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Nocturia & Nocturnal Enuresis (Adult Bedwetting)
23rd October 2024
Nocturia and nocturnal enuresis are two types of nighttime urination that can occur in adults. While they may sound similar, there are some key differences between the two conditions.
Nocturia, for example, is where you wake up several times during the night to urinate – something which can greatly affect your quality and quantity of sleep as well as your overall wellbeing. Nocturnal enuresis, or adult bedwetting, is when you involuntarily urinate while you’re still fast asleep – something you may remember doing as a child.
However, nocturnal enuresis is different to wetting the bed as a child. This is because, in most cases, childhood bedwetting is caused by either not using the bathroom before bed, stress at home or school, or not feeling the urge to use the bathroom while sleeping.
As an adult, however, the underlying causes for nocturnal enuresis can be different and, while much rarer than child bedwetting, is estimated to affect between one and two per cent of UK adults.
At Attends, we understand that both nocturia and nocturnal enuresis can cause embarrassment and sleep problems for people with these conditions and their caregivers. That’s why we’ve written this article to teach you all you need to know about how to manage both conditions effectively.Causes of nocturia and nocturnal enuresisThere are multiple different potential causes of nocturia and nocturnal enuresis but there are many reasons why you may need to urinate more during the night or end up wetting the bed.Caffeine and alcoholNocturnal enuresis and nocturia can both be caused by what you drink and how much. Caffeine, for example, stimulates your bladder and increases urine production, so it’s easy to see how drinks like coffee and tea can contribute towards these conditions.
Alcohol is also a diuretic which means it can cause you to urinate more. And since many people will typically drink alcoholic drinks in the evenings, this means that when you go to sleep, the diuretic properties may still take effect throughout the night.Medications that can cause nocturia and enuresisTaking certain medications may cause nocturnal enuresis and nocturia. For example, some medications used to help with mental health conditions can have side effects such as acting as a diuretic. This can lead to nocturia, especially when your body is first getting used to the medication.
Medications used to treat sleep disorders can also increase your risk of nocturnal enuresis. Although these are designed to help you sleep, they may also cause you to miss the cues needed to wake up and head to the bathroom.
If you’re worried that your medications are causing nocturia or nocturnal enuresis, speak with your doctor. But don’t stop taking it unless advised they tell you to.Changes to your bladderIn some cases, your bladder can’t store urine as well as it should. This may be because your bladder is smaller than needed or you have bladder overactivity.
Bladder overactivity is where the muscles in your bladder walls are less stretchy and tighten when they should relax. This can cause you to need to urinate much more frequently and without much warning, greatly increasing your risk of nighttime bedwetting and nocturia.
If you’re experiencing symptoms of bladder overactivity, make sure you speak with your doctor or local continence service so they can provide with you medical support. Increased urine production at nightSometimes, your kidneys are simply unable to reduce the amount of urine they produce at night.
Normally, your body produces an antidiuretic hormone called arginine vasopressin which causes your kidneys to produce less urine at night.
However, if your body doesn’t make enough of this hormone, your urine production will remain the same and could lead to an increased risk of nocturia and nocturnal enuresis.
These low levels of arginine vasopressin may be caused underlying health conditions. Some of the key signs you may have low arginine vasopressin levels include needing to urinate more and having excessive thirst. If you’re concerned, speak with your doctor for further support.Urinary tract infections (UTIs)Nocturnal enuresis may be a sign of type one or two diabetes; uncontrolled diabetes can lead to frequent urination.
If you have diabetes, your body struggles to process glucose properly, which may cause an increased production of urine. Having an increased urine production puts you at a higher risk of nocturnal enuresis and nocturia.Type one or type two diabetesNocturnal enuresis may be a sign of type one or two diabetes; uncontrolled diabetes can lead to frequent urination.
If you have diabetes, your body struggles to process glucose properly, which may cause an increased production of urine. Having an increased urine production puts you at a higher risk of nocturnal enuresis and nocturia.Other medical conditionsAs well as diabetes, there are other health conditions which may increase your risk of nocturia and nocturnal enuresis.
These conditions can include:
● Anxiety
● Kidney infection
● Oedema (swelling of the legs)
● Obstructive sleep apnoea
● Neurological disorders such as Parkinson’s disease or multiple sclerosis
These conditions may cause bladder overactivity or problems with your bladder's capacity to hold urine. Urinary tract obstructionAn obstruction or blockage in your urinary tract, such as your urethra (the tube where urine flows down and out of your body), can lead to nocturnal enuresis.
