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Urge Incontinence: Causes, Symptoms

Menopause and Urinary Incontinence: What You Need to Know

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6 Natural remedies for menopause symptoms

Urge incontinence & frequent urination in women: causes and treatments

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If you have a sensitive bladder, there’s no need to avoid drinking in order to reduce the urge to visit the loo. Keep hydrated! Drinking a lot of water can increase the frequency and urgency of urination. But not consuming enough makes your urine more concentrated, both of which boost your chances of bladder irritation. That, in turn, can heighten your risk of incontinence. Also, drinking water can help reduce odours.

Drink Just Enough

ADP - 7 Natural Remedies for an Overactive Bladder

The urinary tract is responsible for the production, storage, and elimination of urine from the body. It consists of two kidneys, two ureters, the bladder, and the urethra. The kidneys filter waste and excess fluid from the blood, which is then transported to the bladder through the ureters. The bladder stores urine until it is ready to be eliminated through the urethra. The muscles of the bladder and urethra work together to control the release of urine. Normally, the bladder can hold up to 400-600  millilitres of urine, and the average person urinates between 4-7 times a day. At night, the body produces less urine, and most people can go without urinating for 6-8 hours. However, in individuals with nocturia, the urinary tract does not function properly, leading to frequent urination at night.

How does the urinary tract normally work?

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Similar to many menstrual liners and pads, Always Discreet Liners and Pads contain Absorbent Gel Material (AGM).  The AGM in Always Discreet Liners and Pads, however, was developed primarily for urine, as urine is a much less viscous (thinner) fluid than menstrual fluid. This type of AGM has also been used in some of our baby nappies to enable fluid distribution throughout the core and store it away from the surface.


How are Always Discreet Liners and Pads different from menstrual products?

There are lots of potential reasons why you are urinating so often. What causes urge incontinence? The commonest cause for frequent urination is an overactive bladder. They are usually accompanying symptoms and are characteristic of some medical conditions. Sources of the disorder may be kidney, bladder, urethra, hypothalamic disease, diabetes mellitus and medication. If you find that you are going more than you used to, here are some likely causes of urge incontinence:

### 1. You are drinking more liquids than usual
The first and obvious reason for frequent visits to the toilet is drinking too much fluid. The more fluids you put into your body, the more has to come out of it. The standard daily fluid intake should be around 2 litres, then you have a normal urination frequency. But it is important to remember that some people require less or more. It all depends on your activity level, medications you are taking and health conditions.

### 2. You are drinking too much caffeine, which is a diuretic
Drinking excessive amounts of caffeinated drinks or alcohol will increase urination. If you add artificial sweeteners to your drinks, you may also increase the amount of urine you pass.

### 3. Bladder infection and inflammation
More than half of all women experience this problem during their lifetime, due to their anatomy. Women's urethras are shorter than men's, so they are prone to bladder infections. Infection occurs when pathogenic microorganisms - for example, from faeces - are present in the urinary tract.

### 4. Overactive bladder, a common condition
It is characterised by urinary complaints such as urinary frequency, urgency, night-time urination and urinary incontinence. It manifests as uncontrolled urination with a feeling of strong urge to urinate on the bladder.

### 5. Vaginitis
This is another cause of excessive urination in women. It can be caused by yeast infections, cysticercosis or bacterial vaginitis.

### 6. Pregnancy
Pregnant women also tend frequent urge to urinate. This is due to the fact that the baby they are carrying causes the uterus to expand and puts extra pressure on the bladder. Therefore, this is not a cause for concern. After the baby is born, symptoms of frequent urination may persist. Women who give birth naturally are more likely to urinate more frequently because childbirth weakens the pelvic floor muscles.

### 7. Bladder stones
Frequent, burning urination, pain in the pit of the stomach and blood in the urine are common with bladder stones. These can remove naturally - which is quite painful, but surgery may be required for larger stones.

