{"id":18334,"date":"2019-09-05T09:21:39","date_gmt":"2019-09-05T14:21:39","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=18334"},"modified":"2023-03-22T13:47:46","modified_gmt":"2023-03-22T18:47:46","slug":"a-lot-of-younger-women-deal-with-bladder-leakage","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/a-lot-of-younger-women-deal-with-bladder-leakage\/","title":{"rendered":"A Lot of Younger Women Deal With Bladder Leakage"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">About three years ago, <a href=\"https:\/\/www.mombeach.com\/\">Becky Beach<\/a> let out a loud, head-back guffaw during a work meeting. Full-body laughter is typical for Beach, now 37, but what happened next took her by surprise: She released some urine \u2014 enough to leave a wet spot on the front of her pants. \u201cI used my notepad to cover it, then changed into workout pants to wear for the rest of the day,\u201d says Beach.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This wasn\u2019t the first time. After having her first child, Beach noticed that certain movements and activities, like coughing, sneezing and running, caused her to leak a little. But this was the worst accident yet, by far. \u201cI was afraid I could lose respect at the workplace if people knew I wet myself,\u201d she says. \u201cI had to keep it a secret from others.\u201d She made an appointment to see a doctor and started wearing feminine pads.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many people decades away from an AARP card experience bladder leakage. \u201cThe problem is common enough in women in their 20s and 30s that I see it every day,\u201d says Dr. Angel Marie Johnson, a urogynecologist and the director of the Women&#8217;s Health Center at <\/span><a href=\"https:\/\/greaterbostonurology.com\/\"><span style=\"font-weight: 400;\">Greater Boston Urology<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even so, bladder leakage isn\u2019t something that younger women discuss openly. When Cora, a brand that makes pads and liners for light bladder leaks, surveyed 1,000 women between 30 and 50 years old, <\/span><a href=\"https:\/\/www.prnewswire.com\/news-releases\/cora-de-stigmatizes-incontinence-for-younger-women-with-disruptive-product-line-for-light-bladder-leaks-300837474.html\"><span style=\"font-weight: 400;\">89 percent said<\/span><\/a> <span style=\"font-weight: 400;\">they were more likely to talk with their friends about relationship issues, body image fears and taboo lifestyle habits like drinking or drug use than bladder leakage. Luckily, there are ways to help manage light bladder leakage and reduce feelings of shame and isolation that often accompany the issue.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is it?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Light bladder leakage is not a medical term. \u201cIt\u2019s a <\/span><a href=\"https:\/\/awhonnconnections.org\/2016\/11\/22\/what-you-need-to-know-about-light-bladder-leakage\/\"><span style=\"font-weight: 400;\">term people use to describe their symptoms<\/span><\/a><span style=\"font-weight: 400;\">,\u201d Johnson says; <\/span><a href=\"https:\/\/www.poise.com\/en-us\/advice-and-support\/expert-advice\/article\/what-causes-light-bladder-leakage\"><span style=\"font-weight: 400;\">some companies that sell pads<\/span><\/a><span style=\"font-weight: 400;\"> use it as well. When people talk about LBL, they usually mean overactive bladder syndrome, stress urinary incontinence or mixed urinary incontinence.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Overactive bladder is defined by frequent urination (meaning <\/span><a href=\"https:\/\/medlineplus.gov\/overactivebladder.html\"><span style=\"font-weight: 400;\">eight or more times during the day or more than twice at nigh<\/span><\/a><span style=\"font-weight: 400;\">t) and strong, sudden urges to pee that occasionally make you leak before you reach the bathroom. Stress incontinence is when you pee a little upon coughing, laughing, sneezing or exercising. Mixed incontinence is a combination of the two conditions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Overactive bladder is a functional problem; spasms in the bladder cause urges to pee even when it\u2019s not full<\/span><b>. <\/b><span style=\"font-weight: 400;\">\u201cThe bladder is like a reservoir,\u201d Johnson explains. \u201cIt stretches to hold urine, and it has sensors that indicate when the bladder is full. When this happens, it then squeezes to empty.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Stress incontinence, on the other hand, is a structural problem. That means leakage stems from weakness in the muscles around the urethra (the tube that expels urine), not an improperly functioning bladder. When an action, like laughing, causes an abdominal contraction, the weakened muscles can\u2019t fully hold back the flow of urine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While the exact causes of these conditions are unknown, several things can increase your risk for them. \u201cThe biggest cause of overactive bladder that&#8217;s within our control is consuming irritants,\u201d Johnson says, a category<\/span> <span style=\"font-weight: 400;\">that includes artificial sweeteners, caffeinated drinks and alcohol. The more you consume, the worse it is.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As for stress incontinence, smoking weakens the pelvic floor muscles and being overweight increases pressure on the bladder. Beyond that, \u201cchildbirth is probably the biggest risk factor,\u201d says Dr. Jonathan Shaw, a urogynecologist at <\/span><a href=\"https:\/\/www.dartmouth-hitchcock.org\/\"><span style=\"font-weight: 400;\">Dartmouth-Hitchcock Medical Center<\/span><\/a><span style=\"font-weight: 400;\">. \u201cA vaginal delivery can put a lot of strain on the pelvic floor.\u201d Complications that require the use of forceps or a vacuum can also cause muscle tears.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">The restrictions and stigma of leakage\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Living with light bladder leakage isn&#8217;t harmful to your health, but it can \u201cdecrease your joy and prevent you from living your best life,\u201d Johnson says. Some of her patients say they won\u2019t spend the night at a friend&#8217;s house, fearing the possibility of having an accident that they\u2019ll need to explain. Others avoid planes, buses, movie theaters and anywhere else they can\u2019t guarantee easy bathroom access. And since exercise, especially jumping of any kind, puts pressure on the bladder and can lead to leakage, Johnson says many women stop working out.