These blockages can be caused by things like bladder stones, kidney stones or, in men, having an enlarged prostate, which can all lead to bladder overactivity and eventually, nocturnal enuresis. How to live with nocturia and nocturnal enuresisWhile it can be challenging to live with nocturia and nocturnal enuresis, there are certain things you can do to try and limit their occurrence.
Some of the best ways to manage your nocturia and nocturnal enuresis at home include:
● Cutting down on alcoholic drinks and avoiding caffeine (especially later in the day) and switching to decaf
● Managing uncontrolled diabetes
● Speaking with your doctor about your medications to determine if they’re diuretics, and finally, always using the bathroom before going to bed
It can also be useful to keep a bladder diary that details what you drink, how many times you urinate during the day and night, and any other symptoms you experience. This way, you can notice any patterns that may help you get to the bottom of your condition.
Incontinence products can also be useful when living with nocturia and nocturnal enuresis. At Attends, we offer a wide range of incontinence products that can be used during the night to protect you (and your mattress) from any involuntary urination that may occur.
By making the right lifestyle changes, you may soon find that living with incontinence isn’t as difficult as it once was.How to treat nocturia and nocturnal enuresisGenerally, lifestyle changes are tried first as they can usually provide you with relief. If they don’t help, medication or surgery may be recommended to target the underlying cause.
Some common treatments for nocturia and nocturnal enuresis include:
Suppressant medications – if your nocturia and nocturnal enuresis are caused by your kidneys making too much urine at night, you may be provided with medication to reduce their nighttime production. This medication is taken before bed and you may not be able to drink an hour before and eight hours afterwards.
Bladder relaxation medication – if your condition is caused by your bladder muscles over-tightening, you may be prescribed medications that help to keep your bladder relaxed. This way, your bladder will be able to hold more urine overnight and reduce your risk of nocturia and nocturnal enuresis.
Prostatectomy and urethra dilation – if you have an enlarged prostate, having a small part or all of it removed may help with nocturia and enuresis. Likewise, if you have an obstruction caused by a narrow urethra, you can have it dilated (stretched) to help alleviate your symptoms.
Bladder stone removal – a urinary tract obstruction caused by bladder stones will need to be treated and surgery is often the best way to remove the stones.
With so many different ways to treat nocturia and nocturnal enuresis, it’s important to speak with your doctor as they can confirm which one is right for you.Supporting nocturia and nocturnal enuresis with AttendsWhile they may be difficult conditions to deal with, nocturia and nocturnal enuresis can be managed and, in some cases, even treated. With the right lifestyle changes and personalised treatments, you should be able to easily minimise your risk of nighttime urination.
Learn more about our range of continence products that could be used at night. Take a look at our wide range of products. Filtering them to suit your specific needs, should make it much easier to find the solution you need to feel more confident about going to bed at night. Sources● Bladder & Bowel - Nocturnal Enuresis
● National Library of Medicine - Nocturnal Enuresis & Nocturia, Differences & Similarities
● Bladder & Bowel UK - Bedwetting Adults
● National Library of Medicine - Arginine Vasopressin Disorder (Diabetes Insipidus)
● NHS - Diabetes Insipidus - Causes
● National Library of Medicine - Nocturia
- Blogs
Lifestyle Tips For Living With Incontinence
3rd June 2024
Living with incontinence can be a daily challenge. Whether it be rushing around trying to find a bathroom in time or forgetting incontinence products while you’re away from home, there are all sorts of problems you might face.
However, making some lifestyle adjustments can help you not only manage your condition more effectively but also boost your confidence in your daily life.Understanding incontinence
There are a few different types of incontinence and they can each cause different problems.
The main types of incontinence include:
● Stress incontinence – urine leaks if your bladder is under pressure from coughing or laughing.
● Urgency incontinence – you feel the need to urinate urgently and you may leak before reaching the bathroom.
● Overflow incontinence – if you cannot fully empty your bladder, this can lead to frequent leaking.
● Functional incontinence – you are unable to get to the toilet on time.
● Mixed urinary incontinence – you have both urgency and stress incontinence symptoms.
● Neurogenic bladder dysfunction – bladder problems due to disease or injury to your central nervous system or peripheral nerves which help control urination.
Seeking medical advice for your incontinence is essential as your doctor will need to rule out any possible underlying conditions before putting you onto a personalised treatment plan.Managing Incontinence
Learning different techniques and coping strategies is a vital part of living with incontinence. So let’s take a look at some of the most effective ways to manage your condition.
Lifestyle Adjustments
Lifestyle adjustments can be a good way to manage your symptoms. When it comes to your diet, try to avoid bladder irritants like caffeine which can make you more likely to experience urgency or leaks.