### 8. Diabetes
Frequent urination in women can be caused by type 1 and type 2 diabetes. This symptom occurs because excess sugar causes extra fluid to flow through the kidneys. The body is then unable to regulate blood sugar levels. This results in frequent urination in large quantities. Frequent urination in women can be caused by type 1 and type 2 diabetes. This symptom occurs because excess sugar causes extra fluid to flow through the kidneys. The body is then unable to regulate blood sugar levels. This results in frequent urination in large quantities.

### 9. Sexually transmitted diseases
Chlamydia or gonorrhoea are common sexually transmitted diseases that can cause frequent urination. However, it is important to remember that this may be one of the first symptoms, especially as sexually transmitted diseases are often asymptomatic at first.

### 10. Cancer of the bladder
Some women with bladder cancer may also feel the need to urinate more often. Cancer treatment can also cause more frequent urination. This is a side effect of radiation treatment, especially if the radiotherapy is applied to the pelvic area.

Causes of urge incontinence and frequent urination in women

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However, it’s important to understand that urinary incontinence isn’t something you ‘just have to put up with’. As Dr Sarah Jarvis says “Menopause used to be the start of an inevitable decline into old age – but no more!” Urinary incontinence can be cured, treated or at least better managed. What you don’t want to do is ignore the problem, as it rarely goes away on its own and may even get worse over time.

Instead, educate yourself about why you may be experiencing bladder leaks and how they are connected to your menopause symptoms. Here are the symptoms, some reasons why they occur, and what you can do about bladder leaks.

Never Lose Hope!

By practising at least three times a day, these exercises can help you strengthen your pelvic floor muscles and give you more control over your sensitive bladder when you need it.

Pelvic floor Excercises

ADP - Menopause and Urinary Incontinence: What You Need to Know

Frequent urination in women is a disorder of the urinary system. It consists of an excessive need to urinate frequently and in very small amounts. Frequent urge to urinate in itself is not a disease, but a symptom that indicates some kind of disorder. For example, frequent urination can be an indication of a urinary tract infection and more serious diseases (for example: diabetes mellitus) and may be a symptom of urge incontinence.

Overactive Bladder Remedies

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5 Sensitivities of Menopause

There are a range of natural remedies to improve your quality of life. Visit our website for tips & tricks on how to take care of your overactive bladder.

7 Natural Remedies for an Overactive Bladder

You should change your Always Discreet  [Liners](/en-gb/discreet/incontinence-products/incontinence-liners) and  [Pads](/en-gb/discreet/incontinence-products/incontinence-pads)  based on your personal needs.


How often should Always Discreet Pads and Liners be changed?

During the perimenopause, your entire body gets a bit drier – including your mouth. Saliva helps look after your teeth by washing away food, so a drier mouth allows bacteria to grow, encouraging tooth decay and bleeding or receding gums.

To help counter this, drink plenty of fluids and rinse your mouth out with water after eating. You can also try swapping your regular toothpaste for a more protective one, like Oral-B Pro-Expert Premium Gum Protection to provide extra care.

Your teeth

For Always Discreet [Liners](/en-gb/discreet/incontinence-products/incontinence-liners)  and [Pads,](/en-gb/discreet/incontinence-products/incontinence-pads) it does not matter which direction you place the product in your underwear.


How can I tell the front from the back for Always Discreet Liners and Pads?

Types of  incontinence in pregnancy

Always Discreet Pants have a definite front and back and it is important to wear them correctly to get the best wearing experience. Look in the waist area for purple elastics. These __purple elastics need to be placed in the back__ as you apply them. This is also called out in numerous places on the package to remind you.

How can I tell the front from the back for Always Discreet Pants?

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5 sensitivities of menopause (and how to deal with them)

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Incontinence Pads and Liners

ADP - Everything You Should Know About Pregnancy Incontinence

Everything You Should Know About Pregnancy Incontinence

The sides and waist are made from a non-woven material that provides a soft cotton-like fabric feel. Inside this non-woven area is the absorbent portion or core area. Many years of technical expertise went into the core design of Always Discreet [Pants](/en-gb/discreet/incontinence-products/incontinence-pants) and this core was designed to help pull, trap and lock away wetness and odour. The core also contains Absorbent Gel Material (AGM), which helps lock the fluid away from your body. Behind the core is an additional protective barrier, which helps keeps your clothing dry.

