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ArticlesTopic 01
Leaks when you laugh, sneeze or run, the sudden urge, and the muscles that can change it.
Bladder & Pelvic FloorExplainer
The often-cited concentration increase came from 160 mg immediate-release mirabegron in 12 healthy men. Bring the doses of your own prescriptions to the pharmacist.
Bladder & Pelvic FloorThe short version
Have swallowing difficulty reviewed with your exact prescription and product instructions.
Bladder & Pelvic FloorThe short version
Get help promptly for respiratory symptoms while taking this prescribed urinary-infection medicine.
Bladder & Pelvic FloorEvidence check
Many women with interstitial cystitis have tight, tender pelvic floor muscles. In a North American trial of 81 women, 59% of those given hands-on pelvic floor physical therapy rated themselves moderately or markedly better, against 26% given a general massage. Here is what the therapy involves, what the trial couldn't show, and why squeezing exercises may be the wrong move.
Bladder & Pelvic FloorEvidence check
Many women with a prolapse pessary go back to a clinic every few months to have it taken out and cleaned. A UK trial of 340 women compared that with learning to manage the pessary yourself, after one 30-minute lesson. Quality of life was the same at 18 months and at 4 years, there were fewer complications at 18 months, and it cost less. Here is what self-management involves and who it suits.
Bladder & Pelvic FloorExplainer
A ring can sometimes stay in during vaginal intercourse. Shelf, Gellhorn, cube and doughnut pessaries need a different plan. Ask about your fitted device before trying removal.
Bladder & Pelvic FloorEvidence check
Shy bladder, or paruresis, is trouble starting or keeping up a stream when other people might hear or notice. A review found estimates of how many people have it range from about 3% to 16%. It's often linked with social anxiety and can shape jobs, travel and social plans. Step-by-step exposure practice helped in workshops, with gains lasting a year. Here is what the research shows.
Bladder & Pelvic FloorEvidence check
MV140 is a preparation of inactivated bacteria taken under the tongue to prevent repeat bladder infections. In a trial of 240 women with recurring UTIs, 56 to 58% stayed infection-free for 9 months after treatment, compared with 25% on placebo. The maker funded the trial. A Canadian study found similar results. Here is what the evidence shows and what to ask.
Bladder & Pelvic FloorExplainer
Bladder clinics call it latchkey urgency: fine all the way home, then desperate the second the key hits the lock. In lab studies, women's own photos of their trigger spots set off urgency and even leaks. Here is what the research shows, and the stop-and-squeeze move that beat a bladder pill in women aged 55 to 92.
Bladder & Pelvic FloorMyth buster
A urine test can grow bacteria even when you feel fine. After menopause this is common, and the Infectious Diseases Society of America recommends against testing for it or treating it in healthy women, women with diabetes and older adults, with a few key exceptions. Here is when antibiotics help and when they mostly add risk.
Bladder & Pelvic FloorExplainer
Beta-3 agonists are the prescription bladder pills that work differently from older anticholinergic drugs. Here is what the labels say about blood pressure, urine retention and other checks before you start.
Bladder & Pelvic FloorComparison
Drugstore bladder-support inserts and clinician-fitted continence pessaries press up under the urethra to cut leaks during exercise, coughing or lifting. Here is what trials found, what they cost to keep using and why a regular tampon isn't a substitute.
