ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

We Don't Talk About That (Incontinence)

Updated on November 28, 2012
Inventurist profile image

Ed has been an entrepreneur and business owner/start-up generator for 15 years. He has also been a shotgun coach!

Avoid Embarrassing Leaks and Spurts

Electrical Stimulation Can Help You Control Your Muscles, Improve Your Self-Image

First thing, realize you aren't alone. As many as 80 million people experience some level of incontinence and 80% of these are reportedly women. Reportedly because men are more likely not to admit it. There are many factors which can weaken your pelvic floor muscles, including pregnancy, childbirth, surgery, aging and being overweight. There are things you can do to improve your situation, and they all do not include diapers. You learned when you were a child how to "hold it" and not have a problem. Guess what, it is time to learn again - but this time you may have some help.

Are you experiencing any of the following?

  • Leak a few drops of urine while sneezing, laughing or coughing
  • Have a strong, sudden urge to urinate just before losing a large amount of urine (urinary incontinence)



Stress Incontinence and Urge Incontinence are separated only by sources, not by improvement. Either case improves with increased strength in the Kegel muscles, those muscles responsible for shutting off the flow of urine on command.

During pregnancy or after childbirth Kegel muscles can be exercised to try to prevent urinary incontinence. Kegel exercises — along with counseling and sex therapy — might also be helpful for women who have persistent difficulty reaching orgasm or experiencing pelvic pain.


Not everyone is going to benefit 100% from doing Kegel muscle strengthening exercises. In some cases, women who have severe urine leakage when they sneeze, cough or laugh and women who unexpectedly leak small amounts of urine due to a full bladder (overflow incontinence) may not have as great an improvement.

What are my options? You can try to identify and exercise your Kegel muscles yourself. This is very common and obviously the most discreet means of getting a "workout" as no one needs to know what you are doing when you are doing it. In some cases it is better to be able to lie down to do the exercises but not always necessary. Here is a bit of a guide for doing these personal training exercises:



  • Find the right muscles. To identify your pelvic floor muscles, stop urination in midstream. If you succeed, you've got the right muscles.
  • Perfect your technique. Once you've identified your pelvic floor muscles, empty your bladder and lie on your back. Tighten your pelvic floor muscles, hold the contraction for five seconds, and then relax for five seconds. Try it four or five times in a row. Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.
  • Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
  • Repeat 3 times a day. Aim for at least three sets of 10 repetitions a day.

Electrical Stimulation

Another option for training these muscles is utilizing NMES or neuromuscular electrical stimulation through the use of newly approved durable medical devices. These specially designed devices utilize electrical stimulation to cause the specific muscles in need of exercise to contract and relax on a given program.

A specially designed probe is inserted into the vagina that has exposed electrodes which will contact the wall of the vagina and ultimately engage the Kegel muscles. This probe is connected to a device that delivers a highly regulated level of stimulation in a way that imparts the contraction to the specific muscle groups for a programmed period of time, then releases the muscle. This continues on and off, for a programmed period of time until the workout is complete. In some cases, there are devices available that provide some form of biofeedback allowing the user to see just how much they have improved their muscle tone over time.

There are many kinds of incontinence. Stress and Urge incontinence are more likely applications for e-stim improvement. In the case of Urge Incontinence, think of it as a muscle spasm. A muscle that has more of an uncontrolled release or knotting up that can be painful. By utilizing short contractions of the muscle groups, the muscle can learn to relax and to contract more on command. In this case it isn't as much of a strengthening of the muscles as it is in a retraining of the muscles allowing them to relax and become controlled.

The real feedback is when the patient can have more control over these muscle groups. Additionally, stronger pelvic floor muscles can have the added value of less pelvic floor pain, less Dyspareunia.

As a society, these topics are less likely to be discussed openly. Unfortunately that leads to less discussion even with medical professionals. Companies, such as Zynex Medical, have continued to produce new medical devices like the In-Wave which recently was approved by the FDA for treatment of Stress and Urge incontinence through improving the strength of the muscles in question utilizing NMES. The key here is the In-Wave is receiving insurance acceptance and may improve the lives of hundreds of thousands of people worldwide.

The Inventurist

Comments

    0 of 8192 characters used
    Post Comment

    No comments yet.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)