How are Always Discreet Pants constructed? How does Always Discreet Pants work?

ADP - How to stop frequent urination at night

How to stop frequent urination at night

Are you going through “The Change?” Hot flushes, new weight in new places, mood swings and more… It's a lot to take in. One big difference you may be experiencing is a sensitive or overactive bladder. Urinary incontinence can be an issue for menopausal women, but the good news is you don’t have to suffer in silence and there’s lots of help available.

If you’re going through the perimenopause or menopause and you’ve started to have difficulty with bladder control, you’re bound to feel concerned. After all, urinary incontinence can be embarrassing and interfere with work, your social life and your sexual relationship. Unless you find the [right incontinence products](/en-gb/discreet/incontinence-products/incontinence-liners/) and solutions for you.

Abdominal workouts like sit ups, crunches or plank kicks place a lot of pressure on your pelvic floor. Opt for alternative exercises for your sensitive bladder where breathing or the position supports your pelvic floor. Advisable for better bladder health are pelvic floor exercises and targeted Pilates and yoga exercises. They help strengthen the pelvic floor muscles, which control the hold and release of urine. Reduce leaks and improve your overall health by practising at least three times a day.

Not Too Many Crunches

Experiencing bladder leaks during pregnancy? Learn about causes of urine leakage, effective solutions, and prevention tips to manage incontinence safely.

Incontinence in pregnancy: causes, solutions and prevention 

Even if you’ve never had sensitive skin before, the hormonal changes that occur during the perimenopause can quickly change that. You might find your skin feels tighter and dryer and your usual creams are no longer doing the trick. You might even find your clothes are starting to irritate your skin.

If this is the case, try looking for rich lotions that are specially formulated for sensitive skin, and wash your clothes with Fairy Non-Bio, the number one laundry brand for sensitive skin.

Your skin

To begin with, you should observe your body. Pay attention to how often you use the toilet. If you use the toilet eight or more times a day and more than twice a night, you should visit your doctor for further tests to see if you have urge incontinence.

When you go to the doctor, a sample of your urine will be tested to see if you have a urinary tract infection. Your doctor may also have you analysed for urinary frequency and volume for a minimum of 3 full days. During the visit, he or she will also ask questions about the medications you are taking, the amount of fluids you drink, alcohol and caffeine. You may also be asked to cough to check for urine leakage.

For women, the doctor may also examine the pelvic floor muscles and, for men, the condition of the prostate.

How is urge incontinence diagnosed?

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Urge incontinence in women is a disorder of the urinary system. It consists of an urge need to urinate frequently and in very small amounts. Visit our website to learn how much is too much!

Treatment of urge incontinence can be divided in two ways: non-surgical and surgical treatment.

Non-surgical treatment consists of:

- lifestyle changes - less caffeine intake, more fluid intake, losing weight if overweight or obese;
- pelvic floor training - greatly beneficial when treating urinary incontinence;
- electrical stimulation - is recommended when the pelvic floor muscles cannot be tightened. A small probe is inserted into the vagina (in the case of constant urge to urinate in women) or anus (in the case of men). The current flowing through the probe helps to strengthen the muscles during exercise;
- biofeedback - a way of computer monitoring pelvic floor exercises through a probe in the vagina or rectum or by attaching electrodes to the skin of the abdomen or around the anus. This is designed to detect muscle tension;
- vaginal cones - used for constant urge to urinate in women, these are weights inserted into the vagina to be held by the pelvic floor muscles;
- bladder training - this involves learning a technique to increase the time between feeling like you need to urinate and passing urine;
- medicines for urge incontinence - the doctor may prescribe an antimuscarinic drug (oxybutynin, tolterodine, darifenacin) or mirabegron - a drug that relaxes the bladder muscles (allowing it to fill and store urine).

When non-surgical methods do not help, surgical treatment of urinary incontinence is recommended:

- botulinum toxin A injection - the substance is injected into the sides of the bladder, allowing the bladder to relax;
- augmentation cystoplasty - this is an operation that enlarges the bladder by adding a piece of tissue from the bowel;
- urinary diversion - a procedure where the ureters are diverted outside the body, the urine is then collected in a bag without going into the bladder.

