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Introduction: The Importance of Discussing Pelvic Health Concerns

Every so often, we overhear conversations or giggles about women peeing their pants, especially during a hearty laugh or a sneeze. But did we ever consider the depth of this issue? Is it merely a casual topic or a deeper health concern? We believe it’s time to pull back the curtain on urinary incontinence in women and delve deeper.

Understanding Urinary Incontinence in Women

What is Urinary Incontinence?

At its core, urinary incontinence is the involuntary leakage of urine. It’s a symptom, not a condition. Imagine trying to hold a water-filled balloon and, unexpectedly, water starts trickling out. That’s basically what happens in the bladder and urethra when things are not functioning optimally.

Different Types of Urinary Incontinence

Urinary incontinence is not a singular, uniform issue, but a complex one with several variations. Just as in most things in the body, there are different types of urinary incontinence, each with its unique set of triggers and symptoms. Let’s dig a bit deeper:

Stress Incontinence: This is like a water balloon being supported by a tennis racket. Maybe the balloon is a bit too full or maybe the weave is lacking in support. Either way, if more pressure is put on this balloon (bladder) than what the racket (pelvic floor muscles and ligaments) can support, then water may leak through. Whether it’s from laughing, sneezing, or even jumping, that pressure can cause a bit of urine to leak out. In this case, stress is referring to the pressure or stress on the pelvic floor and bladder, not mental “stress”.

Urge Incontinence: This can be under the umbrella of overactive bladder syndrome. This is more like an unexpected alarm bell. Without much warning, there’s a sudden, intense urge to urinate. It’s kind of like being surprised by a fire drill – there’s little time to respond, and often, the bladder releases urine before you can reach a restroom. Often, this occurs frequently and even though it feels like that urge is strong, the bladder is often nowhere near full.

Mixed Incontinence: This is a tricky blend, like a cocktail of the above two. Depending on the situation or even the day, a person might experience symptoms of both stress and urge incontinence. Imagine hearing that fire drill while holding that water balloon on a racket, we’re nervous just thinking about it! It can be quite unpredictable, demanding a more comprehensive approach to management and treatment. And while this combination is incredibly common, remember that common is not normal, and none of these should be occurring!

What Causes Urinary Incontinence in Women?

As the complexities of a woman’s body evolve with age and life events, so too do the challenges it faces. Urinary incontinence is one such challenge, often ignored by providers or overshadowed by other health concerns but equally critical. Several factors contribute to this issue, rooted deeply in the biological and physical changes a woman undergoes. Just as a river’s course can be altered by the landscape, a woman’s urinary health can be influenced by her body’s transformations.

Physical Changes and Their Impact on Pelvic Health

The journey of womanhood, while full of joy and beautiful milestones, also comes with its intricate dance of physiological changes. It is said that a woman experiences on average 7-8 body shifts during her life. Women truly are remarkable! Each stage, each transition, carries implications for pelvic health. But what are a few of these stages, and how exactly do they influence urinary control?

  • Pregnancy and Childbirth: Childbearing is an incredible miracle, but it often  comes with significant strain on the body. The growing baby exerts pressure on the pelvic floor, while birth itself can lead to injuries through the pelvic region (c-section or vaginal birth can both cause problems). It’s not just about the elasticity of the muscles in this area, but also their resilience. During birth, these muscles are designed to stretch significantly, however, they may tear or weaken, leading to a decreased ability to control the bladder and pelvic organs, much like an overused spring losing its bounce.
  • Menopause and Hormonal Changes: Every machine requires lubrication to function optimally. In the intricate machinery of the female reproductive system, estrogen plays a crucial role as this lubricant. It ensures the health and elasticity of the bladder, urethra lining, vulva, and vagina. However, as women approach menopause, the levels of estrogen start decreasing, often contributing to pelvic floor dysfunctions. Without adequate estrogen, the bladder and urethra’s lining may become more susceptible to injury and less efficient, paving the way for potential urinary issues.

Other Contributing Factors

A peek into other reasons:

  • UTIs and Bladder Conditions: Irritations or infections can sometimes be the sneaky culprits behind an overactive bladder. However, they may also be misdiagnosed with the real cause being increased muscle tone/tightness mimicking the symptoms.
  • Obesity and Lifestyle Factors: Increased weight can contribute to more pressure on the bladder and pelvic floor, leading to an involuntary leakage of urine.
  • Neurological and Other Underlying Health Conditions: Like a misfired wire in an electronic device, certain conditions can disrupt the signals between the brain and bladder.

The Emotional and Psychological Impact

The Stigma Attached to “Women Peeing Their Pants”

It’s baffling, isn’t it? How can a health concern be subjected to societal mockery? This stigma hinders many from seeking help, keeping them silent and suffering. Women are told “it’s normal” with aging or childbirth. Even worse, they are shrugged off by providers or friends despite years of enduring embarrassment or avoiding situations that may involve leaking.