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beach, who lives in Dallas, used to wake up at 5 a.m. every morning to run, but stopped after the leakage started. \u201cI can&#8217;t run without a Depends undergarment, and they are so bulky that they show through my running pants,\u201d she says. \u201cI feel so embarrassed wearing them. I know bladder leakage isn&#8217;t an excuse to not exercise, but I let it control me.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">She\u2019s also nervous to laugh, sneeze or cough at work, where she\u2019s stopped taking the stairs, which can also cause leakage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt can affect your job if you try to avoid activities where you may leak, or if you feel self-conscious about walking to the bathroom all the time,\u201d Shaw says. \u201cOthers are afraid they&#8217;ll leak during intercourse, which can cause sexual dysfunction or avoidance of intimacy.\u201d<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Simple lifestyle changes can remedy LBL<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you have light bladder leakage at any age, talk to a primary care physician, ob-gyn or urologist. \u201cYou are not alone, and there are things a doctor can recommend to help you,\u201d Johnson says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lifestyle changes are the first line of defense. For overactive bladder, this usually includes cutting back on excess consumption of fluids (though not to the point of dehydration), especially coffee and alcohol. \u201cMany people are cured by just that,\u201d Johnson says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, bladder retraining can help. \u201cWe need to teach the bladder to not freak out when it thinks it&#8217;s full but it isn&#8217;t,\u201d Shaw says. First you note how often you currently use the bathroom. Then you develop a schedule with your doctor that helps you space out those trips. When an urge comes on before it\u2019s time for your next scheduled trip, you can practice deep breathing and other relaxation techniques, as well as engage the pelvic floor muscles, to help you wait it out. Over time, you space out your planned pee breaks until you can hold it for three to four hours at a time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If someone with stress incontinence smokes, quitting is a priority. Similarly, if someone is overweight, losing 5 to 10 percent of their body weight can cut symptoms in half, Shaw says. But the best-known treatments for stress incontinence are Kegels and other pelvic-floor exercises, which target the muscles that support the urethra, rectum and vagina. While you can find K<\/span><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/urologic-diseases\/kegel-exercises\"><span style=\"font-weight: 400;\">egel guides online<\/span><\/a><span style=\"font-weight: 400;\">, Shaw says many women do them incorrectly and recommends seeing a pelvic-floor physical therapist. They specialize in treating pelvic floor dysfunction and can make sure you\u2019re doing movements that will help you gain control over your pelvic floor muscles \u2014 strengthening them if they\u2019re weak and relaxing them if they&#8217;re tight.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After three months of doing an online exercise program to strengthen her pelvic floor muscles, Beach is leaking less. But like many women with light bladder leakage, she still wears pads. For others who decide to do the same, Johnson says it\u2019s important to buy incontinence pads and not menstrual pads. \u201cAlthough menstrual pads are less expensive, they&#8217;re not designed to hold as much volume and are not meant to be worn all day. This can lead to irritation,\u201d she explains. The same thing can happen with a product like Thinx, which are also designed for menstruation.<\/span><\/p>\n<p>Alternatively, if you don&#8217;t want to use pads, you could see an ob-gyn or urogynecologist to get fitted for a pessary, Shaw says. A pessary is a small plastic device \u2014 like a diaphragm, but firmer \u2014 that&#8217;s inserted into the vagina to support the urethra and bladder wall, thereby preventing leakage. You can put it in and take it out as often as you want. Some women also use tampons designed for incontinence, Shaw adds, which support the urethra too.<\/p>\n<p><span style=\"font-weight: 400;\">Medication is typically a secondary treatment option. There are <\/span>OTC and prescription drugs that help either reduce spasms in the bladder so you don\u2019t leak as much, or that relax the bladder muscle so it can hold more urine. If medication doesn&#8217;t work, Botox is another approach to consider. &#8220;I recommend it for patients in their 20s or 30s if medicine and more conservative measures have failed,&#8221; says Johnson, adding that it is effective and low risk. The same way it relaxes facial muscles to smooth out wrinkles, Botox can also block nerves that tell the bladder muscles to contract. Treatments are typically given every six months. While it&#8217;s also possible to treat urinary incontinence with surgery, experts say it&#8217;s a last resort that&#8217;s mainly recommended for older women.<\/p>\n<p><span style=\"font-weight: 400;\">Between making lifestyle changes, using products like pads or a pessary and, if necessary, taking medication, most women can reduce their bladder leakage. While the first accident might have taken you by surprise, the problem doesn&#8217;t need to take over your life.\u00a0<\/span><\/p>\n<hr \/>\n<h1 class=\"p1\" style=\"text-align: center;\"><span class=\"s1\">Ready to book a doctor&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/\"><span class=\"s2\">Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>It&#8217;s not just you, and you don&#8217;t need to let it dictate your life. <\/p>\n","protected":false},"author":40,"featured_media":18335,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[142,75],"class_list":["post-18334","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-kinda-awkward","tag-womens-health","reviewer-dr-nassim-assefi","specialist_by_city-ob-gyn"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A Lot of Younger Women Deal With Bladder Leakage - Guides<\/title>\n<meta name=\"description\" content=\"It&#039;s not just you, and you don&#039;t need to let it dictate your life.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/a-lot-of-younger-women-deal-with-bladder-leakage\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Lot of Younger Women Deal With Bladder Leakage - 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