Treatment of overactive bladder and urge urinary incontinence in women

The reasons that contribute to a weakened bladder are varied. More often, this disease occurs in the fairer sex, and in adulthood and old age. This is largely due to physiological characteristics. Incontinence in itself is not a disease, but indicates certain pathological processes. Sometimes it is enough to simply eliminate the underlying disease to get rid of unpleasant symptoms. In any case, you should pay attention to the urinary system and begin strengthening weakened muscles.

What is urinary incontinence?

At its core, urinary incontinence is the act of involuntary urination from the urethra, which is not under conscious control. This problem is delicate for men and causes a large number of psychological problems , according to which, in the future, it becomes difficult to visit a doctor for treatment, and this aggravates the pathology.

The development of incontinence is possible both as an independent disease and as a manifestation of some other pathology in the body or changes associated with the aging process.

During pregnancy and menopause

Uncontrolled urination in women during menopause requires hormonal therapy and the use of relaxants. If this is precisely a lack of certain sex hormones, then taking synthetic drugs helps. But the reason may be hidden in the presence of polyps or a chronic infectious process, then other medications are recommended.

During pregnancy, treatment of incontinence with synthetic drugs is prescribed only in extreme cases. In this case, herbal-based medications are selected that will not have a negative effect on the fetus. Antispasmodics and decoctions of medicinal herbs and herbal infusions are usually recommended.

In men, the causes and treatment of urinary incontinence are determined by a urologist. For urolithiasis or prostatitis, appropriate medications are prescribed. After a period of exacerbation of the pathology, incontinence usually also goes away.

How can gymnastics help with this pathology?

Urination is a process controlled by consciousness and the work of the pelvic floor muscles is also largely related to the control of the higher parts of the central nervous system. When the muscles of the ureter are weakened or other pathologies occur, incontinence occurs , and to combat it, the Arnold Kegel technique is an excellent option for additional therapy. She helps men by working the muscles of the perineum and the man regains control over such an intimate process.

During charging, blood flow increases in the pelvic area, which allows you to more saturate the muscle tissue with the necessary elements. And this gives increased tone, elasticity and control over muscle tension. With improved tissue nutrition, acceleration of the transmission of nerve impulses is observed , that is, control from the central nervous system occurs without delays or obstacles.

Drug treatment

Medicines that strengthen the urinary system are prescribed in parallel with physiotherapeutic procedures, special exercises, diet and other treatment methods. Each product is used individually, as prescribed by a doctor, taking into account concomitant pathologies and the type of incontinence, as well as after a detailed study of the instructions for use.

Good results can be achieved by using Flavoxate, Propanthelin, Oxybutynin, which strengthen the muscular apparatus of the bladder, relieve and prevent spasms.

Uncontrolled urination caused by stress is treated with Duloxetine, Imipramine, Midodrine, Methoxamine, Ephedrine, Clenbuterol. These medications increase the tone and contractility of smooth muscles, but have numerous side effects.

In some cases, sedative pills, hormonal drugs (during menopause) and myotropic drugs are appropriate.

In severe cases, experts recommend an injection of botulinum toxin, which is a purified bacterial toxin. The drug acts on the nerve endings of a certain part of the muscular system of the organ, resulting in blocking the release of acetylcholine, which causes involuntary muscle contraction.

Paralysis or relaxation of the muscles that have been exposed to botulinum toxin occurs while other muscles continue to function normally. Thus, the problem of uncontrolled urination is solved. The injection is performed in a medical facility using local anesthesia. The effect is observed for 6-10 months.

In extreme cases, surgical intervention is possible:

cystoplasty, with which doctors increase the capacity of the bladder and reduce its instability;
Neuromodulation – results in continuous stimulation of the nerve. During surgery, a pulse generator and electrode are implanted, resulting in easier and more balanced urination.

electrophoresis;
ultrasound;
electrical stimulation of the bladder.

