I Peed My Pants, and It Was the Best Thing That Ever Happened

2025-06-04 18:00:20.437

The author details her experience with incontinence after childbirth and its return during perimenopause. She tried various remedies, including Kegel exercises, vaginal devices, and bladder training, with limited success. The article then delves into the prevalence of incontinence in women, particularly during and after menopause, due to estrogen decline and pelvic floor weakening. Two main types are discussed: stress incontinence (leakage due to physical pressure) and urge incontinence (sudden, uncontrollable urge to urinate). Treatment options are explored, including surgery (sling surgery), bulking agents, medication (anticholinergics and beta-3 agonists), nerve modulation, acupuncture, and botulinum toxin injections. Vaginal estrogen supplementation and pelvic physical therapy are also highlighted as effective approaches. The author's personal journey includes a less-than-successful attempt with a Kegel ball, and ultimately, she undergoes successful sling surgery, resolving her incontinence. The article emphasizes the importance of open communication about incontinence, highlighting that many women experience the same issue.