB is smoking. As a lifestyle habit, smoking increases your risk of having OAB because nicotine causes your bladder to be constantly irritated. At the same time, whenever you smoke a cigarette, you can trigger your OAB symptoms in that moment. This makes smoking both a risk factor and a trigger for OAB. Hence, some women become confused about the difference between risk factors and triggers.

For the most part, however, triggers can bring on OAB symptoms in the moment, while risk factors are constants in your life that increase your chances of having OAB as a permanent condition (permanent, that is, until you change your lifestyle and reduce your risk).

Hopefully this short article helps clear up any confusion about the difference between risk factors and triggers for women’s urinary incontinence, of which OAB is just one of three types!

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 Questions About Urinary Urgency, Frequency, or Leakage? We’ve Got Answers

If you are a woman with symptoms of urinary urgency, frequency, or leakage, then you have women’s urinary incontinence. Chances are that you also have questions about your symptoms… and how to alleviate those symptoms.

Why is it that women with urinary incontinence have so many questions? Because at least 50% of women with urinary incontinence never seek medical help. Chances are strong that those women have questions.

Whether or not you have sought medical help for your condition (and we strongly suggest that you do), if you have questions about your urinary incontinence, we have discreet online resources for you… and answers to your questions!

Online Resources and Answers for Women’s Urinary Incontinence
Knowledge is power, and we applaud all women who want to learn more about their urinary incontinence symptoms. While your healthcare provider can be one of your best allies and sources of information, you can also learn a great deal about your condition by reading and watching online resources. Here are some great discreet online resources on women’s urinary incontinence:

Online Resource for Women’s Urinary Incontinence
Downloadable Ebook
Educational Blog
YouTube Channel

Specific Answers for Specific Questions
If you don’t find the answers you seek about your urinary urgency, leakage, or frequency, feel free to ask us. We have years of experience helping women cope with and alleviate their symptoms of urinary incontinence, and we love to help. If you have questions, feel free to ask via our online social media forums. We check these forums regularly, and answer questions:

Facebook
Twitter

If you are a woman who has successfully alleviated symptoms of urinary incontinence, we invite you to visit these forums and share your knowledge and wisdom! There are thousands of women who can and will benefit from your experience… so please do share!

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 Urinary Urgency or Leakage? The Value of a Second Opinion

If you are a woman suffering from urinary urgency, leakage, or frequency–in other words, urinary incontinence of some form–then you know that it can be embarrassing to discuss your condition with your doctor.

Whether you have actually been to see a doctor about your condition or not, you know about the embarrassment factor, either actual or anticipated. You know about it as a patient. We know about the embarrassment factor from the other side of the exam table, as it were. In our practices, we see women all the time who have mustered up the courage to come see us, to tell us about their urinary incontinence, and to ask for help. We have seen the embarrassment first hand… and we do everything in our power to help these women overcome that feeling.

We are gentle when asking the woman about her symptoms, and we try to allow the woman to talk about her situation at her own pace, and in her own way. We try to be as sympathetic and empathetic as possible, especially since we have suffered from urinary urgency, leakage, and frequency ourselves!

Does that mean that we are the ideal and perfect healthcare practitioner for every woman who comes to see us? No. As much as we attempt to be patient-centered in our approach, sometimes we just do not achieve the perfect fit. Either our patient does not feel she is getting what she needs from us, or we do not feel we can help the woman with the tools we have in our repertoire.

What then?

The Value of a Second Opinion (or Third)
At the point that we realize that we have not achieved a good fit with our patient, we suggest the patient seek a second opinion, or even a third opinion.

Since talking about symptoms like urinary urgency and leakage is embarrassing enough the first time around, we realize that asking the patient to seek a second opinion is asking them to risk embarrassment yet again. At the same time, we know that women’s urinary incontinence is a health condition that often requires the affected woman to be persistent in her journey to find the right solutions for her condition.

Every woman affected by urinary incontinence is different in terms of which solutions will be effective. For some, the immediate solution offered by surgery (should surgery be recommended) is appealing. For others, the use of medication combined with dietary changes seems right. Still others find the side effects of medication to be intolerable, and prefer to try a pelvic floor muscle exercise program combined with other forms of exercise for weight loss.

