Leaking urine when you cough, sneeze, or laugh is common, but it is not something you have to live with. Urine leakage with coughing happens when the pelvic floor muscles are unable to generate enough support or close quickly enough around the urethra during a sudden increase in pressure, such as a cough or sneeze.

Knowing how to stop urine leakage when coughing starts with understanding what should happen in the body. When you cough, the pelvic floor muscles should automatically lift and gently close around the urethra to support the bladder. If these muscles are weak, lack endurance, or have poor timing and coordination, leakage can occur.

Pelvic floor physical therapy focuses on identifying the root cause of leakage. Treatment may include improving pelvic floor strength or relaxation, retraining coordination and breathing, and addressing contributing factors such as posture, constipation, or core control. With the right plan, many people are able to stop urine leakage when coughing and feel confident in their daily activities again.

Bladder leakage is common, but it isn’t normal. If you’re wondering what bladder leakage is a sign of, it may point to pelvic floor muscle dysfunction, poor pressure management, hormonal changes, or postpartum recovery needs. This blog explains the most common causes of urinary leakage, how the pelvic floor should function, and how pelvic floor physical therapy can help you regain bladder control and confidence.

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