Treatment for a weak bladder in women can be carried out using an intravaginal device - a pessary. The product is made of silicone and prevents involuntary urination. The effect of the pessary depends on the type of pathology, clinical picture and individual characteristics of the body structure.

Pregnancy and childbirth can help women relax their bladder. This is a normal condition and usually goes away within a few weeks or months.

In men, bladder weakness can be caused by prostatitis or prostate adenoma, so the fight against these pathologies must be addressed first.

Impaired urination in a child, in most cases, is caused by impaired nervous regulation and should be treated only after consultation with a doctor.

How muscles are determined for future training

Before you start performing Kegel exercises for urinary incontinence, you need to determine which muscle you need to train. The search stage is part of the start of physical therapy , without which it is impossible to correctly perform Kegel exercises for the bladder.

The muscle you are looking for is the pubococcygeus and you can feel its localization using one of two methods, while the first has two options:

The simplest method is to search for a muscle when visiting the restroom for minor needs. The point is to purposefully interrupt the flow, and then restore and even strengthen it. At the same time, the same muscle will tense and relax, which you need to feel well and remember its location so as not to make mistakes in the future while charging.
Another adaptation of the same method - in free time, with an empty bladder, is performed as if trying to “squeeze” urine out of oneself, for which the desired muscle will again tense. For this option, you will first need to achieve a fully erect state and try to strain the muscles of the perineum, trying to make the penis seem to “bounce” or “quiver.” When the result is obtained, you just need to remember which muscle was tensed for it, it is the pubic-coccygeal muscle.

Applications

To make it easier for men and make the process more interesting, several smartphone applications have been released. They will help you monitor the regularity of classes and create a program. Time is calculated automatically, so you can fully concentrate on the sensations. As the muscles strengthen, the practitioner masters level by level. You can chat on the built-in forum and share your successes.

The bladder of an adult normally has a volume of about half a liter, but if necessary it can stretch a little. At the same time, the frequency of the urge to urinate increases. With diseases of the bladder, its volume may decrease.

If inflammation occurs, the need to urinate appears even with a small amount of urinary fluid. So, how can you strengthen your bladder so that you don’t need to run to the toilet often? First of all, it is necessary to find out the reasons for the decrease in the size of the organ and undergo the necessary treatment to help eliminate urinary disorders.

What to do before charging

Kegel gymnastics provides a preparatory stage, without which it is not possible to carry out exercises. It includes three points that are performed once and one before each workout.

Disposable preparation points:

Selecting a convenient place in the house. It should be comfortable for a man, so that no one will distract him during gymnastics, so that the space around him is free from furniture and any interior items that interfere with the exercises.
Choosing a gymnastics mat and towel. Yoga mats are best, but you can use anything similar instead. And you should have a towel in case you need to place it under your lower back for convenience.
Determining the location of the muscle. For this there are special techniques discussed earlier.

Before each lesson you must:

visiting the restroom to empty the bladder. After all, urine pressure will interfere with exercise, and it will do more harm than good to a man’s health.

Basic methods

Today there are products that help cope with bladder overactivity. This:

developing and maintaining a toileting schedule;
performing special exercises;
taking medications.

Attention! Only a doctor can develop the most effective treatment regimen and give valuable recommendations on strengthening the bladder muscles.

Of course, the first thing you need to do is create a schedule for going to the restroom, taking into account the characteristics and needs of a particular person. Therefore, some patients are recommended to visit the toilet every hour, and even in the absence of the urge, for others it is enough to leave only once every 2 hours, etc. Strict adherence to the developed schedule allows you to regain control of your bladder over time and cope with the problem of urinary incontinence.

Maintaining a urinary routine allows you to avoid embarrassment and gradually increase the intervals between visits to the restroom.

Important: if it is not always possible to run to the toilet at night, you should place a chamber pot near the bed.