The point is this: if you are affected by women’s urinary incontinence, your fastest route to cure is to find a healthcare practitioner with whom you can explore and find your perfect solutions. Your healthcare practitioner needs to be a good match for your preferences (conservative therapies versus surgery, for instance) and your willingness to explore options until you find the ones that work for your symptoms.

If finding the “right” practitioner for you means risking the embarrassment of telling your story to more than one doctor, then so be it. Believe us when we say that having a healthcare practitioner who is truly your ally is worth the potential embarrassment of seeking a second–or even third–opinion.

Remember, too, that you don’t have to limit your search for solutions to medical doctors. While we definitely suggest that you get a correct medical diagnosis from a medical doctor first, from there do not be afraid to expand your search for a healthcare provider to physical therapists, urologists, gynecologists, Pilates instructors specializing in women’s pelvic health, and more. Go where your need and your symptoms take you.

If you don’t yet feel comfortable reaching out for that second or third opinion, but prefer to educate yourself on your condition, consider reading our guide to women’s pelvic health, “A Woman’s Guide to Pelvic Health”.

This guide includes not only a pelvic health self-assessment, but also a complete at-home pelvic floor rehabilitation program. Best of all, you can educate yourself with this book in the privacy of your own home, avoiding the embarrassment factor altogether!

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.

 

Frustrated with Kegels? Troubleshoot This Great Exercise with These Videos

When it comes to how to do a Kegel, many women are frustrated and ready to throw in the towel! If you feel this way about pelvic floor muscle exercises, don’t give up yet. The fact of the matter is that Kegels and other forms of pelvic floor muscle exercises are effective for alleviating symptoms of women’s urinary incontinence, pelvic organ prolapse, and decreased sexual sensation.

So what’s the problem? The problem is that 50% of women cannot perform a correct pelvic floor muscle contraction relying on written instructions alone. Yikes! No  wonder trying to learn how to do a Kegel can be frustrating!

But, don’t despair! If you fall into that category of women who doesn’t “get” the Kegel immediately by reading a set of instructions, you can probably troubleshoot this exercise by watching! Here are a series of videos that may help you with Kegels and other pelvic floor muscle exercises:

Troubleshooting the Kegel Video
http://bit.ly/Xi1nW9

Getting Help from a Physical Therapist Video
http://bit.ly/XHvLLX

Kegel Tips for Athletes Video
http://bit.ly/X6gOFf

Getting into the Kegel Habit Video
http://bit.ly/YUYG1j

In addition, you can also troubleshoot your pelvic floor muscle contractions by following the step-by-step troubleshooting instructions in our free downloadable ebook. Just go HERE.

Most of all … don’t give up! There is hope. Studies show the pelvic floor muscles exercises are effective for women who persevere and learn to do these exercises correctly. That means you!

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

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.

 

Women’s Urinary Incontinence: What You Give Up When You Don’t Seek Help

We hate to keep hammering on this statistic, but it continues to amaze and shock us: women with urinary incontinence typically wait almost seven years before seeking help from a medical professional … if they seek help at all! In fact, only 50% of women with urinary incontinence do seek help. The rest simply suffer in silence and cope with the symptoms as best they can.

The most ridiculous part of the above statistics is there are so many forms of help available for women’s urinary incontinence, from simple lifestyle changes to minimally-invasive surgeries with high rates of success. So why do so many women wait so long to seek help for their urinary incontinence, or refuse to seek help at all?

Embarrassment
Believe it or not, women’s urinary incontinence tops the list of health conditions that ladies feel most embarrassed about discussing with their doctors. As a result of wanting to avoid a red-faced discussion, 50% of these women suffer through almost seven years of urinary urgency, frequency, and leakage before gathering up the courage to ask for help. The other half would rather suffer through the symptoms than have “the talk” about urinary incontinence with their doctors.

Wow … what all of these women fail to realize is that they give up a tremendous amount in their lives simply to avoid having one embarrassing conversation about urinary incontinence with their doctors. In fact, let’s take a closer look at what women suffering from urinary incontinence give up because they want to avoid embarrassment.

