Why Am I Leaking?

Reasons Why You Might Be Leaking

Well it’s generally nothing to do with your bladder and everything to do with your pelvic floor. Most women might experience leaking during and after pregnancy. It is a lot more common than people think may think, especially after pregnancy.

It can be very common in the third trimester because of the pressure from the uterus on the bladder. Adding to the problem is the change in hormones, needed to make your tissues and joints more elastic for delivery. They can also reduce bladder support, allowing urine to leak.

About two-thirds of women with stress incontinence also experience urge incontinence, which is caused by an overactive bladder. You get the sudden urge to go, even though your bladder may be nearly empty, and leak before you can get to the bathroom.

Urge incon. toilet 1

Women older than 35 and obese women are at greater risk for prenatal leakage of both varieties. After childbirth, the biggest risk factor for stress incontinence is having had a vaginal delivery, especially one involving forceps or other interventions that can injure pelvic nerves and muscles. A Norwegian study of 12,000 women found that among women who did not leak during pregnancy, 20 percent did so six months after a vaginal delivery, compared with 8 percent who had elective Cesarean sections. Among prenatal leakers, half who delivered vaginally were spritzing six months later, compared with 23 percent of those who had a C-section.

If you’re leaking while pregnant, Kegel exercises may not be enough to stop it, experts believe that pregnancy hormones combined with the weight of the uterus make for an overpowering combo. But it still pays to start getting your pelvic-floor muscles in shape. Research suggests that after delivery, Kegel exercises, if done properly, can help minimize both stress and urge incontinence.

Different Types of Incontinence

  • Urge Incontinence
  • Stress Incontinence
  • Mixed Incontinence
  • Overflow

What is Urge Incontinence?

This is also called overactive bladder (OAB). With this type, you may feel an urgent need to go to the bathroom and may not get there in time (WebMD, 2017).

Tips on how to overcome Urge Incontinence:

Retrain the brain!

  • Identify the trigger
  • Stop the just in case pee
  • Decrease caffeine
  • Stop smoking
  • Relax
  • Could just be too much liquid?

You can also use the clock to retrain your bladder.

Urge Incontinence

What is Stress Incontinence?

Stress is when you increase demand on the bladder through impact or abdominal force. Urine leaks due to weakened pelvic floor muscles and tissues. It can happen when pressure on your bladder increases – such as when you exercise, laugh, sneeze, or cough.

Pregnancy and childbirth can stretch and weaken a woman’s pelvic floor muscles.

 

Tips to overcome Stress Incontinence:

  • Restore normal pelvic floor function
  • Correct form and how you load
  • Increase strength

 

Mixed Incontinence:

Women may experience mixed incontinence, which refers to both urge and stress incontinence. This is one of the most common forms of incontinence. Focusing on tips from both urge and stress incontinence can help with mixed incontinence.

 

 

Overflow Incontinence:

 

Overflow is simply when the bladder is so full that it cannot hold in anymore urine and as a result overflows. This can happen to anyone. Becoming more aware of how much you are drinking, how often you urinate and feeling how full your bladder is should help with overflow incontinence.

To book an appointment or if you have any queries contact Megan on 0873837866 or megan@painandperformanceclinic.ie