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Why Do I Leak After I Pee (Female)?

Published in Urinary Incontinence 3 mins read

You might be leaking urine after urinating because of several factors, including incomplete bladder emptying or tight pelvic floor muscles.

Here's a breakdown of potential causes:

  • Incomplete Bladder Emptying: Sometimes, the bladder doesn't fully empty when you urinate. This residual urine can leak out shortly after you're done.

  • Tight Pelvic Floor Muscles: Paradoxically, overly tight pelvic floor muscles can prevent complete bladder emptying. These muscles need to relax to allow the bladder to release all urine. If they are too tense, they may squeeze the bladder shut prematurely.

  • Urge Incontinence: This involves a sudden, strong urge to urinate, often leading to leakage before you can reach the toilet and potentially some leakage after.

  • Stress Incontinence: This occurs when pressure on the bladder (e.g., from coughing, sneezing, laughing, or exercising) causes leakage. This may manifest right after urination if the bladder wasn't fully emptied beforehand.

  • Overflow Incontinence: This happens when the bladder doesn't empty properly, leading to continuous dribbling or leakage. This could be due to a blockage or nerve damage.

What Can You Do?

Here are some things you can try:

  • Double Voiding: After you finish urinating, wait a few moments and then try to urinate again to see if you can empty your bladder more completely.

  • Pelvic Floor Exercises (Kegels): While overly tight pelvic floor muscles can be a problem, generally strengthening them can improve bladder control. However, it's crucial to learn how to relax your pelvic floor as well. Consult a physical therapist specializing in pelvic floor health.

  • Proper Posture: Ensure you're sitting correctly on the toilet, allowing your pelvic floor muscles to relax. A slightly rounded back and feet flat on the floor can help.

When to See a Doctor

It's important to consult a doctor if:

  • The leaking is frequent or bothersome.
  • You experience pain or burning during urination.
  • You have blood in your urine.
  • You have difficulty starting or stopping your urine stream.
  • The problem is significantly affecting your quality of life.

A doctor can properly diagnose the cause of your leaking and recommend appropriate treatment options, which may include medication, pelvic floor therapy, or other interventions.

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