What are urge incontinence treatments?

You can test your pelvic floor muscles with a simple stop-start test. When visiting the loo, begin to urinate and cut off the flow by contracting the muscles. If you experience better control than before, you know the pelvic floor exercises for your sensitive bladder are working.

Regardless of what type of adult incontinence or bladder leakage you may have, stay dry and confident with specific incontinence liners, pads and underwear.

How do I know it’s working?

Whether you’re going through it now or want to feel prepared in the future, here are five common symptoms - and what you can do to ease them.

__Whether you’re going through it now or want to feel prepared in the future, here are five common symptoms - and what you can do to ease them.__

You’d think hot flushes and night sweats would be enough to deal with during the menopause. Symptoms can begin a few months or years before your periods stop – this is known as the perimenopause. During this time, with hormones fluctuating all over the place, it can affect everything, from our skin to our bladder to our teeth.

Learn about the five areas that tend to get a little more sensitive during the change, and the steps you can take to make it easier on yourself – now or when you need to.

Nocturia is the condition of having to urinate frequently at night, which could disrupt sleep patterns. It can be caused by various factors such as medical conditions, medications, or lifestyle habits. Those who suffer from nocturia may experience fatigue, mood swings, and reduced productivity during the day.

The cuffs/barriers on [Always Discreet Pads+](/en-gb/discreet/incontinence-products/incontinence-pads) and [Pads](/en-gb/discreet/incontinence-products/incontinence-pads) are designed to help stop leaks in the leg area, because that is where most leaks occur.


Why is there elastic/cuffs/barriers on Always Discreet Pads and Pads+?

Are you experiencing these common signs of a menopausal sensitive bladder?

- Leaking urine when you cough, sneeze or exercise
- Leaking urine on the way to the toilet
- Waking up more than twice a night to urinate
- Frequent urinary tract infections

If you’ve started noticing any of these signs, it would be a good idea to make an appointment for a chat with your GP.

Symptoms of Menopausal Incontinence

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Dr. Anne Henderson

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The duration of menopause symptoms can vary widely among women. Some of them experience the signs of menopause for just a few months, while others are affected by them for several years. On average, menopause symptoms may last for approximately 8-10 years, although in some cases it might be even longer. While the signs of menopause can be uncomfortable and disruptive, they are typically temporary and can be managed with a variety of treatment options.

The duration of symptoms can be influenced by a variety of factors, including the individual’s genetics, lifestyle, and overall health. Women who have a history of depression or anxiety, for example, may be more likely to experience mood changes during menopause, and may find that these symptoms last for a longer period of time. The type of menopause that a woman experience can also have an impact on the duration of symptoms. Women who undergo surgical menopause, in which the ovaries are surgically removed, may suffer from more severe and long-lasting symptoms, as the sudden decrease in hormone levels can be more dramatic.

How long do symptoms of menopause last?

Nocturia is the condition of having to urinate frequently at night. When this happens, the question that comes to one’s mind is how to stop frequent urination at night.

Many of us suffer with mood swings during PMS and, while you won’t have to worry about that anymore, the same hormones fluctuate during the perimenopause. That means you’ll probably experience some mood swings throughout the change.

Eating a well-balanced diet and getting regular exercise will help. Some women also swear by herbal remedies, but it’s often a case of doing whatever you believe is right for you. Again, talk to your doctor if you’re really struggling – expert help is always there if you need it.

Otherwise, just let your loved ones know you might not be yourself at all times when you’re menopausal. They need to be understanding and offer a little more support than usual.

