The Bespoke Experts
Why Do I Leak When I Laugh or Sneeze? Understanding Stress Urinary IncontinenceWhy Do I Leak When I Laugh or Sneeze? Understanding Stress Urinary Incontinence

Why Do I Leak When I Laugh or Sneeze? Understanding Stress Urinary Incontinence

July 3, 2025
by
Bespoke Rx
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You laugh. You sneeze. You leak. If that sounds familiar, you may be one of the millions of women experiencing stress urinary incontinence (SUI)—a condition that’s common, often dismissed, and almost always disruptive to everyday life.

What Is Stress Urinary Incontinence?

Stress urinary incontinence is the involuntary leakage of urine during physical activities that increase abdominal pressure, such as laughing, sneezing, coughing, or exercising. It’s not about emotional stress—it’s about mechanical stress on the bladder and surrounding muscles.

SUI is typically caused by a weakening of the pelvic floor muscles and connective tissues that support the bladder and urethra. These structures may lose strength due to:

  • Vaginal childbirth
  • Menopause and estrogen decline
  • Aging
  • Obesity
  • Chronic coughing or straining
  • High-impact activities over time

When those muscles can’t fully support the bladder or close the urethra tightly, leaks happen—often at the worst moments.

Why It’s So Common—and So Misunderstood

Many women assume leaking is just a natural part of aging or motherhood. In fact, some even joke about it with phrases like, “I can’t jump on a trampoline anymore!” But behind the humor is real frustration—and often shame.

Left untreated, SUI can lead to:

  • Social withdrawal or embarrassment
  • Decreased interest in physical activities
  • Avoidance of sex or intimacy
  • Anxiety around travel or long outings

The emotional toll of urinary incontinence is real. But so are the solutions.

What You Might Be Trying (And Why It’s Not Enough)

Some women double up on pads or liners. Others limit fluid intake, avoid certain exercises, or plan life around the nearest bathroom. While these strategies may help manage symptoms, they don’t solve the underlying issue.

Over-the-counter products may offer convenience, but they mask a treatable problem. And without pelvic floor strengthening or therapeutic intervention, symptoms often worsen over time.

Real Solutions: Reclaiming Control with a Whole-Body Approach

The first step to treating SUI is understanding your unique anatomy and lifestyle factors. A pelvic health provider can evaluate muscle tone, bladder function, and tissue health to tailor an approach that works.

Evidence-based solutions include:

  • Pelvic floor physical therapy: Guided exercises to strengthen and coordinate the muscles that support bladder control.
  • Behavioral changes: Bladder training, weight management, and posture adjustments.
  • EmpowerRF: A non-surgical treatment that uses radiofrequency energy and electrical muscle stimulation to restore pelvic floor function, improve tissue elasticity, and enhance urethral support.

EmpowerRF is particularly promising for women who want a discreet, in-office solution that doesn’t involve hormones or downtime.

What to Expect from EmpowerRF

During the procedure, gentle energy is delivered to the vaginal canal and surrounding tissue to:

  • Stimulate collagen production
  • Improve circulation
  • Strengthen weakened muscles
  • Restore bladder support

Most women report improvement within weeks, with optimal results developing over several sessions. Treatments are comfortable, quick, and tailored to your specific symptoms.

Give Yourself Permission to Get Help

SUI isn’t just about bladder control—it’s about how you move through the world. You shouldn’t have to cross your legs when you sneeze or scan every room for the nearest restroom. You deserve freedom from the fear of leaks.

Getting help doesn’t mean something is wrong with you. It means you’re ready to feel like yourself again—confident, dry, and in control.

Next Steps 

If you’re experiencing stress urinary incontinence, start with a conversation. EmpowerRF and other pelvic health interventions offer real hope, but it begins with awareness and action.

Urinary leakage is common, but it’s not your destiny. You can laugh, sneeze, and live fully—without the leak.

*Photos copyright 2020 by Bespoke Rx. All rights reserved. Videos used only with patient permission. Individual results may vary.
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