Ever since DS was born a few years ago, I've had issues with urgency, leakage. I spoke with my Gyn last year, who basically told me to cut out caffiene, including chocolate and to practice kegels -- which I had been doing anyway.
I'm embarrassed by the whole situation, not sure where to turn. Figure the gyn is a dead end. Not sure if I should make an appointment with a general family practice physician or do I just go right to a specialist. Last night I was at a BBQ and just about had to go home and change clothes. Urgency and the dribbling happened sooooo quickly.
Hello-I read your post and I have the same problem. The dribbling is so annoying because it is just embarrassing if you are not prepared. I am menopausal, have fibroids and an enlarged uterus so no wonder why my bladder is not functioning properly. Do you know what is causing your incontinence?
I assumed it had something to do with the birth of my son, as that was when the problems started. I DO notice the week before my period it's worse and that if I consume more sugar than usual -- have too many sweets that it becomes an issue; however, my blood sugar was tested when I had my annual at the GYN a couple months ago. I'd hoped that maybe something would show up in the blood test results -- thyroid, blood sugar, urinalysis during that appointment, but everything was fine.
Currently I'm trying to cut out sugar to see if there's a correlation. The other evening I had a beer -- only one and probably the first one in over two years and an hour or so later, the dribbling occured. I didn't even get an urgency warning.
Did you have a difficult delivery when having you Son? How long ago did you deliver? After the birth of my first Son, because it was a very difficult delivery, became an emergancy needing forcepts ultimetly to deliver and in the process tore me to my butt.
In the end my bladder prolapsed causing incontinence issues. I did'nt have it repaired because I knew we wanted to have another child. So after the birth of my second Son, my bladder prolapsed to the point I could SEE it with a mirror. So it was at that point I not only had incontinence issues but also pain, and had it repaired, turns out my Uterus was also prolapsed as well. I had a hysterectomy and bladder sling at that point. I was 33 when I had it done.
If you had to do some MAJOR pushing during his birth, there is a chance you have some prolaps with your bladder causing the incontinence.
Or a UTI could also bring that on as well. Did your Doctor send you Urine out for a culture, or test it in the office? If he did'nt send it out it is still possible there is an infection there.
If you arent getting anywhere with your GYN I would suggest either seeing another GYN, or better yet, go see a Urologist and have it evaluated.
Wish you the best.
Take care, and God bless.
I didn't really have a difficult delivery; however, did have to have an episiotomy and they had to use a suction cup to pull him out. I don't believe a culture was done. When I spoke with my GYN a year or so ago, he suggested Kegels and cutting back on caffeine, which I'd already done -- I have a cup in the morning, don't drink soda....
I just wasn't quite sure where to start -- another GYN, urologist...
Have you had your hormone levels checked? I had complete hysterectomy many years ago and have been taking hormone replacements. If I forget to take them for a couple weeks,( yeah, I do that sometimes) I have stress incontinence. The gyno said that our hormones affect alot more than we realize. If I take them regularly... no problems.
No I haven't had my hormone levels tested. Since I gave birth a few years ago, I've been on Tri-Nessa BC pills. Wasn't an issue before. In fact I prided myself on having a "steel bladder" -- could hold it forever. I will be going off the pill in a few months when DH gets "snipped".
I would make an appointment to see a specialist, specifically a urogynecologist. A urogynecologist is an obstetrician/gynecologist (Ob/Gyn) or urologist who specializes in the care of women with pelvic floor dysfunction. He handles not only problems with your bladder but addresses issues with your whole pelvic structure.
Here is my story in an effort to assure you are not alone:
I'm a fellow dribbler. My embarrassing problem began...you guessed it after the birth of my second son. His birth was long and rather complicated. After pushing for what seemed like an eternity and not making any progress, my very unprofessional, very rude ob/gyn said it was time to whip out the vacuum and extract my son. He, of course, did not perform an episiotomy and I ripped horribly. He did the absolute WORST perineum repair. My husband could have done a better job. And, from there things only got worse................
