Dr. Barbara Montford, President of the Dade County Medical Association, says the best way to do kegel exercises is when you are having sex and you do not want your partner to penetrate you quickly, you contract the vaginal muscles, the pelvic floor muscles. She points out it is important that you isolate the muscles, by not contracting your thigh muscles and your abdominal muscles too.
Dr. Barbara Montford, President of the Dade County Medical Association, explains incontinence can happen because of a failure to store, where the bladder is the container and you are not able to store the urine. She says this is because the bladder muscle is just not strong enough, or the surrounding musculature is not strong enough. She points out the importance of the the levator muscles in the pelvic floor, which control passage of gas and urine.
Pregnancy, childbirth, menopause, aging, urinary tract infection, stool build-up, being overweight, nerve damage, and overactive bladder are predisposing factors of incontinence in women. Dr. Barbara Montford, President of the Dade County Medical Association, says estrogen plays a role in the strength of the pelvic wall in terms of the elasticity of the urethra and the surrounding musculature. She points out as women age, the estrogen level drops and they lose the natural playability.
Dr. Barbara Montford, President of the Dade County Medical Association, says female incontinence occurs when you do not have enough support in your pelvic floor and you have a leaky urethra, it also can happen to patients who have had strokes or multiple sclerosis, and who have problems in terms of obstruction to the flow. She explains urination is a controlled effort, in which the bladder has to fill passively and once you get a critical point where the capacity of the bladder has been reached, then the muscles need to squeeze in order to eliminate the urine.
Dr. Barbara Montford, President of the Dade County Medical Association, says incontinence can lead to social isolation. "You can have women who are so wet that they really are housebound. They don't want to go out in the community, they feel they smell like urine." She explains with the stress urinary incontinence, you want people to be active, but they don't want to be active if every time they move around they are wetting their pants. Incontinence can be socially isolating and changing condition for patients.