Staying hydrated is also important, but try to limit any fluid intake before bed to minimise your risk of nighttime leaks. Aim for six to eight glasses of fluid per day. If you have any underlying medical conditions, always check with your GP or healthcare professional how much you should be drinking.
Strengthening your pelvic floor muscles is another good way to reduce incontinence. Incorporate exercises designed for your pelvic floor, like Kegels, into your daily routine to help support bladder control.
Learn more about strengthening your pelvic floor with our online e-learning modules.
Being overweight can lead to a weakened pelvic floor and extra pressure on your bladder, increasing your risk of incontinence. As such, make sure to eat a well-balanced diet and exercise regularly to help maintain a healthy weight.Practical tips for daily living
Dealing with incontinence means you will need to incorporate some practical tips into your day-to-day life to support your health and wellbeing.
Here are some of our main recommendations:
● Choose the right incontinence product for your needs – make sure you have the right level of absorbency and the right type of product for your body and symptoms.
● Always carry spare incontinence products and clothing with you when you leave the house.
● When at work or in a social setting, make sure to use the bathroom regularly to reduce the need for urgency or leaks.
● If you’re travelling, plan for breaks so you can go to the bathroom and always pack all the products you might need.
● When taking the train or plane, try to sit in an aisle seat so you can easily access bathrooms as many times as you need.
By planning proactively for your incontinence, you can find that your risk of leaks and urgency decreases. You’ll also feel prepared and confident for anything the day might throw your way.Emotional support and coping strategies
Living with incontinence can be emotionally challenging. That’s why it’s so important to seek support from healthcare professionals and your loved ones.
Healthcare professionals can provide you with guidance and treatment options, while your loved ones can provide you with emotional support and understanding.
Coping with the potential embarrassment or stigma surrounding incontinence involves open communication. Talking about it is important, especially if you encounter a difficult situation or conversation. Understanding incontinence and sharing your knowledge with others can help break the stigma around it and let people know it’s okay to talk about it.Online incontinence resources
There are lots of online resources available if you are dealing with incontinence. Some that can provide you with further support include Bladder & Bowel UK, Carers UK (continence care) and Bladder Health UK.
You can also use the Great British Toilet Map to look for public toilets whenever you’re next planning a trip or outing.
Maintaining a positive outlook
Maintaining a positive outlook when living with incontinence might seem easier said than done. But, by embracing self-care practices and prioritising your needs, you may feel a significant change in your mindset.
Try setting yourself realistic, achievable goals and always celebrate every victory – no matter how small.
Being proactive when managing your symptoms can provide you with a greater sense of control over your condition and help you keep feeling positive, despite living with incontinence.
Effectively managing incontinence involves making lifestyle changes and seeking support when you need it. Being proactive with your symptoms by planning ahead and incorporating healthy foods, exercises and routines can also help support you on a daily basis.Explore incontinence products with Attends
At Attends, we understand that your incontinence needs are unique which is why we offer a wide range of incontinence products.
Our daily solutions have been supporting people with incontinence for 40 years and now, thanks to our highly specialised range of products, you can easily find something that works for you.
Explore the complete range of Attends incontinence products.Sources
● NHS - 10 Ways to Stop Leaks
● Mayo Clinic - Bladder Control Problems
● NHS - Treatment for Urinary Incontinence
● The Urology Foundation - Incontinence Tips
- Blogs
A Guide For Managing Incontinence In The New Year
4th January 2024
Embarking on a journey to a happier and healthier you isn't always easy, but the New Year can be a great time to start.
One particular health challenge that many people often face is the issue of incontinence – a lack of voluntary control over when you need to visit the toilet.
While it’s not always possible to prevent incontinence completely, there are several things you can do to manage it more effectively.
In this guide, we will outline what some of these methods involve, allowing you to support your bladder health and navigate social events with a newfound level of confidence.
Setting realistic resolutions
Managing incontinence is not about finding a cure or making it so you never have an accident again.
Managing incontinence should instead focus on making progress and finding ways to feel confident, no matter the situation you find yourself in.
Acknowledge the progress you make
Improving incontinence may not be a simple, straight path, and you should expect a variety of ups, downs and unexpected turns along the way.
Nobody is perfect and it’s important to remember this when trying to manage your incontinence. Celebrate any small victories you achieve and recognise the progress you have made instead of focusing on the times things didn't go to plan.
