#asktheexpert I suffer from intermittent urination

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Accepted Answer

Postpartum intermittent urination, or difficulty with urination after childbirth, can be caused by various factors such as hormonal changes, trauma from childbirth, or temporary nerve damage. Here are some steps you can take to address this issue:

1. **Stay hydrated**: Drink plenty of water to help maintain urinary tract health and prevent dehydration, which can exacerbate urinary symptoms.

2. **Pelvic floor exercises**: Perform pelvic floor exercises, also known as Kegel exercises, to help strengthen the muscles that control urination and support the pelvic organs. These exercises can help improve bladder control and alleviate urinary symptoms.

3. **Rest and recovery**: Give your body time to heal and recover from childbirth. Avoid activities that may put strain on your pelvic floor muscles, such as heavy lifting or high-impact exercise, until you feel ready.

4. **Empty your bladder completely**: Make sure to empty your bladder completely each time you urinate to reduce the risk of urinary retention and urinary tract infections. Take your time and try to relax the pelvic floor muscles to ensure thorough emptying.

5. **Urinate on a schedule**: Try to establish a regular schedule for urination, even if you don't feel the urge to go. This can help train your bladder to empty more efficiently and reduce the frequency of intermittent urination.

6. **Avoid constipation**: Straining during bowel movements can put pressure on the pelvic floor muscles and exacerbate urinary symptoms. Eat a high-fiber diet, stay hydrated, and consider using stool softeners if needed to prevent constipation.

7. **Seek medical evaluation**: If you're experiencing persistent or bothersome urinary symptoms, such as difficulty emptying the bladder, frequent urination, or urinary leakage, consult with your healthcare provider. They can evaluate your symptoms, rule out any underlying medical conditions, and recommend appropriate treatment options.

8. **Consider pelvic floor physical therapy**: If pelvic floor dysfunction is suspected, your healthcare provider may refer you to a pelvic floor physical therapist for specialized evaluation and treatment. Pelvic floor physical therapy can help address muscle weakness, tension, or coordination issues that may contribute to urinary symptoms.

9. **Practice self-care**: Take care of yourself both physically and emotionally during the postpartum period. Get plenty of rest, eat a nutritious diet, and seek support from friends, family, or a healthcare provider if you're feeling overwhelmed or stressed.

Remember that postpartum intermittent urination is a common issue for many women after childbirth, and it's important to be patient and gentle with yourself as you recover. With time, most women experience improvement in urinary symptoms as their bodies heal and adjust to the changes of childbirth. If you have any concerns or questions about your postpartum recovery, don't hesitate to reach out to your healthcare provider for guidance and support.