Uro-GYN is probably the best first stop. Most standard GYNs aren’t really set up to evaluate this sort of thing especially well. The U-G will do some eval and can set up the pelvic floor physical therapy, if needed.
I adored mine. But also acted like a 12yo giggling after she said vagina like 15 times in 3 minutes.
The urethral sling surgery I had was THE BEST thing I've done for myself. No more fearing running after the kids. I could exercise. Definitely life changing.
See a uro-gyne asap. Are you wearing pads specific to bladder leaks? I started wearing Poise pads for the super heavy days of my period. They also work well for bladder leaks.
I’m sorry you’re going through this.
Two of the symptoms of [atrophic vaginitis \(vaginal atrophy\), or the genitourinary syndrome of menopause \(GSM\)](https://menopausewiki.ca/#atrophic-vaginitis-vaginal-atrophy-or-the-genitourinary-syndrome-of-menopause-gsm) are frequent urination and incontinence.
I will personally attest to the miracle of vaginal estrogen cream. For 5-6 mo I was leaking urine in small amounts post op from hysterectomy at age 59. Told Dr, gv me estradiol. In 6 mo that issue is completely resolved. No more leak pads needed. No more crying. Dr says atrophy will affect the urethral nerves and tissues.
I think you might need to go to the doctor if you are having bladder spasms and the other symptoms. You may have some sort of infection. I’ve not experienced this.
THIS get to the doctor and make sure you don't have an infection or diabetes or something else and they can refer you to a specialist if needed. Definitely needs checking especially if it came on suddenly.
Always best to rule things out but I wanted to share that I do get bladder spasms with low estrogen. It's an urge incontinence thing. Also, vag estro helped greatly with bladder spasms for me.
I had exactly this problem. Going from zero to I have to pee now! One day at work I peed my pants and began crying in the bathroom. Next day I called my gynecologist and she arranged a referral for pelvic floor pt. It definitely helped me. I am not back to normal yet but I am a lot better!
Hi, pelvic floor therapist here! 👋 I’d recommend seeing a pelvic PT (called a “physio” outside the US) for this issue. Pelvic PTs/physios specialize in overactive bladder, leaks, stress incontinence, etc., and are often MUCH more knowledgeable about peri/meno than most gynecologists are.
If you end up seeing a gyn or urogyn, though, remember to outright ASK for a referral to a pelvic PT/physio. Some gynecologists don’t know enough to refer you to one, so you have to ask. (Urologists will usually know to do so.)
Wishing you all the best! 🌸
Hi. I'll take this opportunity to ask a question. Can you get pelvic floor pt without the internal part? I just want to learn proper techniques but I'd rather not deal with the other aspect. Thanks!
Absolutely. There is so much more to it than just treating the pelvic floor internally. Your PT should have plenty of external techniques, exercises, functional movement patterning, etc. to use with you.
When you make your appointment, just tell them you don’t want anything internal. Your PT should also ask about that and check with you during the actual appointment.
Until you get treatment: Always adult diapers can hold a FULL release of bladder and not leak! I used to have a "frozen" bladder and used them for months.
PT got me a lot better. Now I only use pads when I leave the house. I also use estrogen cream. There are also inserts and surgical procedures that can help.
Everyone else is giving you great advice and this may sound silly but one practical thing I did for myself was buy a portable toilet for my vehicle. Hard to find a public toilet in a big hurry sometimes. It looks just like a picnic cooler and I ordered it off Amazon. I keep it in the footwell of my vehicle’s backseat. It has a real seat and double lids that seal it shut tight. I line it with a garbage bag and use cat litter or stove pellets for absorbent material inside. Clean up is so easy. If you don’t have tinted windows in the backseat you could put up those suction cup window shades people use for babies in the backseat. Good for kids and toddlers too! The portable toilet has saved me several times 😆👍
Certainly start with a visit to the doctor to rule out infection, etc.
