[49F] Experiencing urinary incontinence with urgency and stress triggers

What might be happening

Based on the information you've provided, here are some possible explanations for your urinary incontinence:

1. Stress Incontinence: This type of incontinence occurs when physical movement or activity — such as coughing, sneezing, running, or heavy lifting — puts pressure on your bladder, causing urine leakage. It's common in women, especially after childbirth or menopause, due to weakened pelvic floor muscles.

2. Urge Incontinence: This is characterized by a sudden, intense urge to urinate followed by an involuntary loss of urine. It can be caused by a variety of factors, including urinary tract infections, bladder irritants, or neurological conditions.

3. Mixed Incontinence: This is a combination of stress and urge incontinence, which seems to align with your symptoms of leakage during coughing and sudden urges.

4. Menopausal Changes: Hormonal changes during menopause can affect the bladder and urethra, potentially leading to incontinence.

Typical treatments for urinary incontinence may include pelvic floor exercises (Kegel exercises), lifestyle changes, bladder training, medications, or in some cases, surgery. It's important to consult with a healthcare provider for a proper diagnosis and treatment plan.

What you can do

While it's important to see a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Pelvic Floor Exercises: Strengthening your pelvic floor muscles through Kegel exercises can help reduce leakage. Try to do these exercises regularly.

2. Bladder Training: This involves scheduling bathroom visits and gradually increasing the time between them to train your bladder to hold urine longer.

3. Fluid Management: While staying hydrated is important, try to limit fluids that can irritate the bladder, such as caffeine and alcohol.

4. Healthy Lifestyle: Maintaining a healthy weight and avoiding smoking can also help reduce symptoms.

5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider. This can help in identifying patterns or triggers.

What you should look out for

Seek medical attention if you experience any of the following:

• Blood in your urine
• Pain or burning sensation when urinating
• Sudden changes in your symptoms
• Any new or worsening symptoms

Remember, it's important to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment. They can provide personalized advice and support based on your specific situation.