Strong Sudden Urge To Urinate – From bloating to cramping to rashes, periods come with many unpleasant symptoms, but did you know that incontinence can be just another symptom?
That’s right: Urinary incontinence has been reported as a side effect of women’s menstrual cycles. While there haven’t been many studies to back this up, the health community has taken notice.
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This article looks at why you might experience incontinence during your period (called cyclic incontinence) and what you can do to help relieve symptoms.
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Urinary incontinence is described as loss of bladder control. There are several types of urinary incontinence:
Stress urinary incontinence: Stress urinary incontinence (SUI) occurs when your abdomen puts pressure on your bladder when you sneeze, cough, laugh, or perform physical activity such as exercising or lifting weights.
The pressure put on the bladder during these activities can cause leaks. SUI is more common in women than in men.
Overactive Bladder: You can tell if you have overactive bladder (OAB) if you feel the urge to urinate more often than usual (more than eight times a day). You may also feel the need to wake up at night to pee. OAB can be caused by pelvic floor muscle weakness, certain medications, bladder irritation, being overweight, or an infection such as a urinary tract infection (UTI).
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Urge incontinence: Urge incontinence is similar to OAB; you feel the need to urinate frequently and urgently. Urge incontinence usually results in leaking urine if you can’t go to the bathroom in time, or if your pelvic floor muscles or urethral sphincter are weak.
Overflow incontinence: Overflow incontinence is just that: overflow of urine from the bladder. It happens when your bladder holds urine but doesn’t completely empty it, and it’s called urinary retention. When you have overflow incontinence, urine leaks or drips from your bladder.
Mixed incontinence: Mixed incontinence occurs when you experience more than one type of incontinence. Symptoms depend on the type of incontinence you’re dealing with.
Women and men can experience every type of incontinence listed, but sometimes incontinence in women is due to pregnancy, childbirth, menopause, or menstrual cramps.
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Urinary incontinence is manageable, especially if you also have premenstrual symptoms (PMS). One way to control these symptoms for sure is to use incontinence products, and an even better way is to get free incontinence products. Aeroflow Urology can help you get incontinence aids, such as disposable underwear or bladder pads, through your insurance. Fill out our eligibility form today to see if you qualify!
You probably know the basics of what happens during menstruation, but to understand how it relates to urinary incontinence, let’s take a closer look.
Your menstrual cycle starts when you menstruate (you start bleeding), lasts 24 to 38 days, and resumes when it ends.
This cycle usually occurs monthly in women who have entered puberty and premenopause, although some may have medical and biological reasons for not menstruating. Women usually have their first period around age 12 and stop bleeding at menopause, usually in their 50s.
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Ovulation occurs in the middle of the menstrual cycle when an egg is released from the ovary to be fertilized by sperm.
Menstruation (also known as menstruation) begins when an egg is released from the body and has not yet been fertilized. If the egg isn’t fertilized, your body doesn’t have to prepare the uterus for a growing baby, so progesterone and estrogen levels drop, signaling your body that your period is on.
Your body releases four different hormones, all for reproduction. These hormones also work together to regulate menstruation. In this article, we will focus on estrogen and progesterone.
Progesterone is a hormone released by the ovaries during the menstrual cycle. Its main function is to prepare your body for pregnancy when an egg is fertilized during ovulation. During this time, progesterone levels will be elevated for about five days.
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Estrogen is a hormone that maintains reproductive health and sexual health. That’s why women menstruate, can get pregnant, go through menopause, have breasts and wide buttocks. Estrogen is released into your body just before and during ovulation and thickens the lining of your uterus, preparing your uterus for pregnancy.
Fluctuations in progesterone and estrogen are why you experience symptoms during and between periods. Most women have premenstrual syndrome (PMS) about one to two weeks before they start bleeding.
So why does urinary incontinence occur during menstruation? While there aren’t many urodynamic studies to explain the relationship between a woman’s menstrual cycle and urinary incontinence, healthcare providers note the prevalence of incontinence symptoms in women during menstruation.
In addition to women reporting incontinence symptoms during their cycles, new research is taking a closer look at the menstrual cycle’s impact on bladder and female incontinence.
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Menstrual incontinence is common among women, a study has found. The study included 133 premenopausal women who were not taking hormones and had regular periods. Of the 133 women, 41% reported incontinence at various times of menstruation.
During urination, the detrusor muscle lines the bladder and squeezes inward, helping to push urine out of the bladder through the urethra. If detrusor muscle activity is increased or unstable, it can lead to incontinence symptoms (eg, sudden urge to urinate or frequency) associated with urge incontinence, SUI, overflow incontinence, and OAB.
Because we know progesterone levels increase after ovulation, it was thought that these high levels of the hormone might lead to increased detrusor muscle activity.
Another study using detrusor tissue and progesterone found that progesterone levels actually directly affect detrusor contraction.
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Progesterone also tells your body to release any fluids it has been holding on to during your period, including urine. When this happens, you may feel the need to urinate more often, which is the main symptom of OAB.
Take away: If progesterone levels rise during and after a cycle, and the progesterone causes the bladder to contract more frequently, urinary incontinence may result. Progesterone also causes your body to release fluid, which can lead to the symptoms associated with OAB.
We know that estrogen plays a huge role in women’s health. This is why menstruation, pregnancy (if you think it’s right for you) and menopause. That’s why you look different from men. Basically, estrogen controls a lot of things that happen in a woman’s body.
Not only is estrogen released during the menstrual cycle, our pelvic organs and tissues respond to it. This means that when your estrogen levels change, so do these parts of your body. Low estrogen levels can cause changes in abdominal pressure, which can lead to decreased strength and increased stiffness of the pelvic floor muscles and ligaments surrounding the pelvic floor, which can lead to pelvic floor disorders and various types of urinary incontinence.
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Estrogen levels also change the position of the cervix, which directly affects the strength of the sphincter and urethra. This change can make it more difficult to empty your bladder and stop urine leakage.
Take away: Low estrogen levels during menstruation can alter abdominal pressure, leading to weakness of the urethra and pelvic floor muscles, leading to urinary incontinence.
Aside from hormones, there’s another suspect factor that may be causing menstrual incontinence: menstrual products! When you insert a tampon into your vagina, you change the pressure in your abdomen. This change in pressure can cause the bladder muscles to tighten or relax, which can lead to incontinence symptoms such as urinary retention and leakage.
A leaky tampon can also be a sign of a prolapsed bladder, also known as a cystocele. A cystocele may occur after childbirth, constipation, heavy lifting, chronic cough, or pressure on the pelvic muscles. In cystocele, the wall between the bladder and vaginal wall weakens, causing the urethra to “bend.” This prevents the normal passage of urine. However, when you use a tampon, it acts like a pessary usually does (more on that below) and opens up the urethra to allow urine to flow, causing leakage.
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Take away: Menstrual products such as tampons can cause changes in abdominal pressure, leading to urine retention and leakage. Tampons may also unknowingly address urine flow issues, causing leakage.
If you experience incontinence during your period or cycle, it may change your quality of life. But don’t worry — there are many treatment options. You can discuss a treatment plan with a healthcare professional, such as your gynecologist, or try some simple home remedies.
Also known as Kegel exercises, these exercises can help improve pelvic floor strength as well as sexual function and health. Even if you’re not incontinent, you should do pelvic floor exercises to help keep your pelvic region strong and in control.
If you find your clothes are leaking or just want to help manage incontinence, incontinence products may be the answer. An adult protective underwear or bladder pad will help absorb leaks, keeping you dry and worry-free. Find out if you qualify for free incontinence care services through your insurance.
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Specific lifestyle changes can be
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