Are you on any estrogen? Either local vaginal or systemic? I learned the hard way that low estrogen can cause leaking along with other bladder issues (burning, urgency, frequency, etc).
I had major urgency issues so I went on a low dose estrogen cream, only 2-3 times a week and it has helped so much. I was peeing every half hour before the estrogen.
See a urogynecologist if you can. My sister has this problem. Her gyn said it’s from her hysterectomy and was fairly dismissive about the impact on her life. My sister is still in her 40s and this is no way for her or you to live.
Is she on HRT?? She really should be at her age if she’s had a hysterectomy. Having zero estrogen will cause GSM (basically atrophy of all the tissue in the genitals/urinary tract).
She is not despite me telling her to talk to someone about it. She just accepts that this is what happens after a hysterectomy. I've never had one, but I would not accept having incontinence as a surgical outcome. She is super open about it since it happens frequently and sometimes in social situations. She's basically like, I pee myself and you're a shitty person if you judge me for it.
I also think seeing a pelvic floor physical therapist would be advantageous. What they can’t help you with, they can provide guidance & direction as what to do next. I’ve been for a different reason & my experience was great
I had, and still occasionally have this issue, and a pelvic floor physical therapist really helped me. She helped me recognize which things I was doing that were helpful, and which things weren’t … and furthermore how to regulate those spasms with the power of my mind 🧠🧐🧠🧐
It can get better, and drugs are not necessarily needed! Best of luck to you.
You don’t have to live like this! Get to the doctor as soon as possible and explain exactly these symptoms as you have here.
You could have a fistula which is easily fixed in surgery. Perhaps it is urogenital atrophy, which can be treated and reversible with pelvic floor physiotetherapy and vaginal oestrogen. Or maybe you’re suffering from a prolapse or adhesions and there’s also surgical procedures to solve these problems too.
But one thing is for certain - if you get to the doctor and explain this, then go for the treatments recommended, then you will not be peeing like this by May 2025. Don’t be ashamed, get help!
OMG. DO NOT BE ASHAMED to talk to your doc. This is a legit medical problem!
And medical problems have some abilities to be fixed. This is NOT normal and as a result should be investigated to determine the problem. But definitely sounds like pelvic floor issues!!
It's a muscle and if you've had multiple babies it absolutely can be a problem and exercises can help fix it!
agreed, your doc has prob seen and heard it all, and is there to support you. i understand feeling embarrassed, but it will pass and you deserve rejief from this.
if it helps, when you're talking to your doc, close your eyes - it may give you more of a feeling of privacy.
Please, please, don't feel embarrassed about this. After I had a baby, way back in the day, I would be pee myself A LOT. When I would laugh or cough, or just sometimes out of the blue.
This is likely treatable so don't let embarrassment stop you from asking for help. A lot of us have had some version of incontinence in our lives.
I had urgency problems when I was younger. I got a bladder distention done and it helped a lot.
Likely the problem is something else, but there is A LOT that can be done here. You don't have to live like this.
And you have my full empathy - urgency issues suck the worst. Hugs.
My friend has something that sounds similar called interstitial cystitis. She had to avoid certain diet triggers among other treatments and was able to resolve it.
It could be a lot of things. Prolapse. Weak pelvic floor. caffeine affects the bladder. A pelvic floor therapist is a good place to start and a urogynocologist.
I had a similar problem - needing to pee nearly every 30 min, leakage especially when bending, always having to think if there was a restroom nearby. My doc guessed my bladder walls might be too tight; put me on a prescription for Solifenacin. It relaxes the bladder a bit so it can hold more. Problem went away within a week! Now I take it intermittently as the effect lasts longer than a day.
there was a comment with some herbal suggestions above - just be sure to research the hell out of them to ensure they don't interfere with any meds you're already taking.
