Why Are Women More Difficult to Hold Urination Than Men?

Why Are Women More Difficult to Hold Urination Than Men?

Why Are Women More Difficult to Hold Urination Than Men?


Why Are Women More Difficult to Hold Urination Than Men?

Problems with difficulty urinating, or also known as urinary incontinence, are common in many adults. But apparently, this condition is more common in women than men. What is the reason?

Why are women more difficult to hold urine than men?

Researchers suggest that the reason women have more difficulty holding urine may be based on a number of factors, ranging from age, pregnancy and childbirth, history of surgery, to certain diseases and neurological disorders.

In women who have just given birth, whether it is through normal labor or caesarean, changes in the pelvic muscles can weaken the other muscles around the bladder. When the bladder decides to urinate, the muscles around it should tighten. At the same time, the muscles around the urethra relax and urine is removed from the body. Well after giving birth, the pelvic muscles actually become relaxed so that urine can not be held back. The same thing basically happens to pregnant women. The content is getting heavier and pressing the bladder below makes it difficult for you to hold urine.

According to the New England Journal of Medicine, urinary incontinence is found in 10.1% of women who have never given birth, 15.9% in women who have had a caesarean section, and 21% occur in women who have had a normal delivery.

In general, urinary incontinence can be caused by many things, such as urinary tract infections, vaginal infections, irritation, constipation, and drugs that have side effects on the bladder muscle ability. The damage to the nerves that function to control urine can also affect your frequency to go back and forth to the restroom, for example Parkinson's disease.

Get to know more about the type of urinary incontinence

Urinary incontinence is divided into 3 types, namely stress urinary incontinence, urge urinary incontinence, and mixed urinary incontinence.

1. Stress urinary incontinence

Stress urinary incontinence is a condition that makes it difficult for a person to urinate because of pressure, such as coughing, laughing, sneezing, or exercising.

Urinary incontinence stress occurs because the ring muscles around the urethral opening (urethra) do not function properly. This is most often due to childbirth. Other causes are pelvic surgery or hysterectomy (surgical removal of the uterus). Then women who are overweight or obese can also experience stress urinary incontinence.

2. Urge incontinence urge

Urge urinary incontinence is a condition that causes a person to not urinate because of feeling dull or the urge to urinate. Urge incontinence often occurs in the elderly. This can be caused by excessive muscle work, nerve disease, or spinal cord injury.

The more frequent frequency or desire to urinate at night (nocturia) with small urine volume is a sign of overactive bladder with or without feeling dull or the desire to urinate. Overactive bladder can also occur in men and this incidence is more common in older age, which is as much as 16.7%.

3. Mixed urinary incontinence

This type is a mixed type between stress urinary incontinence and urge urinary incontinence.

How to overcome urinary incontinence?

Surely now you are wondering how to overcome the difficulty of holding back the urination. American College of Physicians (ACP) presents several recommendations for overcoming this problem based on your incontinence type. For these three types, weight loss is also good if you have excessive weight or obesity.

1. Stress urinary incontinence

For this type, all you have to do is consult your obstetrician for surgery to repair the pelvic wall muscle.

2. Urinary incontinence Urgency

For this type, you are recommended to do a bladder training where you will exercise to urinate. If bladder training is not successful, it is recommended to take medication from a doctor.

3. Mixed urinary incontinence

For this type, it's best to repair your pelvic wall muscles and bladder training.

Also Read:

  • Urinary Incontinence: When Adults Can't Hold Urination
  • 10 Causes of Frequent Midnight Urination
  • How many times urinate in a day that is considered healthy?


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