For example, here are some things you should take pride in when trying to manage your incontinence:
● Incorporating a new habit
● Reaching the toilet in time
● Finding a new product that provides you with comfort and relief
While these may all seem like relatively small achievements, it's the small things that matter the most. Every step you take in the right direction is worthy of celebrating.
Be kind to yourself
If something doesn’t work out how you imagined, or you experience incontinence, don't knock yourself down. Understand that setbacks can happen and that they don't define your incontinence journey.
Instead, use these challenges as a learning experience to find new ways to grow from them moving forward. Treat yourself with compassion and you'll find that managing your incontinence will become much more achievable.
Managing incontinence is all about making steady progress – not perfection. Establishing a bladder-friendly routine
Since managing your incontinence is something you will be doing every day, establishing a bladder-friendly routine centred around your lifestyle can make a big difference.
Here are some top tips to take on board when creating any New Year's resolutions based on developing this kind of routine:
Stay aware of your water intake – being hydrated is vital for your health but it also plays a crucial role in managing incontinence. Try to evenly distribute your fluid intake throughout the day to enhance your bladder control.
Avoid certain drinks – some drinks can increase your risk of leaks or loss of bladder control, so actively avoiding them is key. Caffeine and alcohol are the two main culprits as they can both overstimulate the bladder.
Regular trips to the bathroom – try to establish a schedule of going to the bathroom to reduce your chances of unexpected leaks. It's also important to listen to your body's natural cues and always head to the bathroom when you notice them.
Take your night-time routine into account – many people with incontinence experience leaks or urgent urination at night. As such, try to limit your liquid intake before bed and always use the bathroom before trying to sleep. In doing so, this should help reduce your risk of any unexpected leaks.
Navigating social events with confidence
Social events are a big part of the New Year and the idea of dealing with incontinence while ringing in 2024 can seem quite daunting. However, there are several ways you can enjoy spending time with your friends and loved ones while keeping your incontinence in check.
Here are some useful strategies to think about when trying to build self-assurance and resilience at social events over the New Year period.
Planning ahead
Whether you're the party planner or partygoer, planning ahead can make a big difference when managing your incontinence.
To do this effectively, try to familiarise yourself with the bathrooms and the setting before attending so you can plan your bathroom breaks and know where to go in case any urgency strikes. If you’re visiting a new venue, it’s important to familiarise yourself with the location of the toilet.
Choosing clothing carefully
The New Year is the perfect time to get dressed up in your finest attire but it's important to consider how easy it is to pull down or take off if you need the bathroom urgently. It’s also important to consider how your clothing works with your incontinence product of choice.
As a back-up option, you could also consider taking a spare change of clothes with you to any parties you attend. That way if you do experience leaks, you won’t need to head home early.
Practice relaxation techniques
Incontinence can cause anxiety and worry, especially in public settings. However, if you have methods of keeping calm when the panic sets in, you will be able to stay cool, calm and collected even if your worst-case scenario arises.
Create an incontinence kit
Before any social events, spend some time creating an incontinence care kit that includes items like wipes, spare incontinence products and extra underwear in case you need them. Knowing you have everything you need will allow you to easily navigate any New Year’s party without needing to worry about any accidents.Discover incontinence products with Attends
Every step you take towards managing your incontinence this New Year is a testament to your resilience and strength.
While it may not be an easy feat to achieve, by celebrating your progress at every step of the way and embracing our advice, you can stay in control of your incontinence.
Take on 2024 with confidence and added support with the help of Attends. Our incontinence products provide you with the personal protection you need to keep you feeling secure and comfortable.
Browse our range of incontinence products and start your New Year off with the support you need.
Sources
NHS - 10 Ways to Stop Leaks
Mayo Clinic - Symptoms & Causes of Urinary Incontinence
WebMD - Managing Urinary Incontinence
- Blogs
Switching To Decaf: Does Caffeine Affect Incontinence?
5th December 2023
Amid the festive season’s hustle and bustle, many people opt for caffeinated drinks for a boost of much-needed energy.
With cafes offering Christmas menus stacked with sweet coffees topped with whipped cream, it’s easier than ever to overdo it on caffeine. However, caffeine can pose a problem if you’re living with incontinence.
In our latest blog post, we’re going to look closer at the connection between caffeine and incontinence, assessing whether switching to decaf is actually as easy as people say – and the possible benefits of doing so.
What is caffeine?
Before we delve into the effects caffeine has on incontinence, it’s important to understand exactly what caffeine is.
Caffeine is a naturally occurring compound found in things like coffee, tea and various other plants. Caffeine acts as a stimulant, entering your bloodstream and travelling to your brain, where it blocks the neurotransmitters that make you feel tired. Having been used for centuries to improve alertness, caffeine has since morphed into modern-day coffees and teas we know and love.
