Stop Jumping Jack Dribble


Jumping Jack (Jane) Dribble? Wet every time you go to the gym, and feel like you can't keep up with the pounding and cumbia and sala moves?Unfortunately those with bladder issues of leaking with coughing and sneezing, find it's even worse at the gym. Bearing down to strain is a medical maneuver called a valsalva, and the strain of the forces of valsalva go directly to the neck of the bladder and affect if we can hold the urine in our bladder or if it leaks. Basic strategies like peeing before you bounce should help a bit, but often more has to happen, like lots of kegal's, eating a bladder healthy diet, and otherwise trying medical interventions like pessary devices, biofeedback or surgery. If having surgery, wearing a pessary,  if keeping our bladder empty isn't  helping at all, it's time to try some of the lesser known strategies after you check with your gyno to be sure your anatomy is where it is supposed to be!

 Quick Tips:  Avoid constipation: calcium pills and excess eating of cheese are just two of the many things that can cause constipation, and constipation can make incontinence worse! Vary your exercises with your menstrual cycle! Oddly enough, some researchers in England showed that during the luteal phase (second half, the ovulatory second half, the half before the menstrual period) when both progesterone and estrogen levels are the highest episodes of incontinence were the worst! So think about it, just a bit less pounding later in the month, that's a better time to swim, and stretch and bike, and ahhh, you will be over all a lot drier! And might be kind of nice to know that the right mixing it up on the work out floor is a good for the pelvic muscles as well as the biceps!  Try a tampon before you exercise: you need to have it a bit lubricated, and do not leave it in more than an hour or two, but it might just be enough support to the angle of your urethra and bladder to help you be drier. And, as with all gyno problems , do get in and try to get your anatomy checked. There are things we can tell on exam that you may be able to treat for a quick fix as well.


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