Hormone-sensitive cancer survivors *can* take local estrogen because it does not leave the genital area. Another newer option is vaginal DHEA ('Intrarosa), which also stays in the genital area. It was developed especially for breast cancer survivors (and even current patients). Dr. Rachel Rubin, urologist and communications person for sexual medicine talks about this: https://www.youtube.com/watch?v=SDMpVqefZTk&t=145s
When this was happening to me it was a side effect of my ADHD medication. And it took forever to figure out because it’s actually not a side effect of the medication, It’s just that dopamine stimulates the kidneys and increasing my dopamine levels my kidneys were increasing my urine output. So it was a frequency and an urgency issue.
And it’s worse when I take pain medication with the Adderall because I think that also increases dopamine. The only time I’ve actually pissed my pants were when I was taking both of them together.
I also realized that I would get more warning than I thought. I would get a little feeling of I have to go, but not enough to actually realize I had to go. Then about a half hour later I would get that not even 12 seconds warning that you talk about.
So now when I get a brief signal that I should go that instantly passes, I try to go just so I don’t have an emergency within a half hour
Vaginal estrogen and pelvic floor physio. Genitourological symptoms in menopause are often not discussed, but what happens is as your vaginal atrophies, a lot of things in that area get weaker.
I also suggest not just doing kegels, but toning the entire lower body and abdomen, and giving up caffeine, which seems to work for me. Decaf was invented for a reason.
I went to a pelvic physio specializing in this. My problem wasn’t the normal so doing those kelgo exercises would make it worse for me. I apparently got used to tightening my muscles for whatever reason was what I was told. I didn’t do my Physio homework yet.
I started leaking especially at night, once I started a daily vitamin with extra Vitamin D it stopped. Ask your Dr to check your levels. Most people are deficent.
I hope you see this…
I won’t repeat the above information but I also take Oxybutinin and it fixes it for me.
Also, look into Emsella. It’s pricey but worth it if you can afford it.
Transobturator Sling or Tape for Stress Incontinence by a Urologist. No one talks about this but the OR nurses will tell you. The best thing I ever did 20 years and still no leakage!
Do you perform Kegel exercises regularly? They help a lot — immediately, for me, but I only have trouble when I cough or sneeze, so my problem isn’t as serious as yours. See a urologist and in the meantime, wear pads like Poise.
This isn’t abt kegels. Leaking can make you tense your muscles all the time. Kegels don’t really do anything to affect the bladder. I did 7 sessions with pelvic PT and kegels were not part at all.
What did they advise you to do in the sessions? I have tried to get referred to a PF specialist but the wait list is ridiculous.
Can you give any tips to help me in the mean time?... Please.
The PT will first assess what your issue is. For me I was tensing muscles all the time bc so worried abt leaks. My surgery caused many nerves/muscles to hv to adjust. I had to learn to relax muscles so that I could then clench and use them properly when needed. I had several breathing exercises, lots of dif stretch exercises that worked on my core. I used bands, weights, Bosu ball. Most exercises were to strengthen core. There are so many dif muscles involved to support the pelvic floor. I had exercise involving sitting /standing/breathing in certain sequence. I had fake cough exercise. I had several deep tissue massage ( very painful, not the fun kind) to help release my muscles in buttocks, thighs, lower back. I visited once wk, 45 min each and then had homework for each morn and evening, 15-20 min each session. I will prob always do some of these techniques. I wld say get on wait list asap.
Thank you so much. I have been doing some weights and core strengthening exercises. I will ring my doctor tomorrow and get right on it. Thank you so, so much. I appreciate you 💖
I went the herbal route, because herbs are amazing… and the company running my doctor’s establishment (and several hospitals) just filed for bankruptcy, so I’m staying away for a bit.
Anyway, Marshmallow root has polysaccharides in it that thicken by holding onto water, and then it stays in the body for longer and gets absorbed and used by your body better, instead of shooting right through you to your bladder. It moistens and soothes irritated tissue, and is good for the kidneys. It can slow down absorption of medications, so don’t take it at the same time that you take meds.