The day after delivering my son I got up to shower and literally LOST all my water. I was mortified. I reluctantly addressed it with my dolt of an ob/gyn and he downplayed it. I also bring up the fact that his perineum repair is troublesome and why do I now have an extra appendage between my vaginal hole and my anus. He then proceeds to humiliate me and says, "You need to spend more time watching CNN and less time looking at your vagina." I'm floored and aghast at his lack of bedside manners. He proceeds to try to correct his mistake and while it was somewhat better, there was still a great deal of asymmetry. Prescribes me estrogen cream (?) and sends me on my way. After that experience, it is two years before I get the nerve up to go to an ob/gyn. I was lucky enough to find a very kind female ob/gyn who repaired the issues w/ the perineum.
Fast forward to Feb of this year, I am working out w/ my personal trainer, who instructs me to jump rope for 45 seconds non-stop. I commence jump roping and immediately lose my water like I did the day after giving birth. Thankfully, I was wearing black and he didn't seem to notice. I was mortified. Scared. I work out a lot and started noticing more urine leakage, especially while doing cardio on the treadmill. I've basically had to stick to the stairmill and eliptical out of fear of peeing myself. After internet diagnosing myself, I made an appointment to see a urogynecologist. So far, he has been helpful and reassuring. He explained to me he would like to make it his mission in life to convince the medical community to discontinue use of vacuums and forceps in deliveries. He sees more bladder/pelvic damage caused from those devices. He explained the vacuum assisted birth is primarily what caused my pelvic floor damage and bladder problems. I'm tentatively scheduled for a TVT sling, anterior/posterior repair, and a perineoplasty (he is tidying up what the other gyn missed in the way of my perineum). You'll probably see my posting asking questions regarding these procedures.
I hope my sordid experience didn't gross you out too much. I hope you find a competent specialist to assist you with your issues.
Thanks for the response. My story does sound similar -- did have the vacuum assist, though did have an episiostomy. Didn't think my delivery was all that traumatic, but that's about the time my issues began. My gyno just told me to stop drinking as much coffee, including soda & eating chocolate and to do kegels.
Lately the leaking is getting WORSE. I could handle avoiding jumping on the trampoline, etc. but sometimes I just sit or stand and feel leakage.
I noticed we have a female doctor at our local family practice clinic, so I made an appointment. Last week I had a couple of leaking incidents with no urgency warning. Enough was enough.
No infection. If my hormone levels were off, the bc pills would have alleviated that issue. I already limit my caffeine to one cup of coffee a day... So had an exam and I have mild prolapse -- stage 1 issues. Disappointed, but at least I have answers. So I'm starting on detrol and we're going from there. Here's hoping that'll work...
When I mentioned this to my ob/gyn a couple years ago one would THINK he would've examined me for that. Instead he told me to do kegels and limit caffeine. Sigh...
Did you have a big baby? Maybe the bladder has dropped a little. I assume they checked you for that. I guess by ultrasound. I never actually leaked but many times came extremely close. Actually did happen once or twice but at home and no one knew. My bladder is where it should be. Maybe someday they will figure it all out. My son was 10 1/2 pounds and layed right on my bladder. Still my bladder is where it should be.
I use to drink alot of diet soda. I stopped drinking it in 2002 after Gastric Bypass Surgery. For a long time my bladder was much better. I always thought the NutraSweet must have caused the bladder to be over active.
I took Detrol, Ditropan XL, Amitriptalyine (sp?). The Amitrip. is an anti depressant that is used at night to stretch the bladder to hold more so you are not up all night. It worked. I'm on Vesicare now. A new bladder med I think. Don't even know if mine is overactive. Seeing a specialist Wed.
DS wasn't a big baby -- 7 1/2 pounds; however, they did end up using vacuum to get him out, which may have caused some damage. A day or so after his birth, I noticed I was having some bladder control isssues, but assumed it was because of the swelling from my espisiotomy. I don't drink soda at all -- lost the taste for it when I had my tonsils removed about 8 years ago. And with coffee -- I have one cup in the morning before work. Don't drink tea.
I figure this is at least a start -- that I'm getting answers. If the detrol doesn't work, then I'll move on, request the name of a urologist. I was mortified when I asked my ob/gyn a couple years ago and he basically told me that it's all part of getting older -- I was 39 at the time.