Common, but not something to just accept
Urinary incontinence — leaking urine involuntarily — is very common in women, especially after childbirth and around menopause. It's so common that many women assume it's just a normal part of ageing or motherhood and put up with it. But while it's common, it's not something you simply have to live with: it's very treatable.
Leakage can affect exercise, work, intimacy and confidence, so getting help can make a real difference to daily life.
The main types
Stress incontinence is leaking with coughing, sneezing, laughing, lifting or exercise — caused by a weakened pelvic floor. Urge incontinence (overactive bladder) is a sudden, strong need to wee with leakage before you reach the toilet. Many women have a mix of both. Less commonly, leakage happens because the bladder doesn't empty properly. Knowing the type guides the treatment.
A GP can usually work out the type from your symptoms and a simple assessment, sometimes with a bladder diary.
What helps
Treatment depends on the type, but often starts with pelvic floor exercises (very effective for stress incontinence), bladder training (for urge incontinence), and simple changes like managing fluids and caffeine and treating constipation. A pelvic floor physiotherapist can be invaluable. If needed, there are medications and, in some cases, procedures or surgery. After menopause, vaginal oestrogen sometimes helps.
You don't have to manage this alone or in silence. A telehealth consult is a discreet way to get assessed and start a plan that works for you.
References & sources
- 1.Pelvic floor exercises — healthdirect
- 2.Prolapsed uterus — healthdirect
- 3.Bladder health — Jean Hailes for Women's Health
This content is general information and not a substitute for individual medical advice. Please consult a GP for your personal situation.
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