#1 – Your Social Life
One of the first items a woman with urinary incontinence sacrifices is her social life. One study indicated that women worried about urinary leakage were most afraid to “sit on a friend’s couch.” If you are afraid to even sit on your friend’s couch for fear that you might have a leakage accident, then you can see how your social life would begin to shrink at a rapid rate! You will also begin to skip “Girls’ Night Out,” movies, and chats over coffee with your gal pals.

At that point, the isolation becomes apparent. The stage after isolation is often depression and unhappiness. In fact, even your immune system is affected when you stop connecting with your friends and social network. Consider this:

“Several studies support the idea that people who feel connected to friends – whether it’s a few close friends or a large group – have stronger immunity than those who feel alone. In one study, freshmen who were lonely had a weaker immune response to a flu vaccine than those who felt connected to others.” (http://on.webmd.com/W8CTPV)

#2 – Exercise and Fitness
For women with urinary incontinence, fitness and weight maintenance is a big part of reducing symptoms like urinary urgency, leakage, and frequency. Overweight women tend to suffer more severe symptoms since every extra pound above the pelvic area puts pressure on the bladder and pelvic organ, often resulting in leakage accidents. Therefore, the ability to exercise and stay fit is crucial to women who want to improve their symptoms. But there is a catch-22. Women with urinary incontinence tend to leak urine when they exercise. This leakage, in turn, tends to discourage exercise, since no woman enjoys the “wet pants” look. Lack of exercise tends to lead to weight gain, depression, and emotional eating … and more weight gain. You get the picture of the vicious cycle that can happen. Women with urinary incontinence who fail to seek help for their condition often toss their exercise regimen out the window, and fall prey to the vicious cycle described above.

#3 – The Stress of the Unexpected
Studies show that one of the worst aspects of women’s urinary incontinence is the stress of living with the unexpected. Women with this condition are always wondering when the next urinary leakage accident will occur. They stress about whether they will reach the bathroom in time. They prepare endlessly for that unexpected accident by carrying around changes of clothing, adult diapers, sanitary wipes, and scented baggies to avoid urine odor. They wear pants that can be quickly pulled down (but often lack a sense of fashion). In other words, women with urinary incontinence go “all out” to prevent leakage accidents, and live in a constant state of stress about such accidents. This kind of stress if highly detrimental to a woman’s health on multiple levels.

Do You See the Picture Now?
The above is just the “short list” of what you give up when you suffer from urinary incontinence and refuse to seek help from a medical professional. Of course, embarrassment isn’t the only reason that you might avoid seeking help, but our guess is that embarrassment is a big factor. But if you really stop and think about it, is embarrassment truly a fate worse than death? We think not! There are many women, very much alive, who can testify to that fact! So don’t be one of those statistics we mentioned at the beginning of the article. Don’t avoid asking for help and don’t wait seven years to ask for help. If you have women’s urinary incontinence, ask for help now before you sacrifice any more quality of life to this easily treatable condition!

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.

 

What Embarrasses You the Most About Urinary Urgency and Leakage?

If you suffer from urinary urgency and other symptoms of urinary incontinence, then you know all about the embarrassment of coping with your condition. Whether this means running for the bathroom all day long, worrying about a urinary leakage accident, or dealing with the odor of urine, you know the frustration of dealing with symptoms. In fact, women surveyed by WebMD listed the issues related to urinary incontinence from most to least embarrassing:

31% – odor concerns
30% – frequent bathroom trips
26% – traveling with incontinence
13% – intimacy or relationship problems

How does this line-up match up with your levels of embarrassment associated with urinary urgency, frequency, or leakage? Or is your most embarrassing issue–such as being afraid to sit on a friend’s couch–not even on this list? If so, we are not surprised. There are so many frustrating and embarrassing aspects associated with women’s urinary incontinence that the real list of issues that affected women must cope with is much longer. That’s the bad news. Now for the good news.

Simple Ways to Cope with Urinary Urgency, Frequency, and Leakage
The best overall way to relieve your symptoms of urinary incontinence is, of course, to seek help from a medical professional. We suggest you start with a visit to your family doctor or general practitioner, who can either help you directly or refer you to the proper medical professional. You are going to call your doctor immediately after you finish reading this article, right? Right! Good.