Also, everyone who is faced with such a delicate problem should follow the following general recommendations:

give up spices and any diuretic drinks, in particular caffeine-containing drinks, alcohol, etc.;
reduce weight if the readings on the scale are far from ideal;
try not to drink anything 2 hours before bedtime;
each time you empty the bladder, you should try to remove the maximum amount of liquid from it, but not through effort, but by resuming the attempt to urinate a few seconds after the act of urination.

Set of exercises

Most often, when turning to a doctor with a question about how to strengthen the muscles of the bladder, he recommends doing. They help strengthen the muscles of the perineum, which are actually responsible for the ability to hold urine until the right moment. We present the most effective of them.

The muscles of the perineum, including the anus, tense and pull inward. You should stay in this position for at least 3 seconds. and relax. Repeat for a minute. Experts advise performing this exercise whenever possible, for example, while driving a car, standing in line, listening to reports at meetings, etc.
Having taken a position lying on your back, you need to alternately raise your straight legs up so that your leg forms a right angle with the floor. Then each leg is raised in turn so that there is an angle of 45°C between it and the floor. In the third pass, the left and right legs are raised approximately 30 cm from the floor. Each time you lift one leg or another, you should maintain this position for 5 seconds.
Having taken a position lying on your back with your knees bent, you should spread your knees all the way, while keeping your feet tightly pressed to each other. The ideal execution is to raise the knees so that they touch the floor. This position is maintained for 5 seconds.
Taking a sitting position on the floor with your legs extended forward, your hands are placed on your knees. Bend forward, running your palms along your legs, while trying to reach your toes. In the extreme position they are held for 5 seconds. Repeat 5 times.
Having taken a kneeling position, perform oblique squats so that you alternately sit on the right and then on the left of your legs. In extreme positions they are delayed for 5 seconds. Repeat 5 times.
Standing, perform bends, each time trying to touch the floor.
Stand near a chair, legs spread as far apart as possible. Perform 3 squats, while straining the pelvic floor muscles. Gradually the number of repetitions is increased to 10.
The ball is clamped between the thighs and try to walk around the room with it for 2-3 minutes.
Lying on your back, hold the ball between your knees, raise your pelvis and swing it from side to side 8 times.

Attention! With proper and regular exercise, you can increase the tone of the pelvic floor muscles at any age.

If you exercise regularly, you can completely get rid of mild incontinence.

Drug therapy

Exercise is an effective way to combat incontinence, but in order for bladder strengthening exercises to produce the expected results, they must be performed regularly and for a sufficiently long time. Therefore, in order to speed up the healing process, many patients are prescribed certain medications by doctors. Of course, the choice of specific drugs depends on what caused the problem. Consequently, each patient receives an individually selected list of medications that are suitable for him. Most often, patients are prescribed:

adrenergic agents;
antidepressants;
hormonal drugs, etc.

In rare cases, in order to strengthen the bladder, patients are given injections of botulinum toxin, which is essentially a neurotoxin. That is, this poison completely disables the nerve endings directly in the area where it was injected, which quickly solves the problem of urinary incontinence of a neurogenic nature.

Any medications, however, like folk remedies, can only be used with the permission of a doctor!

Traditional medicine can also give several recommendations on how to strengthen the bladder of a woman, child or man.

0.5 kg of wildflowers are dipped in 5 liters of boiling water and simmered over low heat for about 20 minutes. Leave for 1 hour. This remedy is suitable for preparing special hot baths that improve blood circulation in the pelvis. You can take them daily for half an hour. Of course, before adding the infusion to the water, it should be strained.
A handful of chamomile flowers, string or other herb is steamed in a small amount of hot water and, after the mixture has cooled to 36°C, poured into a bowl of warm water. Patients are recommended to perform sitz baths daily for 10 minutes.
For 3 weeks you need to drink tea made from St. John's wort, bearberry, knotweed and oak bark taken in equal quantities. 2 tbsp. l. This mixture is brewed in 1 liter of boiling water. The finished drink is drunk with meals, 1 cup three times a day.