Your moods

Urinating at night can make it hard to get the rest you need. Nocturia can be caused by a variety of factors, ranging from lifestyle habits to underlying medical conditions. Understanding the causes of frequent urination at night can help individuals take steps to manage their symptoms and improve their quality of life. The list below presents some of the most common causes of nocturia:</p>

- medical conditions – some health afflictions may lead to nocturia, for example diabetes, kidney disease, bladder infections, overactive bladder syndrome, interstitial cystitis, or prostate problems in men;
- medications – drugs such as diuretics and some blood pressure medications, can contribute to nocturia;
- aging – as we get older, the body's ability to retain urine deteriorates, while the bladder muscles weaken, leading to frequent urination at night;
- anxiety and stress – such problems can affect bladder function and increase the probability of nocturia;
-  sleep disorders – certain sleep conditions, such as apnea, can play part in the development of nocturnal incontinence;
-   hormonal imbalances – the kidneys produce more urine because of low levels of antidiuretic hormone (ADH), for example;
-   urinary tract problems – structural abnormalities in the urinary tract, such as an enlarged prostate or a bladder obstruction, are common factors increasing the risk of nocturia;
-   excessive fluid intake before sleep – drinking too much water or other beverages before bedtime can increase urine production and result in frequent urination at night;
-  too much caffeine or alcohol – these substances can make our body produce more urine.  

More plainly, urinating at night can also be a symptom of having an overactive bladder.

What are the causes of nocturia (frequent urination at night)?

Oestrogen is the female sex hormone, and the levels of it in your body drop when you’re menopausal. This can weaken your pelvic floor muscles, which support your uterus, bowels and bladder. That means your bladder may become more sensitive – so when you laugh, cough or exercise, you might experience an impromptu leak.

But you don’t have to just put up with it. There are plenty of targeted exercises that can help strengthen your pelvic floor muscles and help prevent leaks. Plus, you can wear pads, liners or underwear to absorb any wetness or odours.

However, if it continues, or the incontinence you are experiencing is when you get the sudden desperate urge to go to the toilet, it’s important to speak to your doctor.

Your bladder

6 Natural Remedies for Menopause

Though it may feel uncomfortable at first to broach the subject, opening up to your girlfriends about frequent urination can be a huge source of support, as well as a relief; you may just find that she is experiencing similar urgency and that you are not alone. You can learn about her ways treatment for frequent urination. In fact, frequent urination in women is more common than you may think! It never hurts to reach out to someone close to us whom we trust. At the very least, it will gain you another ally in your camp in the quest to find the nearest restroom.

__In addition to reaching out for support, there are a number of remedies and treatments you can seek out for your frequent urination.__

### Adopt a bladder diet
It is one of the most important natural methods for dealing with frequent urination - that is, changing our lifestyle and habits. Cut out foods that contain caffeine, alcohol, spicy foods, carbonation, or citrus. These are known bladder irritants and can aggravate your condition. Not taking liquids about four hours before going to bed is also a good way.

### Get on a schedule
Bladder training can be an important component of your treatment plan. Start visiting the ladies’ room at regular intervals, whether or not you have to go. Overtime, try increasing the amount of time between your visits so that you train your bladder to hold it longer and stop being so reactive – increase average time between urination. Be sure to up the amount by small increments each time in order to set yourself up for success.

### Stay hydrated
Though it may sound counterintuitive, drinking enough water will be a real boon for your overactive bladder. Restricting fluids makes your urine more concentrated, and more of an irritant to your bladder. So fill that water bottle and drink up!

### Pelvic floor exercises
You may know them as Kegels. They are super helpful for strengthening the muscles around your bladder so you can keep in that urine when the urge hits you. Read here for instructions and tips on how to get the most out of your Kegels . Do not hesitate to see a specialist women's physiotherapist to get more advice on this matter.

### Medications
Talk to your doctor who may prescribe medications such as Oxybutynin, Tolterodine or Darifenacin (antimuscarinic drugs), all of which relax the bladder muscle. It is also advisable to undergo a more thorough medical examination to detect a disease of which frequent urination may be a symptom.

### Wear protection
Specially designed incontinence liners and pads provide comfort and peace of mind for those moments in which you won’t be able to make it to the bathroom despite your best efforts. Not all liners and pads are created equal. Some are designed for dealing with incontinence, and others are not. Some women, reluctant to purchase incontinence products due to either stigma or inconvenience, wear period liners to address their incontinence. However, period liners are not uniquely designed to absorb urine, and may leave you feeling wet.

