Why do I pee myself when I cough while pregnant?
Pregnancy is a beautiful and transformative time in a woman’s life, but it also comes with its share of unexpected and sometimes uncomfortable changes. One of the most common concerns that many pregnant women face is the issue of incontinence, particularly when they cough. This can be quite embarrassing and frustrating, but understanding the reasons behind it can help alleviate some of the worry and stress.
Understanding the causes of pregnancy-related incontinence
During pregnancy, the body undergoes numerous changes to accommodate the growing fetus. One of these changes is the increased pressure on the bladder due to the expanding uterus. The bladder is a muscular organ that stores urine until it’s time to urinate. However, when the uterus grows and pushes against the bladder, it can weaken the bladder’s ability to hold urine, leading to incontinence.
Coughing, sneezing, or laughing can put additional pressure on the bladder, making it even more challenging for the muscles to maintain control over urine flow. This is because the coughing or sneezing can cause a sudden increase in abdominal pressure, which can overwhelm the weakened bladder muscles.
Other factors contributing to pregnancy-related incontinence
In addition to the physical changes brought on by pregnancy, there are other factors that can contribute to incontinence:
1. Weight gain: As a woman gains weight during pregnancy, the increased pressure on the bladder can exacerbate incontinence.
2. Multiple pregnancies: Women who are carrying twins or multiples are more likely to experience incontinence due to the increased weight and pressure on the bladder.
3. Previous pregnancies: Women who have had previous pregnancies may be more prone to incontinence due to the stretching and weakening of the pelvic floor muscles.
4. Genetic factors: Some women may have a genetic predisposition to incontinence, which can be exacerbated by pregnancy.
Managing pregnancy-related incontinence
While incontinence during pregnancy can be frustrating, there are several strategies that can help manage the symptoms:
1. Kegel exercises: These exercises strengthen the pelvic floor muscles, which can help improve bladder control. To perform Kegels, tighten the muscles you use to stop urination and hold for three seconds, then relax for three seconds. Repeat this cycle 10-15 times, three times a day.
2. Bladder training: Try to hold urine for longer periods, gradually increasing the time between bathroom visits. This can help strengthen the bladder muscles.
3. Wear a pad: If incontinence is severe, wearing a pad can provide some peace of mind and prevent leakage.
4. Seek medical advice: If incontinence is causing significant discomfort or stress, it’s important to consult with a healthcare provider. They can offer guidance on treatment options and may recommend physical therapy or medication.
Conclusion
While it may be frustrating to experience incontinence when coughing during pregnancy, understanding the causes and managing the symptoms can help make the experience more manageable. Remember, these changes are temporary, and your body will return to its pre-pregnancy state after delivery. Taking care of yourself and seeking support from healthcare professionals can make the journey through pregnancy a little easier.
