Stress Incontinence (aka peeing when you cough) affects women at epidemic proportions. Among younger, reproductive aged women, rates are between 10% and 15%, and these rates climb dramatically as women go through menopause. By age 65, well over half of women are affected by stress incontinence.

Stress incontinence is a term that describes any involuntary urine leakage that occurs during physical activities that put stress on the bladder. In simple terms, it means that you might pee a little (or a lot!) when you cough, laugh, sneeze, jump, run, or do other activities that engage your abdominal muscles.

I want to talk about stress incontinence because many, many women feel too embarrassed to discuss it with their healthcare provider. But for many women, it has a significant negative impact on their lives and there is A LOT that we can do!

Stress incontinence is extremely common but it isn't a normal, inevitable part of aging.

In this talk I cover common questions, including:
Why does this happen to women?
Anatomically, what's going on?
How can I lower my risk?
How can I reverse it?
What treatments are effective?

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I am a full time practicing doctor. I see patients in my office in Irvine, CA and worldwide via telemedicine. If you need more healthcare assistance than I can provide in a video series, please contact my office:
https://integrativemgi.com/​​

Contents of this video

00:00 All about urinary incontinence
03:17 It is common!
04:38 Option 1: Adult diapers :(
05:25 Risk factors
06:55 Decreased sphincter function
08:14 Pelvic organ prolapse
09:32 Funneling effect
10:49 Additional risk factors
12:39 Csections are NOT a solution
13:31 Option 2: Vaginal estrogen
15:19 Option 3: Pelvic Floor Therapy
17:47 Option 4: Electrical Stim Devices
18:44 Option 5: A pessary
20:17 Option 6: Bulking agents
21:42 Option 7: Surgery, TOT and TVT
27:07 Option 8: Pharmaceuticals