Next, while you are waiting for your appointment, there are simple practical steps you can take to cope with the above issues related to urinary urgency, frequency, and leakage.

Tip #1: Coping with Odors
There are many easy steps that you can take to prevent urine odor, everything from using scented pads and liners to avoiding certain foods and beverages. Read more about these tips HERE.

Tip #2: Reduce Bathroom Trips
People who are not affected by urinary incontinence don’t know about the frustration and embarrassment of always looking for bathrooms everywhere you go, not to mention the constant need to excuse yourself to visit the ladies room. To reduce the number of trips you make to the bathroom due to urinary urgency, try retraining your bladder. With this method, you teach your bladder to empty at regular intervals, rather than whenever you experience a random or unexpected bladder spasm. Read more about bladder retraining HERE.

Tip #3: Simplify Travel
Traveling while dealing with urinary incontinence symptoms can be a major hassle, no matter which mode of transportation you choose. To simplify your trip, try the practical tips listed in this article. You’ll discover that by taking a little time to prepare for your trip, your journey will be smooth and hassle-free.

Tip #4: Talk Through Relationship Problems
When a woman has urinary incontinence, she isn’t the only one who suffers. In a relationship, both parties are affected. However, clear and compassionate communication can resolve many relationship problems caused by women’s urinary incontinence. Want to know more? Check out ways to discuss your situation with your partner HERE.

As you can probably tell, urinary urgency and leakage do not need to ruin your life, nor do you need to suffer constant embarrassment. If you can take the time to educate yourself about your condition, as well as prepare yourself daily to cope with your most inconvenient symptoms, you will find that you will find embarrassment to be much less of a factor in your life.
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 Urinary Urgency, Leakage, or Frequency? Stick a Needle Above Your Ankle Bone!

This blog is part 11 of an 11 article series of 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.

As strange as it may seem, your bladder and urinary system are linked to a nerve located just above your ankle bone–the nerve called the percutaneous tibial nerve. While this little piece of trivia may not interest the average woman, a woman suffering from urinary urgency and other symptoms of urinary incontinence may be interested in this bit of news. Why? Because there is a conservative therapy called percutaneous tibial nerve stimulation that has proven useful in helping women with overactive bladder and urge urinary incontinence.

What is Percutaneous Tibial Nerve Stimulation?
As the name suggests, percutaneous tibial nerve stimulation is a conservative therapy in which your medical provider inserts a fine needle in your percutanous tibial nerve, located just above your ankle (while your leg is elevated). Usually performed by your urologist, this conservative therapy then delivers a mild electrical current through the needle to the nerve, which contols bladder function along with other nerves. Other medical professionals who can perform this therapy include trained nurses and physician assistants.

Don’t worry if your toes or entire foot flexes gently during the treatment. Some women also report feeling a mild tingling sensation in the ankle or sole of the foot, which is perfectly normal. Treatments last for 30 to 60 minutes each, and women need to have treatments three to four times per week for 8 to 12 weeks for full effectiveness.

Does Percutaneous Tibial Nerve Stimulation Work?
Yes. Studies show that women with symptoms of overactive bladder or urge incontinence–such as, urinary urgency, frequency, and leakage–report a 20 percent reduction in frequency of urination (OrBIT trial). Women in another study, the SUMit trial, reported a 36 percent reduction in symptom severity and a 34 percent increase in quality of life.

That’s pretty good, right? The great news is that percutaneous tibial nerve stimulation is a conservative therapy, which means you get the dual benefits of symptom improvement along with a non-invasive procedure! Not sure? Ask your urologist to fill you in on the details.
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.

 

Weight Loss: A Conservative Therapy for Women’s Urinary Incontinence That Really Works!

This blog is part 9 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.

