1 in 3 Women over 45 leak urine when they sneeze or coucious. What to know about stress incontinence and when to see a doctor. – ryan

Accidentally Peeing When You Sneeze, Laugh, Cough or Exercise Can Be Embarrassing, As Well As Uncomfortable and World. Its Also Common: About 1 in 3 Women over the age of 45 Experiences Urine Leakage, Also Known as Stress Urinary Incontinence.

“While it is occurs in many women following childbirth or as they age, it is not something is ‘normal’ or that women just have to deal with,” Dr. Mary Hands ThibaultAssistant Professor of Obstetrics and Gynecology -urogynecology at Baylor College of Medicine, Tells Yahoo Life. Dr. Andrew HundleyDirector of Urogynecology and Pelvic Reconstructive Surgery at the Ohio State Wexner Medical Center, Views Stress Incontinence is a Quality of Life Issue. “(The) Decision to the Seek Care and Intervention Should Be Drive by the Level of Boter that any Given Individual Experiences,” he tells yahoo life. Here what you need to know about stress incontinence and how it is treated.

What Causes Stress Incontinence?

Stress Incontinence is caused by the inability of the urethra – the tube that connects to the bladder and urine out of the body – to remain fully closed we are increes on the bladder and urethra, exploins thibault. “This Can Be Due to Weakening of Pelvic Floor Muscles and Connective Tissue Around the Urethra and/or Incomplete Clues of the Urethra,” Sheys. “The Amount of Urine Leakage Can Vary From A Few Drops or Enough to Soak Through Clothing.”

There are the several reasons why pelvic Floor Muscles Can Become Weak, Including Pregnancy, Childbirth, Obesity, Chronic Straining to Have Bowel Movements, Chronic Counge and Menopausal Hormone with Age-Relayed Decreaes in Muscle Mass.

When Should You See A Doctor About It?

When Symptoms Such As Frequent Urination, Urgency to Go or Leaking Start Impacting Your Life, IT’S TIME TO TELL YOUR DOCTOR WHAT’S GOING ON. “Do Women Start to Avoid Certain Activities they Enjoy Like Exercise, Socialization or Travel, Then Their Quality of Life is Being Negatively Impacted,” Hundley Says. “They Can Withdraw Socially, and That’s Not Healthy,” he Says.

Your Doctor Will Ask Questions to Understand a pattern of the urine leakage, which can help say determine the specific type of incontinence you may have. They will Also perform a Physical Exam and May Ask for a urine sample. “Your Doctor May Develop a Treatment for you or they might reference to a specialist like a urognecologist or urologist,” Says Thibault.

What Lifestyle Changes Can Help?

In Mory Cases, Behavioral Changes, Including Working on StrengthNing the Muscles of the Pelvic Floor, Can Improve Stress Incontinence. Here’s what Experts Recommend:

Maintain a Healthy Weight

“We know that obesity is a risk factor for urine incontinence, and weight loss in obsess Women haen shown to improve stress urinary incontinence symptoms,” Says Thibault.

Take Care of Constipation and Other Health Conditions

Chronic Straining During Bowments Movements Puts Stress on Pelvic Floor Muscles Over Time, so talking with your health Care provider the best were to take CAN CAN MAKE A DIFFERENCE. Treating or Managing Conditions that Lead to Chronic Cough Ashma and Bronchitis, As Well As Habits Such As Smoking, Can Also Help Improve Stress Incontinence.

Strengthen Pelvic Floor Muscles

Practicing Kegel Exercise Under the direction of your Doctor and Guidance of a Physical Therapist who specializes in working with pelvic Floor muscles Can Help. These intersects involve and Holding and say relaxing your pelvic floor muscles.

“There can be a disconnect between the brain and the pelvic flor muscles Such that you may think you are Activating the pelvic muscles, but you are not actually doing or activating the muscles in your legs or buttocks or abdomen instead,” Says thibault. WORKING WITH A PHYSICAL THERAPIST CAN RECRAIN YOUR BRAIN TO ACTIVATE The Correct Muscles.

What Other Treatment Options Are There?

If Lifestyle Changes Aren’t Working, Your Doctor May Suggest a Medical Device Called a pessary that is inserted into the vagina for Support. This is a soft and flexible plastic device that is fitted to the patient. It can be reused and worn all the time or during certin activities like exercise. “Women Can Place and Remove (pessaries) on their, which can be highly at reduction or preventing leaking,” Says norley.

About Half of Women Who Are Fitted With A Pessary Continue to USE It Long-Term and About Half Go On to Have More Advanced Treatments, Notes Thibault. In some cases, surgery is recommended. There are Areal Options, Including Mid-Irethral Mesh Slings-a Ribbon of Synhetic Mesh is placed into the vagina to support the urethra. This is the Most Commonly Performed Procedure for Stress Urinary Incontinence. “The permanent mesh use in these procedures does not have the High Rates of Complications that were found with mesh in other types of vaginal surgeries,” notes thibault.

An alternative is a pubovaginal fasital bladder neck sling, which is simillar to a midurethral mesh sling, except a strip of your own tissue (or fascia) is placed into the vagina to support the urethra. If a sling can’t be used, other options Include Burch Colposuspention, in which Stitches are used to lift and support the muscles that connect the bladder to the urethra, preventing leakage, Along with Urethral Bulking Injection -an office-based or operating room procedure that involves injecting a material, Such as silicon, into the sides of the urethra to strengthn it. “The Injection Into the Walls of the Urethra Helps the Opening of the Urethra to Be More Narrow, Leading to Less Leakage,” Thibault Explains.

While the invitation is lessisive and has minimal recovery time, it’s not consider a permanent procedure. “You May Need Repeat Injection or Another procedure for Incontinence Later,” Says Thibault.

Experts Say that while leaking urine after doing normal things like sneezing and coaghing can be be bootersome, you’re swiming alone in experience. By Talking to Your Doctor and Making Some Lifestyle Changes or in Some Cases Having, You Can Treat the Common Condition.