Women’s Urinary Incontinence: How to Cope with Medication Side Effects

by GeneralGeneral Urinary IncontinenceUrinary IncontinenceWomen's Healthcare

Medication is one of the foremost conservative therapies for treating women’s urinary incontinence, and yet the number of women who will actually take–and keep taking–medication for their urinary incontinence is shockingly low. Many women will start on medication but fail to continue taking it.

This is surprising since medication has been shown to be an effective form of therapy for women’s urinary incontinence. For instance, in cases of urinary urgency, antimuscarinic medication is effective in reducing wetting accidents by about two-thirds. That is quite a high rate of success for a conservative therapy!

So why don’t more women keep taking medication for their urinary incontinence? Two reasons: lack of initial effectiveness and side effects.

Why Medication Doesn’t Always “Work” for Women’s Urinary  Incontinence
The first and most immediate reason women fail to keep taking medication for their urinary incontinence is because they feel that the medication “doesn’t work.” It turns out that these women are somewhat justified in their feelings. For most women with urinary incontinence, medication can often significantly improve symptoms, but most often will not completely “cure” urinary leakage. Most women will experience a significant reduction of urinary leakage accidents, but only when the appropriate medication is taken.

If you have decided to work with your doctor to find a medication to alleviate your urinary incontinence symptoms, know that the first–or even second–type of medication you try may not prove immediately effective. You and your doctor may need to experiment with a number of different medications before you find one that produces noticeable reductions in your urinary leakage and urinary urgency symptoms. Knowing this ahead of time will allow you to be patient during the “trial and error” process.

In addition, since medication alone does not usually produce a strong enough effect, you may work with your doctor to create a customized conservative therapy plan that combines a number of types of therapy. For instance, many women find success in combining medication with weight loss, pelvic floor retraining, bladder retraining, and/or diet modification. Be patient … and persevere!

Coping with the Side Effects of Medication for Women’s Urinary Incontinence
The second reason that women stop taking medications for urinary incontinence, even if the medications prove effective, is because the side effects outweigh the benefits. The most common side effects from medications prescribed for women’s urinary incontinence include:

  • dry mouth
  • drowsiness
  • skin irritation from gels or patches

Dry mouth is the most common side effect from these medications. Fortunately, with a little planning you can alleviate this side effect. Try sucking on sugar free candies, rinsing your mouth, chewing sugar-free gum, or taking small sips of water to lessen the feeling of dryness. You can also try spraying your mouth with over-the-counter forms of “artificial saliva.” Do not drink a large amount of water, as this may worsen your urinary incontinence symptoms.

With medications that cause drowsiness, try taking your medication dose at night. The medication will help you sleep, and may actually decrease nighttime urinary urgency (nocturia). If you experience skin irritation with patches and gels, try changing the location where the patch or gel is applied. If all else fails, change to the oral form of the medication.

By knowing and planning for the side effects of medication, you can actually prevent most side effects–or at least alleviate them enough so that the medication can be effective without becoming an irritant. As always, work with your doctor. Don’t be afraid to raise the issue of side effects, ask questions about prescribed medications, or ask for a different medication if your current medication isn’t working as well as you would like. Your doctor can’t help you unless he or she knows what is working for you and what isn’t. Be your own best health advocate and keep working with conservative therapies until you find a “recipe” that is right for you and your urinary incontinence symptoms!

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Women’s Urinary Incontinence: What Does Your Heath Insurance Cover?

by GeneralGeneral Urinary IncontinenceWomen's Healthcare

When you get that giant packet of coverage information in the mail from your health insurance company, do you roll your eyes and stuff the entire packet into the back of some file drawer? If so, then you are among the majority! While much of the information in the packet is important, wading through all of those pages when you need just one specific bit of information isn’t easy. In fact, tracking down coverage information can be downright frustrating!

But guess what? If you suffer from women’s urinary incontinence you may actually want to spend the time and effort to find out what your health insurance covers.

The High Cost of Women’s Urinary Incontinence
Did you know that a woman with urinary incontinence in the U.S. spends an average of more than $1,000 per year doing extra laundry and buying disposable pads or diapers? This number is only an estimate because women’s urinary incontinence tops the list as one of the “most embarrassing” topics women refuse to discuss with their doctors–or anyone else, for that matter! Other estimates put the figure as high as $1,500 per year. Plus, this figure doesn’t even include the cost of other products, such as special wipes, creams, deodorants, and plastic bags (for carrying around soiled clothing).

The fact of the matter is that most women with urinary incontinence have never sat down with their checkbook and calculator to total up the financial cost of “coping” with their condition on their own. They would be shocked if they did. In addition, few add up the social costs associated with this condition, which can include a shrinking social life, lack of exercise and sex, and the hyper-vigilance of looking for bathrooms all over town.

What Does Your Health Insurance Cover for Women’s Urinary Incontinence?
If you don’t know that answer to this question, and have been coping with your urinary incontinence on your own, the time is right to get some information from your health insurance company. If digging through all that paperwork seems like too much work (and it can be!) then simply pick up the phone and call your insurance company. Most companies are more than happy to look up the information you need. You might be surprised at how much coverage you actually have. Many insurance companies will cover some or all of the cost of:

  • absorbent pads or adult diapers
  • one or more appointments with your family doctor
  •  one or more appointments with specialists such as urologists or ob/gyns
  • medication for urinary incontinence
  •  medical tests associated with urinary incontinence
  • several visits to a physical therapist specializing in women’s pelvic health
  • catheters
  • surgeries for urinary incontinence or pelvic organ prolapse

That’s a pretty long list! If you have good health insurance coverage, there’s really no need for you to pay the entire cost of coping with your condition–that’s why you have insurance. However, for your insurance company to help you financially, you will almost certainly need to get a specific medical diagnosis of your condition from a healthcare practitioner approved by your insurance company. What a great excuse to call your doctor!

We know … talking about urinary incontinence with your doctor (or anyone else) can be embarrassing. But isn’t a little embarrassment worth it if you can get the financial and medical help you need to cope with, decrease, or even eliminate your symptoms of urinary incontinence? From the stories that we have heard from our women patients with urinary incontinence, the trade off is definitely worth it!

When it comes to getting help from your health insurance company and doctor for your women’s urinary incontinence, follow Nike’s slogan: “Just do it!”

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