However, these tasty treats can come at a cost, with the effects of caffeine lasting up to five hours and taking even longer to leave your body completely.
How does caffeine affect your bladder?
Caffeine affects more than just your alertness, particularly if you experience bladder incontinence. Therefore, understanding the link between caffeine and your bladder is crucial to reducing any unwanted incontinence effects.
Caffeine has diuretic properties which means it stimulates your urine production. When you drink anything caffeinated, the caffeine interferes with the reabsorption of water in your kidneys, causing more liquid to be released as urine. While this may not be of huge concern to some people, those dealing with incontinence may find that drinking tea or coffee negatively impacts their bladder control.
Caffeine can also mildly irritate your bladder muscles, potentially exacerbating symptoms of urinary urgency and frequency.
The caffeine stimulation in your bladder may even cause you to be more prone to spasms or contractions, increasing your risk of incontinence.
So, while it may seem like a good idea to warm up with a festive gingerbread latté while out Christmas shopping, it could have some negative side effects if you have bladder incontinence. The benefits of drinking decaf
The world of decaffeinated alternatives is a lot broader (and tastier) than it ever used to be. More and more coffee shops now offer decaf versions of their drinks and many people struggle to taste the difference.
So, why not try it for yourself? Here are some of the benefits that drinking decaf this winter can offer:
More gentle on your bladder – decaf drinks can provide you with the same warmth and flavour, just without the diuretic effects. Drinking decaf prevents the overstimulation of your bladder and stops the overproduction of urine, making it much easier to control your bladder.
Reduced irritation – decaffeinated drinks don’t have the same bladder-irritating properties so you will be much less likely to endure bladder spasms that lead to loss of control.
Restful, dry nights – caffeine can disrupt your sleep and cause you to go to the toilet throughout the night. Switching to decaf can greatly reduce your risk of nighttime loss of bladder control – and you’ll also wake up feeling much more refreshed.
A balance of enjoyment and bladder health – the festive season is all about indulgence and spending time with loved ones. Choosing decaf allows you to enjoy your favourite Christmas drinks without compromising your bladder health. You will also feel much more confident during get-togethers if you make the switch to decaf, as your risk of incontinence will be decreased.
Greater bladder control – by making the change to decaf, you can enjoy much greater control over your bladder, boosting your confidence over the winter months.
Reduced risk of bladder urgency – opting for a decaf drink reduces your risk of bladder urgency, allowing you to stay present during family moments of festive joy.
The ‘Taste The Difference Challenge’
The ‘Taste The Difference Challenge’ was launched by the UHL Continence Team in 2021, with the aim of promoting decaffeinated teas and coffees in healthcare settings to reduce the effects of incontinence.
The idea behind the project came about when it was found that caffeinated drinks were routinely offered to hospital patients, increasing the rate of incontinence.
However, since many staff were not aware of the impact caffeine was having, the challenge to switch towards decaffeinated drinks was born.
During the challenge, over 50% of the 700 patients who accepted decaffeinated drinks could not taste the difference and over 76% said they would be happy to switch to decaf after discovering the benefits.
The Taste The Difference challenge can be transferred to any hospital, community group or residential care home to try and reduce the effects of caffeine on incontinence. So, why not partake in your own Taste The Difference Challenge this festive season to see the benefits to your bladder?Discover incontinence products with Attends
Caffeinated drinks might be a staple in your routine, but they could also be hindering your bladder health. Making the switch to decaf can be a great way to regain some control over your bladder and reduce your risk of potential accidents during the festive season and beyond.
This Christmas, unwrap the joy of decaffeinated drinks and support your bladder health even further by choosing Attends for your incontinence needs. We offer a wide range of products for both men and women, providing you with multiple options to suit your needs.
To find the right product for you, simply answer these six simple questions.
Discover our incontinence protection products and receive the bladder support you deserve.
Sources
Leicester Hospitals - Taste The Difference Challenge
Bladder & Bowel UK - Taste The Difference Challenge
NHS - Urinary Incontinence, Best Ways to Stop Leaks
- Blogs
Menopause & Urinary Incontinence - What You Should Know
4th October 2023
If you have developed urinary incontinence (involuntary bladder leaks) during the menopause, you are not alone.
Approximately 50% of adult women experience this problem, with many finding it an upsetting subject to talk about, or mistakenly believing it is an inevitable part of the ageing process.
