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Pelvic floor muscles, the vagina, and ligaments support your bladder (see figure 2).If these structures weaken, your bladder can move downward, pushing slightly out of the bottom of the pelvis toward the vagina.Millions of women experience involuntary loss of urine called urinary incontinence (UI).Some women may lose a few drops of urine while running or coughing.Urine loss can also occur during sexual activity and cause tremendous emotional distress. Pregnancy and childbirth, menopause, and the structure of the female urinary tract account for this difference. No single treatment works for everyone, but many women can find improvement without surgery.But both women and men can become incontinent from neurologic injury, birth defects, stroke, multiple sclerosis, and physical problems associated with aging. Incontinence occurs because of problems with muscles and nerves that help to hold or release urine.Specifically, the symptoms of overactive bladder include People with medical problems that interfere with thinking, moving, or communicating may have trouble reaching a toilet.A person with Alzheimer’s disease, for example, may not think well enough to plan a timely trip to a restroom.
Some medical conditions, such as hyperthyroidism and uncontrolled diabetes, can also lead to or worsen urge incontinence.
During urination, muscles in the wall of the bladder contract, forcing urine out of the bladder and into the urethra.