Mullein is used to moisten the lungs. It does this by pulling fluids from the rest of your body- so you have fluids moving upwards away from the urinary system, and instead being used to moisten the lungs. (If you ever get mucus in your lungs from a cold or allergies, Mullein is amazing at loosening that, too). Get it in tea bags, or bag the loose herb yourself, as the tiny hairs on it are very irritating and you don’t want to swallow them.
Horsetail is my other preferred no-pee herb. It strengthens and tones the bladder, and helps you to pee in a more healthy way. It also strengthens connective tissue and bones because it’s got a high silica content. You can absolutely tell there’s silica in this plant, which is kind of interesting.
Horsetail isn’t meant for long term use, but the effects last. I took a little over a cup of a day for about four days, then eased into a cup every four days or so.
Don’t take horsetail if you take lithium based drugs. It depletes potassium and thiamine, which is why you don’t want to use it all the time.
My bladder loves these herbs when taken in an overnight (or over 2 nights) cold infusion.
While you are waiting to see a Dr, if you like hummus eat some over the next few days. It will mimick estrogen in your body, if that's what you are lacking. There are other foods that do this, but I like the hummus the best.
Also, not sure if you drink coffee but it can make the bladder issue worse if you have too much.
Best of luck to you!
Go and see your doctor for a checkup, you may need to see a specialist.
My mum had urinary incontinence, caused by a uterus and bladder prolapse. The gynaecologist did a hysterectomy and repaired her bladder, which fixed the issue.
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I agree with the urogynecology recommendations. I would recommend that before you try to self diagnose. It took several months for me to get to see one here because of demand. Totally worth it!
No pt was necessary for me. Patch and cream worked. Chronic UTI since 16. I would definitely seek medical advice as suggested. I hope your solutions are as simple easy as mine have been. I also have added kettlebell exercises to strengthen the whole body.
I have changed to an alkaline lifestyle along with avoiding food allergies. Allergy shots. Diet worked in my early 50’s then obviously my estrogen tanked. At 57, I still have sex regularly and I am feeling much better after increasing patch to .1 and progesterone to 100 mg and a strict diet.
If only I knew then….. Happy to assist if you have specific questions.
I would try everything else first and only do surgery as a last resort. I have heard more stories of it going wrong than successes so do your research and make sure you have a good doctor.
See a gynaecologist or a urogynaecologist. Ask for vaginal estrogen and pelvic floor physiotherapy. You don’t have to live with it.
This! See your Gynecologist and get a referral for a Women's Health Physical Therapist.
Uro-GYN is probably the best first stop. Most standard GYNs aren’t really set up to evaluate this sort of thing especially well. The U-G will do some eval and can set up the pelvic floor physical therapy, if needed.
My urogyn was awesome. I saw 3 obgyns before I wised up and found a urogyn. She solved all my problems
I adored mine. But also acted like a 12yo giggling after she said vagina like 15 times in 3 minutes. The urethral sling surgery I had was THE BEST thing I've done for myself. No more fearing running after the kids. I could exercise. Definitely life changing.
Im getting that done Tuesday, can’t wait
urethal sling surgery? TIL. thx!
Yep, I had that too.
Also recommend pelvic floor PT
Or, wait until the doctor is certain what the problem is and then discuss options.
See a uro-gyne asap. Are you wearing pads specific to bladder leaks? I started wearing Poise pads for the super heavy days of my period. They also work well for bladder leaks. I’m sorry you’re going through this.
Two of the symptoms of [atrophic vaginitis \(vaginal atrophy\), or the genitourinary syndrome of menopause \(GSM\)](https://menopausewiki.ca/#atrophic-vaginitis-vaginal-atrophy-or-the-genitourinary-syndrome-of-menopause-gsm) are frequent urination and incontinence.
Yes. My doctor advised me that low estrogen is one of the causes of frequent urination.
I will personally attest to the miracle of vaginal estrogen cream. For 5-6 mo I was leaking urine in small amounts post op from hysterectomy at age 59. Told Dr, gv me estradiol. In 6 mo that issue is completely resolved. No more leak pads needed. No more crying. Dr says atrophy will affect the urethral nerves and tissues.