Weight loss is the number one New Year’s Resolution that people make … and has been for years! And yet, after the first month of the year, only about eight percent of the people who made this (or any other) New Year’s Resolution are still sticking with it. While “falling off the wagon” in terms of New Year’s Resolutions isn’t a big deal for a lot of people, not sticking to a weight loss or weight management program can be a huge deal for women with urinary incontinence. Why? Because weight loss and management is a tried and true conservative therapy that can help alleviate symptoms of women’s urinary incontinence, including urinary urgency, frequency, and leakage.

Why Weight Loss Works for Urinary Urgency and Other Symptoms
For overweight women with urinary urgency and other symptoms of urinary incontinence, every extra pound above the pelvis puts pressure on the bladder and pelvic organ. Since the bladder is shaped like–and acts like–a balloon, all that extra pressure squeezes the bladder, resulting in urine leakage, frequency, and that “urge to go.” That’s the bad news.

Now for the good news: even a slight amount of weight loss can result in a significant reduction of urinary incontinence symptoms. For instance, one study showed that when overweight women lose even eight percent of their body weight, they experienced a 47 percent reduction in leakage accidents. Another study showed that a 5 to 10 percent loss of weight was just as effective as other conservative (non-surgical) therapies. No wonder weight loss is considered “a first line of therapy” for women’s urinary incontinence!

What to Do if Weight Loss Seems Difficult
Women with urinary incontinence find themselves in an odd catch-22 when it comes to weight loss. See if you recognize the following scenario. On the one hand, your doctor has told you that losing weight will reduce urinary urgency, frequency, and leakage accidents. This gives you motivation to eat healthier and exercise so you can lose weight. On the other hand, you leak urine when you exercise, which causes you to feel totally embarrassed. In turn, you tend to avoid exercise since you hate that “wet pants” look every time you try to get moving. Finally, all this contradiction in your life leads to a little bit of depression … so you reach into your fridge and grab that pint of ice cream to help you feel better. The overall result of this vicious cycle? Weight gain rather than weight loss!

We see this vicious cycle in our women’s pelvic health practices all the time. If you find yourself caught in this vicious cycle, don’t despair. You can lose weight even if you currently have urinary incontinence. Here are our two best recommendations to help you out:

1. Sign up for a well-known successful weight loss program that is known to work. If you’re not sure which programs work, check with your friends or do some research on the internet. This kind of program will keep your diet healthy and “on track,” so that you can avoid emotional eating.

2. Check out these exercise tips designed especially for women with urinary incontinence. These seven tips will help you avoid urinary urgency, leakage, and frequency while you exercise, and get you on your way to weight loss.

We know that losing weight isn’t the easiest task in the world, especially if you have urinary incontinence. At the same time, we have seen so many women lose weight and maintain a healthy weight, so we know that weight loss is possible. You can do it … we know you can. Just start with the first step, and then never look back!
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.

 

Diet Modification for Women’s Urinary Incontinence, Part III – What Happens When You “Whoops”?

This blog is part 8 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.

For some women, diet modification alone is enough to relieve their symptoms of urinary urgency and frequency. For other women, this conservative therapy works best when combined with other lifestyle changes, such as weight loss and bladder retraining. Regardless, most women who modify their diets to avoid bladder irritants, such as caffeine and acidic foods, do find some relief from incontinence symptoms such urinary urgency, frequency, and leakage.

Diet Modification: What Happens When You “Whoops”?
The woman who has never experienced a “whoops” while on a diet is a rare woman indeed! After all, what woman isn’t occasionally tempted by that towering piece of chocolate cake or that steaming cup of espresso? The result? A “whoops” in the diet. For a woman who doesn’t suffer from urinary incontinence, such a slip is no big deal. An extra workout on the treadmill or more careful monitoring of the diet will most likely take care of any side effects from that diet slip.

But for the woman who does have urinary urgency or leakage as a result of eating or drinking bladder irritants, such a dietary slip can create a bigger problem. In fact, ingesting bladder irritants can have immediate and unwanted effects … namely, a bladder leakage accident! So what do you do if you find that you have accidentally fallen prey to a tasty treat and irritated your bladder? You use this emergency recipe to reduce urine acidity: a bicarbonate slush.