The reasons for the development of pathologies of the urinary system are very diverse - from hypothermia to malignant neoplasms. But also an increase in the frequency of urination is due to changes in the human body due to age.

More often, this problem manifests itself in patients with prolapse of the bladder, which is associated with a decrease in muscle tone. Weakening of the pelvic floor and bladder muscles provokes involuntary loss of urine with slight pressure and tension in the abdominal wall - when sneezing, laughing, coughing. The causes of urinary incontinence of varying degrees, in addition to bladder disease, are other factors:

complicated childbirth;
consequences of cystitis;
change in the physiological position of internal organs;
menopause;
excessive physical activity;
hypothermia.

Also, after childbirth, the muscle tone of the urinary system may decrease. It takes some time for muscles to recover. You can speed up the process through special exercises and the use of medications.

How to do it correctly for incontinence

Kegel exercises for men with urinary incontinence must be performed in compliance with a number of rules.

This list includes:

During the entire exercise, breathing is calm, even and deep. There should be no holding of breath during tension or due to concentration;
exercises are performed with an empty bladder. This point is especially important to avoid the possibility of developing a pathology such as cystitis;
Charging is performed measuredly, every movement is smooth. Any sudden movements can cause injury;
duration of gymnastics – at least 15 minutes per day;
the participation of any muscles other than the pubococcygeus should be kept to a minimum;
Gymnastics is carried out with periodic changes in body position for maximum effectiveness.

Folk remedies

You can strengthen your bladder muscles faster by combining basic treatment with some folk remedies. The most commonly used:

sage;
yarrow;
plantain;
onion;
St. John's wort herb;
digitalis;
leaves of rowan, willow, ash, viburnum;
rose hip.

The preparation of medicines from herbal ingredients requires adherence to technique and dosage. Consuming too concentrated herbal decoctions or exceeding the recommended dose can lead to negative results and deterioration of bladder function.

Therapy with folk remedies is carried out after consultation with a doctor and under his supervision. How to prepare decoctions and infusions from plants:

10 g of dried yarrow inflorescences should be poured into a glass of clean water and brought to a boil. The decoction is infused for 60 minutes, and must be strained before use. You need to take this remedy three times a day, half a glass (100 g).
It is necessary to prepare dried leaves of the following plants: ash, rowan, elm, viburnum. Pour a tablespoon of the mixture into a liter of boiling water and leave to steep for a while. The product is taken chilled.
50 g of dried sage leaves are poured with a liter of hot water. Dosage regimen: 100 g (half a glass) after meals, three times a day.
The following remedy is prepared in one go - the peeled half of the onion is dried, finely chopped, poured into hot boiled water, and mixed thoroughly. The infusion should be drunk at one time.
Plantain tea. Unlike previous recipes, fresh leaves are used here. So, one sheet is poured with boiling water (200 g) and left for 60 minutes.

Too frequent need to urinate introduces significant adjustments to the daily routine, which can interfere with the usual rhythm of life. Weak bladder muscles can interfere with sports training, meetings in the office, and travel on public transport.

To avoid having to get up to go to the toilet in the middle of the night, it is recommended to eat a tablespoon of honey before bed, which helps relax the muscle fibers of the bladder.

To reduce the discomfort from symptoms of a weak bladder, experts strongly recommend following several recommendations:

reduce physical activity;
clothing should be light and comfortable;
maintain water balance - you need to drink filtered water or herbal teas throughout the day;
the lower back and legs should be kept warm and not exposed to hypothermia;
use urological pads to eliminate the unpleasant odor of urine and retain moisture.

During treatment, the bladder gradually becomes stronger, and the frequency of urges decreases. In this case, you can begin training to increase the time intervals between urinations. But you shouldn't wait too long. At first, 5 minutes is enough, gradually this period increases, which significantly strengthens the bladder and its tissues.

Kegel exercise to strengthen a man's bladder

In order for the Kegel exercise to strengthen the urinary tract for men to give the expected result, it is necessary to perform it correctly. However, given the variety of exercises developed by the professor, the correct choice of the exercise itself is first of all important.