In this blog, you’ll discover some of the key reasons behind menopause and urinary incontinence, including its various associated symptoms and what you can do to manage it.Understanding menopause
Perimenopause (the transition to menopause) and menopause describe a time of change in women’s bodies. These changes happen around your mid-40s – but can be earlier – as your ovaries produce less of the hormone oestrogen.
Menopause officially begins after you’ve had no periods for 12 months. However, many women experience menopausal symptoms during perimenopause, including mood changes and night sweats.
Bladder leaks are another sign, as the drop in oestrogen levels can affect your pelvic floor and its ability to support your bladder and urethra (the tube passing urine). The umbrella term for menopausal symptoms related to low oestrogen levels is genitourinary syndrome of menopause (GSM).
The link between menopause and urinary incontinence
Menopause and urinary incontinence are associated with one another due to the drop in oestrogen levels causing the urethra’s lining to thin and weaken the pelvic floor.
As the pelvic floor muscles support the bladder, bowel and womb, this loss of strength increases the likelihood of bladder leaks and makes it harder to control urination.
For example, you might lose bladder control when you laugh or cough. Additionally, you might find it difficult to avoid a few drops leaking out before you reach the toilet.Types of urinary incontinence
The menopause can trigger several types of urinary incontinence. Detailed below are some of the most common.
Stress Incontinence
If you leak a small amount when you laugh, cough, sneeze, jump or lift a heavy object, this is likely to be stress incontinence.
Stress incontinence is a common but not inevitable result of ageing, where the weakened pelvic floor muscles can’t pull in as tightly as they used to and the urethra can’t stay shut.
As a result, this increases pressure on the bladder and makes it more difficult to prevent urinary leakages.
Urge Incontinence
Also known as an overactive bladder, urge incontinence is when you suddenly need to urinate and know you might not get to the toilet in time.
You may also need to urinate more frequently, even in situations where you have emptied your bladder.
Mixed Incontinence
Mixed incontinence is where you have symptoms of both stress and urge incontinence. You may also have an increased tendency to wake up during the night in desperate need of the toilet – this is referred to as nocturia.
The principal aim of managing urinary incontinence during menopause is to improve bladder control. This can be done in a number of different ways.
Dietary changes
Caffeinated, carbonated and alcoholic drinks can all irritate your bladder. Therefore, avoiding these and increasing your water intake could help reduce the pressure on your bladder and urethra.
Being overweight can also put increased pressure on your bladder, so it’s important to maintain a healthy weight by eating well and exercising regularly.
Lifestyle Factors
Avoiding the use of irritants, such as scented soaps and tight clothes, within the delicate area around your vagina can help minimise risk of infection.
Since vaginal/vulval dryness (another menopausal symptom) can easily irritate the urethra, washing this area with a pH-balanced cleanser instead could help prevent future flare-ups.
Pelvic Floor Exercises
Pelvic floor exercises are exercises that target and strengthen the muscles supporting your bladder. These should be taught to you by a healthcare professional.
Continence specialists recommend pulling in and squeezing the pelvic floor muscles and holding for 3 – 10 seconds up to 10 times, letting go between each squeeze. Aim for three to four sets of these exercises per day.
Medical Interventions & Treatments
If your urinary incontinence starts to impact your quality of life, you should make an appointment to see your GP. They may prescribe you treatments like:
Vaginal Oestrogen
Vaginal hormone replacement therapy (HRT) relieves dryness or irritation by restoring moisture and elasticity and improving stress or urge continence.
Systemic HRT
HRT can be provided as a tablet or gel with or without vaginal oestrogen. Including testosterone may strengthen your pelvic floor and improve symptoms.
Physiotherapy
A trained physiotherapist or local continence specialist can show you how to exercise your pelvic floor correctly.
Electrical Stimulation
If you can’t complete the contractions, a specialist can insert a tiny probe into the vagina to electrically stimulate and strengthen your pelvic floor while you exercise.
Medicines
Your GP may prescribe medication for urge incontinence if other treatments haven’t worked.
Incontinence Products
You can manage your condition using pads or products to absorb the urine, while undergoing management/treatment plans.Incontinence products for menopausal women
The first thing to consider when dealing with urinary incontinence is which type of product is right for you. This will vary depending on the extent of your menopause and urinary incontinence:
● Light – for when you lose a few drops of urine and have an occasional spurt
● Moderate – where you get spurts or gushes of urine 24/7 and can’t always reach the toilet in time but may urgently need to go
● Heavy – when you pass large amounts of urine day and night, do not reach the loo promptly and have no bladder control.
Our online product selector tool allows you to choose your incontinence level and activeness – active, limited or immobile – and measure your body’s circumference (confection size).
