Incontinence is possibly one of those symptoms that are never part of
polite conversation, even if it is fairly common during menopause. There’s a
reason why leaks happen while coughing, sneezing, or laughing: the lack of
hormones – which is already affecting you all over – is also weakening the pelvic floor muscle,
which essentially holds the bladder in place.
First, Kegel
exercises:
Sources: 34-menopause-symptoms.com
The idea is to repeatedly squeeze your pelvic floor muscles – as if you
were trying to stop your urine mid-flow. Just hold the squeeze for 3 seconds, and then relax for 3 more seconds before
doing another rep. The goal should be 10
reps, three times a day, for at least a week before trying to increase your
“holding” time by one second.
The only downside of Kegels: they take a bit of patience – about a month
before you can sneeze without fear. So the other approach I tried was mostly to
play it safe while Kegels became effective.
Second approach,
timed voiding:
Timed voiding is a way to take preemptive action against “accidents”
by scheduling your trips to the bathroom beforehand. The concept is simple: go to restroom, even if you don’t feel
the need to, at a certain interval,
every day. This way, you can make sure your bladder is never so full as to
let loose during inconvenient times of the day.
However, this approach requires a
fair bit of planning ahead in order to calculate your ideal intervals and
to schedule them in a way that they are consistent with your meal and drink
schedule. Some people use special vibrating watches, although an interval alarm
on your smartphone is just as good. The other downside is that this method will
require you to avoid road trips or long
errand runs in which you won’t have a restroom around… at least until the
Kegels take effect.
An extra option against menopausal incontinence includes taking some menopause
supplements. I’ve had a great experience combining Macafem and cranberry
supplements, which kept me from getting a UTI (which is sadly very common
if you have incontinence).
I hope this helps!
Sources
https://www.nationalincontinence.com/s/TimedVoiding
http://www.34-menopause-symptoms.com/incontinence/articles/4-must-know-facts-about-kegel-exercises.htm
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