Here is the complex method:

Initially, the man stands with his feet shoulder-width apart, his palms resting on his buttocks. He makes circular movements with his pelvis, so that the body does not deviate and the back remains straight. While “outlining” each circle, you need to strain the pubic-coccygeus muscle as much as possible.
A man should lie on his stomach, bend one leg at the knee and alternate tension and relaxation of the intimate muscle, as if trying to push something out of the body. Then similar actions are carried out with the second bent leg.
To do the exercise, a man sits on the floor and crosses his legs. In this position, you need to contract and direct the muscles of the perineum back, forward, up and down. During movements, keep your back straight and breathe freely.

Strengthening the pelvic floor muscles

To solve such a delicate problem as involuntary urination, it is important to think not only about how to strengthen the muscles of the bladder, but also the muscle tissue of the pelvic floor. The following exercise options have an excellent strengthening effect that increases the tone of muscle tissue:

To begin, you should sit on the floor, stretching out your legs and pressing them firmly against a hard surface. Next, you should lift each leg one by one, trying to pull it towards your stomach. To strengthen and increase the load, you can perform this exercise at an accelerated pace.
To quickly strengthen your muscles, you can also use the following exercise: lying on the floor, you should hold a small, fairly dense ball between your knees, and then pull your legs with the ball towards your stomach. You should train in this way slowly, tensing the muscle tissue of the perineum.
There is another option for training with a ball: you should hold the ball between your knees while in a standing position. Without releasing the ball and straining the muscle tissue of the perineum, you should walk around the room for at least five minutes.

To obtain faster results, it is recommended to train the muscles of the perineum daily between sessions of the main gymnastic complexes. To do this, while in a sitting position, you should tense and relax the muscle tissue of the anus and perineum. This measure will help get rid of involuntary urination for a short period of time.

Common Mistakes

At first glance, it seems that performing Kegel exercises for urinary incontinence is quite simple, but there are a number of mistakes that men make quite often and because of this they do not get the desired result.

These errors include:

using the technique of determining muscle localization as the main exercise in all gymnastics or as the only one. Such actions can lead to increased external pressure on the prostate gland, which will negatively affect its functioning;
performing muscle contractions in only one position, most often lying down. This option makes the exercises easier to perform and less tiring, but at the same time it sharply reduces the effectiveness;
breaks in training. An important aspect is the daily implementation of a set of exercises. If a man takes breaks or forgets to do gymnastics, even if he gets the effect, it will be much later than he originally should have.

From the history of the Kegel technique

In 1947, a doctor with extensive long-term practice invented and patented the “Perineometer”. This simple device made it possible to objectively determine the resistance force of the perineal muscles and restore their contractile function during its use both in clinical and at home conditions.

And in 1952, Arnold Kegel developed and patented a system of exercises for training the pelvic muscles, which increased the efficiency of using the perineometer. In Russia, Dr. Bubnovsky began conducting classes using the Kegel method.

The training system combined with the use of the device has proven its effectiveness in a short period of time. Performing exercises daily with the device inserted into the perineum for just an hour allowed us to achieve tangible results without causing side effects. In the women tested, symptoms of incontinence disappeared, the usual rhythm of life was restored, and social and family adaptation improved. This made it possible to continue research and improve the simplest device.

Contraindications

Exercises for men and children with urinary incontinence have their own contraindications.

These include:

the presence of an inflammatory process affecting the organs of the genitourinary system, occurring in the peak phase;
chronic cardiovascular pathology of any origin, which is in the acute phase;
the final stage of prolapse of organs located in the pelvis;
pathology of any kind related to the oncological profile and localized in the pelvic area;
recent perineal trauma or surgery affecting this area.