The selector will help you pick the right incontinence products for menopausal women, including pads, shaped pads, pants, belted briefs, all-in-one briefs, fixation pants and underpads and their absorbency level.
For example, it offers an active woman with medium confection size the following:
● Attends Soft 1 Mini Long, Soft 2 Normal and Soft 3+ Extra Plus – ideal for relatively light urine leaks.
● Attends Cover-Dri Plus underpads for light urinary incontinence.
● Attends Contours Air Comfort 5, Attends Pull-Ons 6M, or Attends Soft 4 Super for moderate incontinence.
● Attends Contours Regular 9 and Attends Contours Air Comfort 8 shaped pads (with Attends fixation pants) for heavy bladder leaks with no control.
Embracing a positive lifestyle
Urinary incontinence can negatively affect women’s physical and mental wellbeing due to the impact it can have on performing everyday activities, body image and self-confidence. Therefore, looking after yourself and remaining positive is essential.
Start by contacting your healthcare professional, whose diagnosis will confirm whether menopause is the cause of your bladder incontinence. They will also be able to advise you on the right types of treatments – you might need to try a few solutions before finding the one that relieves your symptoms.
Menopause and urinary incontinence don’t need to define your way of life.
For more information, continue your research by reading up on the NHS’s overview of menopause. You can also check out the Menopause Explained webinar by The Menopause Charity for an in-depth explanation of menopause treatments.
Here at Attends, we provide dedicated support through our bespoke solutions. Explore our complete range of products specifically designed to help manage urinary incontinence effectively.
References
NHS Conditions - Menopause
Balance Menopause - Are You Ignoring The Symptoms?
Continence Foundation of Australia - Urge Incontinence
NHS Conditions - Treatment Options
National Library of Medicine - Review of GSM
- News
New Protective Underwear Range for Bladder Weakness
25th March 2023
Attends have developed a complete range of discreet underwear, specially adapted to the needs of both women and men. Our disposable and absorbent pants are extremely easy to put on and take off and thanks to the comfortable hip height, they are discreet and feel like real underwear – allowing you to feel in control.For an active lifestyle
With Attends Lady Discreet Underwear and Attends Men Protective Underwear you can continue with an active lifestyle. Thanks to the superior fit and comfort, our soft pants feel like real underwear. The finely woven elastic threads ensure a snug fit - without slipping. The high-performance absorbent core protects against leakage and odour so you can feel safe - even when you're out and about.Designed to be skin friendly
Our discreet underwear is particularly skin-friendly and certified according to OEKO-TEX Standard 100. This means that the absorbent pants have been tested for harmful substances and are harmless to human health. They are made from a breathable material and also feature a comfortable waistband, feeling soft and pleasant on the skin.
Soft and breathable material.
Certified according to OEKO-TEX Standard 100.
Skin friendly – approved by SGS proderm GmbH, Institute for Applied Dermatological Research.
Feel sale and secure
Feels like real underwear.
For active people who like to be on the move.
Comfortable hip height.
Snug fit due to finely woven elastic threads.
Not visible under normal clothing.
Available in black, with white absorbent core.
Suitable for light to moderate bladder weakness.
Features and benefits
Fully elasticated waistband for a snug fit around your body.
Dual Core with acquisition layer provides extra absorbency in the centre of the pad which helps reduce the risk of leakage and keeps the skin dry.
Ultrasonic Bonding Technology without glue for increased softness.
Soft white leakage barriers reduce the risk of leakage.
Wetness indicator to show when the product needs changing.
Discreet underwear also available in white
We also provide absorbent and discreet underwear in white. Our Pull-Ons range has been developed to give you peace of mind and is available in a range of sizes and absorbencies, so you can find the best fit and absorbency level for your needs. New Pull-Ons Discreet are suitable for light to moderate bladder weakness and are designed specially for both men and women.Top tip! Before using our absorbent discreet underwear, it’s important that you first measure your hip and waist size first, using the larger of the two measurements to correctly select the right size.
For further information about our range of protective underwear, click here.
- Blogs
Let Your New Year’s Resolution Benefit Your Incontinence
20th December 2022
New year, endless possibilities! Many people make one or more new year’s resolutions to accomplish a personal goal or change an undesired trait or behaviour. Changing your habits can not only have a positive impact on your health, but can also improve your continence issues.1 - Stop smoking
We know, it sounds easier than it is. Cigarettes are known for their negative health impacts, but did you know that a smoker’s cough can have an impact on your bladder? By quitting, you can minimise or eliminate a smoker’s cough, which in turn reduces pressure (stress) on your bladder. Stopping smoking is also good for your wallet!2 - Exercising, including pelvic floor exercises
Exercising more is a well-known trend in new year’s resolutions, and increased focus on training your pelvic floor muscles should be amongst yours.