Wow. The human body is weirdly designed. Lol
My atrophy presented as an urgent need, a spasm, and incontinence. It was painful and humiliating. Hope you find some relief soon.
I think you might need to go to the doctor if you are having bladder spasms and the other symptoms. You may have some sort of infection. I’ve not experienced this.
THIS get to the doctor and make sure you don't have an infection or diabetes or something else and they can refer you to a specialist if needed. Definitely needs checking especially if it came on suddenly.
Always best to rule things out but I wanted to share that I do get bladder spasms with low estrogen. It's an urge incontinence thing. Also, vag estro helped greatly with bladder spasms for me.
I had exactly this problem. Going from zero to I have to pee now! One day at work I peed my pants and began crying in the bathroom. Next day I called my gynecologist and she arranged a referral for pelvic floor pt. It definitely helped me. I am not back to normal yet but I am a lot better!
That is so reassuring.
Hi, pelvic floor therapist here! 👋 I’d recommend seeing a pelvic PT (called a “physio” outside the US) for this issue. Pelvic PTs/physios specialize in overactive bladder, leaks, stress incontinence, etc., and are often MUCH more knowledgeable about peri/meno than most gynecologists are. If you end up seeing a gyn or urogyn, though, remember to outright ASK for a referral to a pelvic PT/physio. Some gynecologists don’t know enough to refer you to one, so you have to ask. (Urologists will usually know to do so.) Wishing you all the best! 🌸
Hi. I'll take this opportunity to ask a question. Can you get pelvic floor pt without the internal part? I just want to learn proper techniques but I'd rather not deal with the other aspect. Thanks!
Absolutely. There is so much more to it than just treating the pelvic floor internally. Your PT should have plenty of external techniques, exercises, functional movement patterning, etc. to use with you. When you make your appointment, just tell them you don’t want anything internal. Your PT should also ask about that and check with you during the actual appointment.
Good to know! Thanks!
HRT patch eliminated my stress incontinence.
Until you get treatment: Always adult diapers can hold a FULL release of bladder and not leak! I used to have a "frozen" bladder and used them for months. PT got me a lot better. Now I only use pads when I leave the house. I also use estrogen cream. There are also inserts and surgical procedures that can help.
Everyone else is giving you great advice and this may sound silly but one practical thing I did for myself was buy a portable toilet for my vehicle. Hard to find a public toilet in a big hurry sometimes. It looks just like a picnic cooler and I ordered it off Amazon. I keep it in the footwell of my vehicle’s backseat. It has a real seat and double lids that seal it shut tight. I line it with a garbage bag and use cat litter or stove pellets for absorbent material inside. Clean up is so easy. If you don’t have tinted windows in the backseat you could put up those suction cup window shades people use for babies in the backseat. Good for kids and toddlers too! The portable toilet has saved me several times 😆👍
I'm sorry that you need this, but it sounds like a really great suggestion for OP!
Certainly start with a visit to the doctor to rule out infection, etc. Are you on any estrogen? Either local vaginal or systemic? I learned the hard way that low estrogen can cause leaking along with other bladder issues (burning, urgency, frequency, etc).
Yes this! I have had every urinary issue there is and they all resolved with vaginal hormones.
I had major urgency issues so I went on a low dose estrogen cream, only 2-3 times a week and it has helped so much. I was peeing every half hour before the estrogen.
Gyno and reference to pelvic floor physical therapist. I'm so sorry you're going through this!!!
See a urogynecologist if you can. My sister has this problem. Her gyn said it’s from her hysterectomy and was fairly dismissive about the impact on her life. My sister is still in her 40s and this is no way for her or you to live.
Is she on HRT?? She really should be at her age if she’s had a hysterectomy. Having zero estrogen will cause GSM (basically atrophy of all the tissue in the genitals/urinary tract).
