Urinary Incontinence: Postpartum, During Pregnancy, and Unrelated

Many women (and men) suffer from urinary incontinence. Urinary incontinence is the uncontrollable leakage of urine. Many people shy away from talking about their symptoms because it can be an embarrassing topic. Be sure to speak with your gynecologist in Jacksonville Beach if you’re experiencing urinary incontinence so you can get treatment.

Types of Urinary Incontinence

For some, urinary incontinence can be as mild as having occasional leaks when you cough or laugh. In more severe cases, you may have a sudden urge to urinate without enough time to make it to a bathroom. Here are the various types of urinary incontinence.

  • Stress Incontinence. Stress incontinence is when you experience leaks due to pressure exerted on your bladder. This can occur when you laugh, sneeze, cough, exercise or are pregnant. Most people have experienced this type of incontinence at some point.
  • Overflow Incontinence. Overflow incontinence is when you have frequent or constant dripping of urine because your bladder has not emptied completely. Talk with your gynecologist if you often experience this type of incontinence.
  • Urge Incontinence. Urge incontinence causes a strong, sudden urge to urinate followed by an involuntary loss of urine. You might have to urinate often and wake throughout the night to use the bathroom. This type of incontinence may be caused by another condition such as an infection or diabetes.
  • Functional Incontinence. With functional incontinence, a mental or physical impairment prevents you from making it to the toilet in time.

Urinary Incontinence During Pregnancy

Many women experience some level of urinary incontinence during their pregnancy. For most women, it’s mild and infrequent. For others, it may be more severe. Age and BMI may play a role in the likelihood of experiencing urinary incontinence during pregnancy.

Incontinence is generally experienced by pregnant women due to the added pressure from your uterus as well as hormonal fluctuations. Incontinence during pregnancy can also be due to an overactive bladder. Women with an overactive bladder need to urinate more than is typical due to their bladder having uncontrollable spasms.

Urinary Incontinence Post-Partum

Urinary incontinence may continue after delivery. This is because childbirth weakens your pelvic floor muscles, which may cause an overactive bladder. Other causes for urinary incontinence post-partum may include damaged nerves, an episiotomy or that the bladder and urethra have moved during pregnancy.

Post-partum urinary incontinence is a common symptom. It may take between three to six months to get better. For some women, it may take even longer to regain normal bladder control. Be sure to speak with your gynecologist about any concerns you may have about leakage during and after pregnancy.

Other Reasons for Urinary Incontinence

Certain medical conditions and even certain foods and beverages can lead to temporary urinary incontinence. These include:

  • Caffeine
  • Alcohol
  • Large doses of Vitamin C
  • Carbonated beverages
  • Chocolate
  • Spicy foods
  • Foods high in sugar
  • Urinary tract infection
  • Constipation
  • Menopause
  • Hysterectomy
  • Obstruction
  • Neurological disorders
  • Changes with age

Treatment for Urinary Incontinence

The treatment for urinary incontinence will vary depending on the cause and severity. It will also depend on which type of urinary incontinence you’re experiencing. If an underlying condition is diagnosed, your gynecologist in Jacksonville Beach will likely treat that first.

  • Pelvic floor therapy is an effective treatment that rehabilitates the pelvic floor muscles therapeutically rather than surgically.
  • Behavioral techniques such as bladder training, double voiding, scheduled toilet trips and diet management may be used.
  • Pelvic floor muscle exercises  strengthen the muscles that control urination.
  • Medications such as Mirabegron, anticholinergics, topical estrogen and alpha blockers may be prescribed.
  • Interventional therapies such as Botox injections, bulking material injections and nerve stimulators may be used for some patients.
  • Surgery may be recommended if other treatments are not effective. Surgeries include prolapse surgery, sling procedures and bladder neck suspension.

Discuss Urinary Incontinence With Your Gynecologist in Jacksonville Beach

Suffering from urinary incontinence can cause embarrassment and anxiety. Please speak with your health care provider if you’re experiencing symptoms so you can get treatment. For exceptional women’s care in Jacksonville, contact the physicians at North Florida OBGYN of Jacksonville Beach. Call 904-247-5514 for an appointment.

By | 2018-05-10T09:44:18+00:00 March 5th, 2018|Gynecology|0 Comments