It is extremely important to exclude all these contraindications before treatment with gymnastics is started, and without visiting a doctor this is impossible

General instructions for performing gymnastics

The attractiveness of the Kegel technique is that the exercises can be performed both in a clinical setting and at home. Training is permitted in the absence of any specific pathologies:

tumors;
diseases of the heart and blood vessels;
diseases of the genitourinary system in acute form;
recently performed operations.

General and acupressure massage (method proposed by a Tibetan monk) will help increase the effect of gymnastic exercises and bring tangible benefits. Before starting classes, you need to check your health.

Pregnant women should start exercising from the first weeks of conception. You need to start with 20-30 exercises, gradually and very carefully increasing the load and intensity of exercise. In the postpartum period, training should be carried out no earlier than 6-8 weeks after birth.

What treatment methods complement gymnastics?

Gymnastics is not the only possible treatment option for incontinence in men; it is only one of the physiotherapeutic procedures used. And along with it, drug therapy is used (alpha blockers, 5-alpha reductase blockers, psychotropic drugs, anticholinergic drugs, antispasmodics or tricyclic antidepressants are prescribed).

Along with this, other types of physiotherapy can be used, which are individually selected for the patient at the discretion of the attending physician. And if conservative treatment is not effective, gymnastics can be an addition to the recovery period after surgical therapy.

If a man pays attention to the problem in a timely manner and begins Kegel exercises to strengthen the bladder in combination with taking medications prescribed by a doctor, he will quickly recover. The main thing is not to put off visiting a specialist out of embarrassment , since only he can help you create the most correct set of physical activities and complete drug therapy.

Recommendations

A weak bladder in men requires a variety of treatments, including medications and exercises. There is another option. It involves going to the toilet twice with a short interval. If you urinated the first time, then after a few minutes go to the toilet again. This will completely empty your bladder.

It is quite convenient to go to the restroom on a schedule. If you don't urinate for a very long time, you risk urinary incontinence. You can't wait more than four hours. On average, you need to urinate every three hours.

We discussed above how to strengthen the walls of a man’s bladder. But we must not forget about the amount of liquid we drink. It is very important to drink in moderation. Then you can maintain your health and not worry about where the toilet is in public places.

The norms depend on the person’s weight. For men, it does not exceed three liters, including not only drinks, but also any liquid food. You can determine whether your body has enough water or not by the color of your urine. The lighter it is, the better. This means you are drinking enough and are not in danger of dehydration.

Complex for men

Kegel exercises for men make it easy and quick to improve your health. To do this, you should perform a set of three exercises. They help restore well-being during enuresis (incontinence), prostatitis, after removal of prostate adenoma (cancer), as well as after radical prostatectomy (removal of an organ). The main thing is to understand the principle of execution, master the technique and focus on training. Classes should be carried out twice a day: in the morning, after waking up, and in the evening - before going to bed.

Having mastered the skills, the exercises can be performed at work, in transport (the training is invisible to others), and in line.

Slow contractions. Performed similarly to the exercise from the basic complex for women. The position is arbitrary (lying, sitting, standing).

Muscle contraction step by step. Slightly squeeze the pelvic muscles, holding the tension, increase the force and hold again. Repeat until maximum muscle tension. Relax and repeat the exercise a few more times.

Quick cuts. Performed similarly to the second exercise from the basic complex.

Numerous reviews of Kegel exercises for men indicate the effectiveness of this method, its simplicity and accessibility.

What happens if you don’t strengthen your intimate muscles?

People spend a lot of time, effort and financial resources on maintaining their health and strengthening the muscular frame of their body. However, many of them forget about one very important muscle group - the intimate muscle group. Outwardly invisible, they, like a hammock, firmly hold all the internal organs, preventing them from changing their position.

Intimate muscles weakened by age or disease cease to perform their functions and cause harm to the body, contributing to prolapse or prolapse of the uterus, bladder, rectum and even a loop of the small intestine. Over time, other unpleasant symptoms begin to appear in the form of urinary (less often fecal) incontinence and pain in the pelvic area. Cystitis, urethritis, pyelonephritis and other inflammatory diseases often develop, often becoming chronic.

