Question: I’m a 45-year-old lady. Is it regular to “leak” just a little once I cough or sneeze?

Answer: Millions of American women endure from incontinence. Women are almost twice as doubtless as males to have some type of incontinence.

Urinary incontinence is the involuntary leakage of urine. It’s an issue that one in three women endure from, and lots of research declare that greater than 50 % of women older than 60 have a point of urinary incontinence. It could be an embarrassing matter to convey up with buddies or household, and most women aren’t even snug discussing it with their health care supplier, which suggests they’re left questioning what’s regular and what’s not.

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Urinary incontinence has many causes and, thankfully, there are additionally some ways to realize the aid you want. I’ll offer you temporary overview of the most typical issues of incontinence.

Stress incontinence happens from weak spot within the helps that maintain up the urethra and bladder and the muscular tissues within the pelvis grow to be too weak to compensate. It’s triggered by coughing, sneezing, laughing, exercising and different actions. Childbirth and even merely carrying a being pregnant are the primary causes of this injury. Another widespread danger issue is weight problems. The leakage concerned could be as little as a couple of drops over the course of a yr, to leaking urine on a regular basis. Illnesses that trigger coughing typically result in momentary episodes of stress incontinence, which may be early clues that the pelvic flooring muscle mass and helps are weakened. This is the most typical sort of incontinence in women youthful than 60, but in addition stays a serious trigger in women older than 60.

Even extra annoying and inconvenient is the annoyance referred to as overactive bladder. If leakage is concerned with OAB signs, it’s referred to as urge incontinence. The drawback is that the bladder muscle mass are working too onerous. OAB includes urinary frequency, which is urinating eight or extra occasions in a 24-hour time window. It additionally includes urinary urgency, which is an awesome, sudden urge to urinate. Nocturia, or getting up away from bed to urinate greater than as soon as an evening, is typical with OAB victims. There are sometimes phases of extreme spasms and phases of minimal spasms, even with out remedy. You don’t have to have all of those signs to have overactive bladder. There are instruments out there to type out whether or not signs would add as much as a analysis of OAB, or not.

Every sort of urinary incontinence may cause misery and have an effect on high quality of life. The excellent news is there are totally different choices to deal with urinary incontinence in women, and many don’t even contain surgical procedures or medicine.

Take step one in treating urinary incontinence by making an appointment together with your gynecologist. You may be a part of me at our subsequent Health for Me presentation at 5:15 p.m. May 16 at HFM Rehab Plus. Physical therapist Stephanie Simmons and I’ll talk about the several types of incontinence and remedy choices obtainable. We need to assist educate and empower you to regain management of your life once more. Register for this free presentation at

William Leach Jr., DO, FACOG, is an obstetrician and gynecologist at HFM Women’s Health.

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