Did you know that as many as 70% of people who suffer from urinary incontinence notice a positive change in their urine leakage by doing their pelvic floor exercises correctly and regularly? Whether you’re male or female, regular pelvic floor training can in many cases improve or even eliminate urine leakage.
It’s important to know that you won’t see results straight away, but the results do come over time! Don’t feel down or give up if it takes a few months before you notice the positive effects of training your pelvic floor.
If you’re unsure of how to train your pelvic floor correctly, please visit our free online eLearning platform to view our video tutorial.3 - Drink responsibly
Certain types of drinks can have an impact on urine leakage. Drinks such as alcohol, coffee, tea and carbonated drinks (for example, lemonade etc) can irritate your bladder, so drink these in moderation. Be sure to reduce your alcohol intake, try decaffeinated drinks or replace tea and coffee with water. This will help to maintain a healthy bladder.4 - Talk more
The impact of urinary incontinence can be life-altering, often causing embarrassment, anxiety or depression – diminishing quality of life, preventing many from pursuing their normal activities.
Many people who experience urinary incontinence are ashamed and often don’t want to talk about it. It’s estimated that around 1 in 4 people experience some type of incontinence during their lifetime, so an issue affecting this many people should be normalised and discussed.
If you haven’t visited your doctor or a continence nurse about any incontinence issues you may be experiencing, let 2023 be the year! A professional healthcare practitioner can help provide understanding, help and support.
It’s important to remember that urinary incontinence is not an evitable part of aging and like many conditions, it is treatable.
We also recommend talking to your close friends and family for additional support and understanding.
Whilst investigation and treatment plans are explored, you may need to consider using an absorbent product. To learn more about our complete range of bladder weakness and incontinence products, click here.
Happy New Year!
- News
New! Attends Soft – Upgrades Throughout the Entire Range
27th October 2022
Attends Soft, our discreet and absorbent liners and pads for very light to heavy urinary incontinence, has gone through some updates on both the packaging and the top sheet. Read more about the products and what’s new below.For Sensitive SkinAttends Soft is our range of discreet absorbent liners and pads for bladder weakness – suitable for sensitive skin and shaped for discretion.
You might be familiar with the blue flower print on the surface of our Attends Soft 0 – 3+, however, this print has now been removed. Our super soft top sheet is now completely print free. The delicate Soft range is suitable for your sensitive skin and helps to maintain the skin’s natural pH-level. Furthermore, no lotion or fragrance has been added and our comfortably soft products provide a cotton-like feel against your skin.
See our entire Attends Soft range here.
Attends Soft 1 - 7 is also tested and approved by proderm Institute for Applied Dermatological Research. New Bag DesignThe bag for Attends Soft has also had a makeover, and along with consisting of a minimum of 30% recycled material, it has a more modern and fresh look. You can easily navigate the information provided on the bag with the easy-to-understand information bar on the front of the product.See all Soft productsWho Can Wear Attends Soft?The easy answer to that question is: everyone!
The products are designed for people with an active lifestyle and you can wear the products in your own close fitting underwear. Attends Soft comes in a wide variety of sizes, from our smallest panty liners in absorbency 0 to pads in absorbency 7, which can handle heavy urinary incontinence. The liners and pads stay in place when you are active, and the 100% breathable material helps you to feel comfortable whilst wearing the product. You can use Attends Soft both day and night to feel protected, comfortable and more confident.
TIPS! If you are looking for a pad to use during the night, we can also recommend Attends Lady Night – read more about our Lady Night pads that are specially designed for extra protection during the night here. Highly Renowned CertificationsWe are proud to say that Attends Soft 1 - 7 are certified with both the Nordic Swan Ecolabel and Oeko-Tex Standard 100.
Having the Nordic Swan Ecolabel on our Attends Soft product range means that they have amongst the lowest environmental impact within the relevant product group.
By having the Attends Soft 1 - 7 certified with the strictest Oeko-Tex certification available (Standard 100), you can be sure that all components of these products meet strict requirements and are harmless for human health.
Read more about these certifications here.Did you know Attends Soft can be worn by both women and men?
Attends Soft 2 - 7 is a unisex product that can be worn by both women and men. This is also stated on the front of the bags with a dual gender icon.
We are confident you will enjoy our upgraded Attends Soft range. If you have any questions about any of our product ranges, don’t hesitate to contact us.