What is a Bicarbonate Slush?
Don’t let the word “bicarbonate” scare you–it is just a fancy name for baking soda, that powdery white stuff that many of us keep in our refrigerators. In fact, baking soda does pretty much the same job in the refrigerator as it does for you when you have eaten something acidic that irritates your bladder. Baking soda, being alkaline (having a pH higher than seven), tends to neutralize acidic substances. In the refrigerator, baking soda neutralizes the smells caused mostly by acidic foods. When you drink a bicarbonate slush, made by mixing baking soda and water, the baking soda neutralizes the offending acidic food you just ate.

To make a bicarbonate slush, simply mix one tablespoon of baking soda with 16 ounces (or two cups) of pure water. Drink the slush right away, and immediately drink eight more ounces (one cup) of additional water. You should begin to feel your urinary urgency and other symptoms subside fairly quickly. Do not use this slush without first checking with your doctor if you have high blood pressure or are prone to retaining salt.

The good news about the bicarbonate slush is that it is simple to make. Even if you are at a party when you experience a dietary slip, your host  most likely has baking soda on hand. Just whip up a slushy cocktail, chug it down, and consider yourself relieved!

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.

 

How Much Water Should You Drink if You Have Women’s Urinary Incontinence?

This blog is part 5 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.

Good question. The answer? It depends …

Many women with urinary incontinence think that they can decrease urinary leakage by severely cutting back on the amount of water they drink. Sadly, this doesn’t work. In fact, drastically reducing water intake can actually worsen symptoms of urinary incontinence. Drinking too little water leads to dehydration, which can worsen urinary incontinence symptoms for two reasons:

  1. lack of fluid concentrates the urine–this can irritate the bladder
  2. concentrated urine has a stronger odor, making leakage accidents more noticeable

So how much water should you drink to avoid worsening your symptoms? First, don’t operate under the misconception that drinking way less water will improve your urinary incontinence symptoms. Second, avoid drinking excessive amounts of water for the simple reason that “what goes in must come out.” If you already suffer from urinary incontinence, drinking too much water increases your chances of having a urinary leakage accident. Plus, you’ll find yourself perpetually in the bathroom!

How Much Water Should You Drink?
Many women with urinary incontinence are stuck between a rock and hard a place when it comes to the topic of water intake. They have to drink enough water to stay hydrated, yet they also have to avoid drinking too much water. What’s a woman to do?

The truth of the matter is that the “right” amount of water is going to be different for each woman. Most women with urinary incontinence find that their symptoms remain the same if they drink between six and eight cups of water daily. This amount of water keeps them hydrated while preventing too many trips to the bathroom.

If you are either underweight or overweight, you may need to adjust the amount of water you drink accordingly. A good rule of thumb is to drink water in ounces equal to half of your body weight. For instance, if you weigh 110 pounds, drink 55 ounces of water daily.

Another good rule of thumb is to drink enough water so that your urine is light yellow to clear. When it comes to how much water you should drink to avoid irritating your bladder, let the color of your urine be an indicator.

Try Timed Fluid Intake to Get Your Full Day’s Supply of Water
Some women drink the “right” amount of water for their body weight, but still find that their urinary incontinence symptoms are aggravated by their water intake. Timed fluid intake can help. Timed fluid intake simply means that you drink the majority of your water in the morning, and then gradually scale down your intake until about 6 pm. Stop drinking all fluids past 6 pm. This will prevent nocturia, or the urge to get up and urinate during the night, as well as leakage accidents at night. If you feel thirsty later in the day or at night, use sugar-free candies to keep your mouth moist.

It’s Not How Much But What You Drink That Matters
Women with urinary incontinence worry about the amount of water they should drink daily. But these same women often fail to think about what they drink besides water. While water hydrates the body and is actually healthy when taken in the right amounts, other fluids can worsen symptoms of urinary incontinence. Women with urinary leakage should avoid:

  • caffeine: stimulates and irritates the bladder, acts as a diuretic
  • alcohol: causes dehydration, reduces neurological control over the bladder
  • carbonated beverages: irritates the bladder, often also contains caffeine

Hopefully this article has helped you figure out how much water you should drink for you specific situation, as well as which fluids to avoid. In addition, drinking water at the right time of day can have a big impact on the severity of your urinary incontinence symptoms!

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.