6 Causes of Incontinence You Need to Know About

Woman in plaid dress holding small white flowers behind her back outdoors related to causes of incontinence awareness

Disclaimer: This article is for general information only. It is not medical advice, diagnosis or treatment. If you have symptoms of incontinence or concerns about your health, consult a qualified healthcare professional. Bodyotics products are wellness products and are not medical devices.

Urinary incontinence is still treated as a taboo subject, and it affects an enormous number of women — frequently cited figures put it at roughly one in three at some point in life, though estimates vary by definition and study. It is also not confined to older age. Knowing the different types, and what tends to cause them, is the first step to talking about it at all.

1. Stress incontinence

Leakage caused by physical pressure on the bladder — coughing, sneezing, laughing, exercise. It happens when the pelvic floor or sphincter muscles are weakened and bladder flow is harder to control. Pregnancy, childbirth and ordinary muscle changes are the usual associations.

2. Urge incontinence

Also called overactive bladder: a sudden, intense need to urinate that is difficult to control, often with more frequent trips including at night. Causes vary and can include bladder irritation, inflammation or neurological changes.

3. Overflow incontinence

The bladder does not empty fully, producing small unexpected leaks, sometimes without any prior urge. More common in men, but women experience it too — from blockages, prolapse or nerve damage.

4. Functional incontinence

Knowing you need to urinate but not being able to get there in time. Usually linked to something else: arthritis, limited mobility, or cognitive changes such as dementia.

5. Mixed incontinence

More than one type at once — most often stress and urge together.

6. Life factors that raise the likelihood

  • Pregnancy and childbirth. Hormonal change, extra weight and the physical process of labour can stretch and weaken the pelvic floor.
  • Menopause. Lower oestrogen reduces elasticity in the bladder and urethra.
  • Age. Muscle changes happen.
  • Hysterectomy. Pelvic floor muscles can be affected during surgery.
  • Neurological conditions. Stroke, Parkinson's disease or multiple sclerosis can affect bladder function.

Supporting pelvic floor wellness

Incontinence can feel isolating. Gentle changes — mindful fluid intake, bladder training, pelvic floor exercises — are things people commonly try, and Kegel exercises in particular are simple and discreet. None of it substitutes for an assessment: which type you have determines what actually helps, and that is a clinician's call rather than an article's.

Final thoughts

This is far more common than most people realise. Understanding the types and causes is a useful start; getting assessed is the step that changes anything.

If you want to work on pelvic floor awareness. The Bodyotics kegel weights are six graduated weights, 50 g to 130 g, with a step-by-step guide. A wellness product rather than a treatment for incontinence — which type you have determines what helps, so get assessed first. Explore the kegel weights →