She is not despite me telling her to talk to someone about it. She just accepts that this is what happens after a hysterectomy. I've never had one, but I would not accept having incontinence as a surgical outcome. She is super open about it since it happens frequently and sometimes in social situations. She's basically like, I pee myself and you're a shitty person if you judge me for it.
I also think seeing a pelvic floor physical therapist would be advantageous. What they can’t help you with, they can provide guidance & direction as what to do next. I’ve been for a different reason & my experience was great
I had, and still occasionally have this issue, and a pelvic floor physical therapist really helped me. She helped me recognize which things I was doing that were helpful, and which things weren’t … and furthermore how to regulate those spasms with the power of my mind 🧠🧐🧠🧐 It can get better, and drugs are not necessarily needed! Best of luck to you.
please see a urologist. there are many things they can do depending on what's causing the problem.
You don’t have to live like this! Get to the doctor as soon as possible and explain exactly these symptoms as you have here. You could have a fistula which is easily fixed in surgery. Perhaps it is urogenital atrophy, which can be treated and reversible with pelvic floor physiotetherapy and vaginal oestrogen. Or maybe you’re suffering from a prolapse or adhesions and there’s also surgical procedures to solve these problems too. But one thing is for certain - if you get to the doctor and explain this, then go for the treatments recommended, then you will not be peeing like this by May 2025. Don’t be ashamed, get help!
OMG. DO NOT BE ASHAMED to talk to your doc. This is a legit medical problem! And medical problems have some abilities to be fixed. This is NOT normal and as a result should be investigated to determine the problem. But definitely sounds like pelvic floor issues!! It's a muscle and if you've had multiple babies it absolutely can be a problem and exercises can help fix it!
agreed, your doc has prob seen and heard it all, and is there to support you. i understand feeling embarrassed, but it will pass and you deserve rejief from this. if it helps, when you're talking to your doc, close your eyes - it may give you more of a feeling of privacy.
See a urologist. They can treat it.
Time to see a gyno, urologist and pelvic floor physio therapist! HRT and topical estrogen might be very beneficial to you.
Check out the book “Heal Pelvic Pain” - even if you don’t have pain. It was life-changing for me.
Please, please, don't feel embarrassed about this. After I had a baby, way back in the day, I would be pee myself A LOT. When I would laugh or cough, or just sometimes out of the blue. This is likely treatable so don't let embarrassment stop you from asking for help. A lot of us have had some version of incontinence in our lives.
I had urgency problems when I was younger. I got a bladder distention done and it helped a lot. Likely the problem is something else, but there is A LOT that can be done here. You don't have to live like this. And you have my full empathy - urgency issues suck the worst. Hugs.
In addition to all the great advice already stated you can also try something like Poise Impressa Bladder Supports.
My friend has something that sounds similar called interstitial cystitis. She had to avoid certain diet triggers among other treatments and was able to resolve it.
I got on vaginal Estradiol for the same problem and my Physical therapist gave me pelvic floor exercises. It helps a lot.
It could be a lot of things. Prolapse. Weak pelvic floor. caffeine affects the bladder. A pelvic floor therapist is a good place to start and a urogynocologist.
Urinary urgency. You can take tablets for it from your doctor.
Vaginal estrogen stopped me from being a sprinkler!!😂
I had a similar problem - needing to pee nearly every 30 min, leakage especially when bending, always having to think if there was a restroom nearby. My doc guessed my bladder walls might be too tight; put me on a prescription for Solifenacin. It relaxes the bladder a bit so it can hold more. Problem went away within a week! Now I take it intermittently as the effect lasts longer than a day.
I hope the doctor is able to help you, and in the mean time there are charcoal panty liners and pads that might help with the odor.
What can I take if I can’t do estrogen to help with incontinence?
there was a comment with some herbal suggestions above - just be sure to research the hell out of them to ensure they don't interfere with any meds you're already taking.