Women of reproductive age have problems with conception and delivery, and difficulties with bearing a fetus. And after the birth of a child, difficulties develop in the intimate sphere of relationships, and sexual life fades away.

Kegel exercises help you avoid all these problems, restore lost or weakened health and improve the quality of your daily and sexual life.

Complex for women

The training program includes three different sets of exercises for girls and women:

basic, which is shown to everyone;
for pregnant;
in the postpartum period.

The basic system consists of alternating slow and fast contractions.

Slow compressions are performed in a lying position. The muscles should be squeezed for 6-8 seconds, then relaxed for 10 seconds. Repeat the exercise 5-15 times.

Fast contractions are performed at an accelerated pace (no more than a second for each compression). After this, relax the muscles for 10 seconds. Perform 5-15 times.

Training can be repeated up to five times a day. During classes, it is important to learn to distinguish the work of the vaginal muscles from the work of the muscles of the anus, buttocks, and abdomen.

During pregnancy

Proper preparation for labor is the key to the health of the baby and his mother. Therefore, during pregnancy it is important to perform a set of Kegel exercises:

“Slow squeezes” to strengthen muscle fibers. The full exercise cycle includes 10 approaches, each of which consists of 5 compressions.

“Pose of a woman in labor” (lying on your back, legs bent at the knees, arms extended along the body). Squeeze the vaginal muscles for 10 seconds, then relax. After taking a couple of breaths, repeat the exercise.

"Rough seas." Alternate squeezing the muscles of the vagina and anus. The cycle includes 5-6 wave-like movements. It is necessary to repeat up to 5 cycles.

"Posture during childbirth." The exercise is performed while kneeling (as if she is about to give birth), with the body and arms resting on a sofa or fitball. Tighten the muscles of the anus, while protruding the muscles of the vagina. Hold the state for 2-4 seconds, relax and repeat another 5-10 approaches.

After childbirth

Restoration of the original state of the female body occurs in the first six months after childbirth. It is during this period that there is a high risk of prolapse of the uterus, kidneys, urethra, and other organs. For prevention and recovery, a set of exercises is prescribed, which can be effectively combined with breathing exercises.

If the birth process went without complications, and the birth was natural, you can start classes already in the maternity hospital.

The gymnastic complex should be performed in a lying position. To strengthen the pelvic muscles and improve blood flow, the vaginal muscles should be pulled in and tightened, figuratively interrupting the flow of urine. Stay in this position for 5 seconds, then relax the muscles. Repeat the exercise 6-10 times (depending on how you feel).

To strengthen your abs, you need to place your hands under your chest, inhale air, inflating your sternum. The abdominal muscles are not involved in the process. Slowly exhale air through your mouth, drawing in your stomach.

Perform two physical exercises included in the basic complex.

To strengthen the muscles of the buttocks and pelvis, lie on your back with your knees bent. Inhale through your nose, gradually inflating your stomach. Tighten the muscles of the buttocks and abs, and fix them in this position for 5-7 seconds. After 5 seconds of relaxation, repeat 5-15 times.

What causes problems with urination?

Before starting treatment or trying to somehow solve this problem, you should find out exactly the reason why it arose.
What is the algorithm for a healthy bladder? Urine fills a healthy bladder until it overflows. When this happens, special receptors located in the wall of the bladder send a signal to the brain. As a result, we feel some pressure in the lower abdomen. After urination has occurred, the bladder contracts, and the nerves responsible for contracting the muscles and sphincter, the muscles of its walls, help it in this. If at least one of these components is not able to cope with its task, problems with urination begin to arise.

As a result of decreased tone of the bladder sphincter, involuntary discharge of urine may occur during coughing, when lifting heavy objects, when laughing, etc. Here we can already talk about urinary incontinence. This is very often observed in women during menopause. This is due to changes in a woman’s hormonal levels.