Overactive bladder is a physical issue, but it has an impact on the rest of your life as well. Few people want to sit around and chat about their need to rush to the bathroom, though.
"A woman who's growing older sees men on television talking about erectile dysfunction, but not women sharing their stories about continence," says Linda Brubaker, MD. She's the director of female pelvic medicine and reconstructive surgery at Loyola University Health System.
Does your bladder nag you out of bed overnight? If you have to go to the bathroom more than once during 6-8 hours of Zzz's, you might have nocturia.
Your body may make too much urine, or your bladder can’t hold enough. Sometimes it's both.
There are many possible causes. Some need medical treatment, others you can manage on your own.
Because of the relative silence on the subject, it might seem you're alone -- but you aren't. And there is support for you.
Social and Relationship Challenges
"Especially as overactive bladder and other continence problems become more severe, they can be very distressing, embarrassing, and ultimately isolating," says Ross Rames, MD. He's an associate professor of urology at the Medical University of South Carolina.
People with OAB often don't want to be out in public because they're afraid they'll have to keep rushing to the bathroom. When you stay home, though, you miss out on things you enjoy doing, and being with friends and family. Instead of relieving your stress, you're building up more worry and frustration.
Limiting your activities can affect your physical health, too. "Women may stop going for walks because they're afraid to be that far from the bathroom," Brubaker says. "Or they may stop playing sports -- even 'grandma soccer' with the kids -- because they're afraid of leakage accidents. So their lives become more [inactive]." And that can lead to other health problems.
OAB can also make it tough to do your job. "Imagine if you're a schoolteacher and you have to stand up in front of a classroom of 4th-graders for an hour or more without a break," Rames says. What if you're an executive who has to make a long presentation, or a surgeon who can't just rush out to the bathroom in the middle of an operation? That's why it's so important to work with your doctor to control those sudden, strong urges to go.