Types of Incontinence in Women


Michael E. Platt, M.D.

There are basically two types of incontinence in women, a condition manifested by unwanted leakage of urine. 

The first type is called stress incontinence.  It is found in women who have lost muscle control around the urethra, and, as a result, experience unwanted urine leakage under stress. The most common factors creating this problem are the following: coughing, sneezing, laughing in public, and jumping type exercises. 

It can be found in women who have had three or more pregnancies – as well as women in menopause.  It is most often treated with medications such as Detrol or Ditropan, or a surgical approach involving lifting of the uterus or inserting a mesh in the vaginal walls.  None of these approaches are effective in most cases. 

My approach with this problem is the same way I have approached most problems – treat the cause whenever possible. In this case the problem is caused by weakened musculature around the urethra. Logically, wouldn’t it make sense to strengthen these muscles? With this in mind I have utilized an approach that has had almost a 100% success rate, namely utilizing natural, bio-identical testosterone cream inserted vaginally with an applicator once a day in the morning.  

The woman now has testosterone, a hormone that you cannot build muscles without, sitting right where she needs it. Two types of Kegel exercises are used – one while she urinates, utilizing a stop-start exercise. The other type is done throughout the day, clenching the same muscles for 10 to 15 seconds, 20 to 30 times per day. In most cases the incontinence is gone in 3 to 6 days.  Reminder: Both exercises must be utilized. 

More specific information can be obtained in my book, The Miracle of Bio-identical Hormones which is available from Amazon or from my website: www.plattwellness.com

The other type of incontinence is urgency incontinence. This is found in those women who when they have to go, they have to go. Failure to get to the toilet in time can result in leakage of urine.  In this case, the cause is not a weakened musculature. Instead, the cause is excess adrenaline. Most people have experienced an urge to urinate when they are nervous or anxious or about to jump in cold water. 

Some women have to urinate frequently but cannot go to the bathroom every 15 to 20 minutes. Instead, they hold it in keeping their bladder muscles tense and as a result can develop a devastating condition called chronic interstitial cystitis. These women have pain in the bladder 24 hours a day and severe burning when they urinate. 

The treatment of urgency incontinence, as well as interstitial cystitis, is to reduce adrenaline. This approach goes beyond what can be accomplished in this article. For healthcare practitioners who may be interested, I have written a manual about natural hormone replacement using my protocols.  It includes a chapter on how to reduce adrenaline. Information on obtaining the manual can be purchased by calling my office or emailing questions@plattwellness.com. 

As a matter of interest, bed-wetting in children is also caused by adrenaline. In addition, adrenaline is the most common reason why people have to get up at night to urinate. Any pediatric urologist will probably tell you that all children who are bed­wetters have ADHD. This is understandable because it is my contention that ADHD is all about adrenaline. 

It is amazing to me that women have allowed themselves to be subjected to incredibly poor medical care, which, in the case of synthetic estrogen has often been fatal. Now you have women in the Hollywood community, such as the mother of Kim Kardashian, advertising diapers for women. 

It’s bad enough that doctors have been prescribing drugs like Detrol and Ditropan, which are virtually useless medications for stress incontinence since this is not a bladder problem. Even worse, with the approval of the FDA, doctors have been inserting a vaginal mesh which has had horrific consequences for many women. 

However, the stupidity has not ended. There is a new movement being utilized, namely the injection of Botox into the bladder muscles. Let me repeat, stress incontinence is not a bladder problem. Who knows what results will occur when you inject botulinum toxin, a person, into bladder muscles to paralyze them. 

Important Note: All information is provided as opinion only and should not be construed as medical advice or instruction.  No action should be taken based solely on the contents of this information; instead, readers should consult appropriate health professionals on any matter relating to their health and well-being. 


Note: The e-book edition is available at no cost. Request a copy at questions@plattwellness.com


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