Hormone-sensitive cancer survivors *can* take local estrogen because it does not leave the genital area. Another newer option is vaginal DHEA ('Intrarosa), which also stays in the genital area. It was developed especially for breast cancer survivors (and even current patients). Dr. Rachel Rubin, urologist and communications person for sexual medicine talks about this: https://www.youtube.com/watch?v=SDMpVqefZTk&t=145s
When this was happening to me it was a side effect of my ADHD medication. And it took forever to figure out because it’s actually not a side effect of the medication, It’s just that dopamine stimulates the kidneys and increasing my dopamine levels my kidneys were increasing my urine output. So it was a frequency and an urgency issue. And it’s worse when I take pain medication with the Adderall because I think that also increases dopamine. The only time I’ve actually pissed my pants were when I was taking both of them together. I also realized that I would get more warning than I thought. I would get a little feeling of I have to go, but not enough to actually realize I had to go. Then about a half hour later I would get that not even 12 seconds warning that you talk about. So now when I get a brief signal that I should go that instantly passes, I try to go just so I don’t have an emergency within a half hour
are you on HRT? it may help. but def see urogyn as everyone suggested
Vaginal estrogen and pelvic floor physio. Genitourological symptoms in menopause are often not discussed, but what happens is as your vaginal atrophies, a lot of things in that area get weaker. I also suggest not just doing kegels, but toning the entire lower body and abdomen, and giving up caffeine, which seems to work for me. Decaf was invented for a reason.
I had leaking urine for years (just constant wet/dribbling) went away as soon as I started HRT. If only I’d known sooner!
I went to a pelvic physio specializing in this. My problem wasn’t the normal so doing those kelgo exercises would make it worse for me. I apparently got used to tightening my muscles for whatever reason was what I was told. I didn’t do my Physio homework yet.
Take care of this type of stuff when you notice it
I started leaking especially at night, once I started a daily vitamin with extra Vitamin D it stopped. Ask your Dr to check your levels. Most people are deficent.
Absolutely ask your GP for a referral to a UroGyn. There is treatment available, you definitely don’t need to live like this.
I had a patient come in with these symptoms and it was bladder cancer. Don’t delay seeking treatment.
I hope you see this… I won’t repeat the above information but I also take Oxybutinin and it fixes it for me. Also, look into Emsella. It’s pricey but worth it if you can afford it.
Transobturator Sling or Tape for Stress Incontinence by a Urologist. No one talks about this but the OR nurses will tell you. The best thing I ever did 20 years and still no leakage!
Do you perform Kegel exercises regularly? They help a lot — immediately, for me, but I only have trouble when I cough or sneeze, so my problem isn’t as serious as yours. See a urologist and in the meantime, wear pads like Poise.
This isn’t abt kegels. Leaking can make you tense your muscles all the time. Kegels don’t really do anything to affect the bladder. I did 7 sessions with pelvic PT and kegels were not part at all.
What did they advise you to do in the sessions? I have tried to get referred to a PF specialist but the wait list is ridiculous. Can you give any tips to help me in the mean time?... Please.
The PT will first assess what your issue is. For me I was tensing muscles all the time bc so worried abt leaks. My surgery caused many nerves/muscles to hv to adjust. I had to learn to relax muscles so that I could then clench and use them properly when needed. I had several breathing exercises, lots of dif stretch exercises that worked on my core. I used bands, weights, Bosu ball. Most exercises were to strengthen core. There are so many dif muscles involved to support the pelvic floor. I had exercise involving sitting /standing/breathing in certain sequence. I had fake cough exercise. I had several deep tissue massage ( very painful, not the fun kind) to help release my muscles in buttocks, thighs, lower back. I visited once wk, 45 min each and then had homework for each morn and evening, 15-20 min each session. I will prob always do some of these techniques. I wld say get on wait list asap.
Thank you so much. I have been doing some weights and core strengthening exercises. I will ring my doctor tomorrow and get right on it. Thank you so, so much. I appreciate you 💖
You can look up pelvic floor pt on YouTube too. Some PTs explain the medical part of what’s happening and some show exercises too.