Prevention of urge incontinence and frequent urination

Pregnancy is a unique period during which a woman’s body undergoes numerous anatomical and hormonal changes, preparing for childbirth. These same changes can also increase the change of bladder leaks during pregnancy.

The most common causes of incontinence include:

- __increased urine production__ due to higher blood volume, which causes the kidneys to filter more of it, so the bladder therefore has to empty more often;
- __pressure from the growing uterus on the bladder__ - as pregnancy progresses, the growing uterus moves upwards and forwards, putting pressure on the bladder, which limits its capacity and promotes leakage, especially in the third trimester;
- __hormonal influence__ - progesterone and relaxin loosen muscles, ligaments and joints, preparing the body for childbirth. At the same time, they weaken the pelvic floor muscles, which have a role in controlling urination;
- __constipation increases abdominal pressure__ – frequent bowel problems during pregnancy further strain the pelvic floor muscles, increasing the risk of stress urinary incontinence;


What are the causes of incontinence in pregnancy?

The cuffs/barriers, made of non-woven material with elastics inside, are designed to help stop leaks in the leg area, as that is where most leaks occur.

Why is there elastic/cuffs/barriers on Always Discreet Pants?

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Types of Menopausal Incontinence

 Advice & Support - AS02 - Managing Urinary Incontinence

Managing Urinary Incontinence

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Frequent urination in women may accompany a number of other ailments or be a side effect of taking medication or drinking too much fluid. In a healthy person, the need to urinate occurs when the bladder is filled with about 400-600 ml of urine. However, it is important to note that some people are able to hold up to half a litre of urine in their bladder. If you need to urinate frequently – every 2 to 3 hours during the day and at least twice a night, this is an indication to consult your doctor. As is the case when the frequent urge to urinate continues after a visit to the toilet.

What is frequent urination?

 Advice & Support - AS04 - Menopause Hub

Menopause Hub

Pregnancy is an exciting time that's full of anticipation, but it also involves some significant changes to your body. One change you may not be expecting, however, is little bladder leaks. You may have noticed that everyday activities like laughing, coughing, sneezing or exercising now result in some dampness in your underwear. Incontinence during pregnancy is common and something many expectant mothers experience. The fact that something is common doesn’t mean that it is normal, please don’t simply put up with it!.


Whether it feels like it’s a long way off, or if the signs have started and you’re expecting it imminently, find out all you need to know about the menopause here. It may no longer be such a taboo subject, but there are still myths and misinformation about it, so here’s a no-nonsense guide to it.

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Bladder Problems

Dr. Philippa Kaye - Discreet

Dr. Philippa Kaye

Urge incontinence increases the frequency of visits to the toilet resulting from the need to urinate. It occurs when the bladder muscles start to contract. This sensation may occur too late and there may not be enough time to get to the toilet. Often, this sensation also intensifies at night and can cause nocturnal wetting.

It can occur at any age, but is most common from early adulthood. Women are more likely to have urge incontinence than men, and constant urge to urinate in women can sometimes occur during sex, especially during orgasm.

There are several causes of urge incontinence: diseases of the nervous system, infection, side effect of medication, anxiety, insufficient hydration.

What is urge incontinence?

Frequent urination in women is very common. You may be wondering how to tell if your urination frequency is normal – especially when it’s because of good things like being well-hydrated. Here are some general rules of thumb:

- __You have to urinate more than others.__ If you find that you are urinating more than six to eight times a day, you may be going more than is typical for a healthy bladder.
- __It’s affecting your sleep.__ If your frequent urination is keeping you from getting a good night’s sleep and you find yourself getting up to go more than two times in a night, you may want to see your doctor about the possibility that you have an overactive bladder.
- __The urge to urinate comes on strong.__ In addition to the frequency of urination, having an overactive bladder usually means your urge to go feels sudden and difficult to control – and maybe is accompanied by a little bladder leak in your panties.

How do I know if it's frequent urination?

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Always Discreet long pads, sensitive bladder, 5 drops, 10 count, without wings, complete protection. Plastic pack front panel in purple, Always logo dark purple.

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