Mental Well-being and Coping Mechanisms

If a faucet leaks, we don’t mock it; we fix it. The same approach should be applied here. It’s essential to find solace, communicate openly, and break the chain of mental distress. It is so important to know, you are not alone in this.

Steps Towards Better Pelvic Health

Diagnostic Tests and Medical Interventions

Understanding one’s medical history is key. Medical providers may use tests like Ultrasound, Cystoscopy, and Urodynamic Testing, which may help identify the issue. Sometimes, mild electric currents are used to make the muscles contract, providing relief. Some even consider sling procedures, ensuring the urethra remains closed unless necessary. However, these procedures should be the last resort, as conservative treatment often can reduce symptoms substantially.

Lifestyle Adjustments and At-home Remedies

The pathway to better pelvic health often lies in this approach of conservative care first followed by more advanced medical treatments if warranted. 

  • Pelvic Floor Exercises: The muscles of the pelvic floor need to be able to relax and contract through their full range of motion. Exercises for this area may include kegels, as commonly thought, but more often, they involve exercises that restore function and coordination to this area. Stretches like happy baby, child’s pose, or a deep squat can be incredibly helpful in restoring length to these muscles. Exercises such as squats or hip adduction strengthening can improve strength in the pelvic floor and surrounding area. However, many people have an overactive pelvic floor, so if strengthening is worsening your symptoms, pay attention and seek help! Regular practice, especially under the guidance of specialists like those at Fortis PT & Pelvic Health, can significantly improve urinary control.
  • Dietary Adjustments: What enters our bodies invariably impacts their function. Certain foods and drinks can irritate the bladder, exacerbating incontinence issues. Spicy foods, caffeine, and highly acidic foods might be the culprits. By being mindful of these potential bladder irritants and reducing their intake, one can alleviate some of the urinary symptoms. Additionally, maintaining optimal hydration ensures the urine is diluted, reducing the potential irritation to the bladder lining. And because I love coffee as much as the next person, drinking a glass of water along with your cup of joe in the morning can be a great way to minimize that irritation of the bladder. 
  • Consultation with a Pelvic Health Specialist: Home remedies are important, but following guidance usually leads to the best outcomes. You can receive personalized help for your specific needs by consulting a pelvic health expert. Fortis Physical Therapy & Pelvic Health is one such expert. We offer a comprehensive approach that combines medical knowledge and practical lifestyle guidance. This approach ensures that you are not only addressing symptoms but also experiencing genuine healing from within.

Taking the reins of one’s pelvic health requires a balanced blend of self-initiated measures and expert guidance. While we can initiate the journey at home, the expertise and insights from specialists like Fortis PT & Pelvic Health can truly transform this journey, making the road to better pelvic health a more assured and efficient one.

Prevention and Education: Spreading Awareness

Teaching Young Women About Pelvic Health

Our young women should not learn about pelvic health from whispers; it should be from informed sources. It is time we shift the narrative and ensure women understand their bodies and that things that may be common are not necessarily normal.

The Role of Community and Support Groups

The path isn’t to be walked alone. Community plays a pivotal role. Why suffer in silence when a conversation could be the first step to a solution? It is estimated that 50% of the female population experiences incontinence. Know that you are not alone. 

Conclusion: Breaking the Silence Around Women Peeing Their Pants

Urinary incontinence in women isn’t just a passing remark or a taboo; it’s a genuine health concern that demands attention. The amount of urine lost, the sudden urges, the overflow incontinence, all point towards the same end: the need for understanding, compassion, and medical intervention. We’ve turned the spotlight on, and now, it’s time to act.


  1. Is urinary incontinence in women common post-childbirth?
  2. Yes, childbirth can weaken or injure pelvic muscles, leading to incontinence. Pregnancy also contributes to prolonged pressure on the pelvic floor and can result in prolapse as well as urinary incontinence, even if mom birthed baby through cesarean.
  3. Are there any side effects to the treatments for urinary incontinence?
  4. In any treatment, side effects can exist. Conservative treatment is not an overnight solution, however, it can be incredibly beneficial. Conservative and more advanced medical treatments are not without risks, and therefore it is essential to discuss these with a medical professional.
  5. How often should one practice pelvic floor exercises?
  6. Depending on one’s condition and advice from a therapist, usually daily. However, if symptoms are worsening, please seek help from a professional to ensure your incontinence does not worsen.
  7. Can lifestyle changes alone treat urinary incontinence?
  8. Short answer is yes. However, as always in medicine: It depends. Lifestyle changes may have a great impact and help many symptoms overall if incontinence is mild. However, lifestyle modifications alone are unlikely to resolve incontinence in entirety and medical intervention may be necessary.
  9. Are there dietary changes to reduce the urge to urinate?

Yes, reducing caffeine, alcohol, and certain acidic foods can help. If consuming these items, maintaining good hydration with plain water can be extremely helpful in minimizing the irritation these items may invoke. Remember, always consult a physician or pelvic health specialist about concerns or symptoms related to urinary incontinence.