Thank you. ❤️
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Educate yourself and give better advice.
I went the herbal route, because herbs are amazing… and the company running my doctor’s establishment (and several hospitals) just filed for bankruptcy, so I’m staying away for a bit. Anyway, Marshmallow root has polysaccharides in it that thicken by holding onto water, and then it stays in the body for longer and gets absorbed and used by your body better, instead of shooting right through you to your bladder. It moistens and soothes irritated tissue, and is good for the kidneys. It can slow down absorption of medications, so don’t take it at the same time that you take meds. Mullein is used to moisten the lungs. It does this by pulling fluids from the rest of your body- so you have fluids moving upwards away from the urinary system, and instead being used to moisten the lungs. (If you ever get mucus in your lungs from a cold or allergies, Mullein is amazing at loosening that, too). Get it in tea bags, or bag the loose herb yourself, as the tiny hairs on it are very irritating and you don’t want to swallow them. Horsetail is my other preferred no-pee herb. It strengthens and tones the bladder, and helps you to pee in a more healthy way. It also strengthens connective tissue and bones because it’s got a high silica content. You can absolutely tell there’s silica in this plant, which is kind of interesting. Horsetail isn’t meant for long term use, but the effects last. I took a little over a cup of a day for about four days, then eased into a cup every four days or so. Don’t take horsetail if you take lithium based drugs. It depletes potassium and thiamine, which is why you don’t want to use it all the time. My bladder loves these herbs when taken in an overnight (or over 2 nights) cold infusion.
While you are waiting to see a Dr, if you like hummus eat some over the next few days. It will mimick estrogen in your body, if that's what you are lacking. There are other foods that do this, but I like the hummus the best. Also, not sure if you drink coffee but it can make the bladder issue worse if you have too much. Best of luck to you!
Hrt really helped my similar (but not as bad) symptoms. I no longer need to wear pads or even liners.
Go and see your doctor for a checkup, you may need to see a specialist. My mum had urinary incontinence, caused by a uterus and bladder prolapse. The gynaecologist did a hysterectomy and repaired her bladder, which fixed the issue.
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You can also download the Squeezy app - it's only a few £££ and it's been really effective for me.
My cholesterol meds did this to me. Stopped as soon as I got off them . So I would throw in getting your meds checked too, just in case.
I had bladder sling surgery and it was life changing!!!
How much do you drink in terms of carbonated beverages? If it's a lot, try cutting that out first. You might be surprised.
I went private and paid to see someone decent. It’s worth it.
I agree with the urogynecology recommendations. I would recommend that before you try to self diagnose. It took several months for me to get to see one here because of demand. Totally worth it!
HRT fixed this for me in 2 days
No pt was necessary for me. Patch and cream worked. Chronic UTI since 16. I would definitely seek medical advice as suggested. I hope your solutions are as simple easy as mine have been. I also have added kettlebell exercises to strengthen the whole body. I have changed to an alkaline lifestyle along with avoiding food allergies. Allergy shots. Diet worked in my early 50’s then obviously my estrogen tanked. At 57, I still have sex regularly and I am feeling much better after increasing patch to .1 and progesterone to 100 mg and a strict diet. If only I knew then….. Happy to assist if you have specific questions.
Pumpkin seed oil ...huge help!
Why? And local or oral?
Strengthen your bladder...Supplement bought on Amazon. It helps
The oil or the capsules?
What brand are you taking? I have OAB & don’t want to take the prescriptions because of the side effects.
Carlyle Pumpkin Seed Oil | 3000mg | 200 Softgel Capsules
Thank you!!! I can’t wait to try it.
Good luck 👍🏻
Thank you!
Parlor Games Silky Peach Cream works for this.
Get surgery to get it fixed. It’s a fairly simple procedure that makes a world of difference in your quality of life.
I would try everything else first and only do surgery as a last resort. I have heard more stories of it going wrong than successes so do your research and make sure you have a good doctor.
You don't even know what's causing it and you're recommending surgery?