Urinary leaks can be a delicate subject, especially when it comes to their increase during periods. Many women experience this discomfort without daring to talk about it; however, understanding the underlying mechanisms as well as possible solutions can greatly alleviate this burden. Explore with us how the menstrual cycle and hormones influence incontinence, as well as practical tips for coping with it.
The hormones and their role in menstrual incontinence
It all begins during the second phase of the menstrual cycle, after ovulation, with the increase in the production of progesterone. This hormone tends to relax certain muscles, particularly those of the perineum and the sphincters. These muscles, which are important for supporting the bladder and the urethra, can become less toned and lead to urinary leaks. Understanding this hormonal dynamic is fundamental for better grasping the sensations of urgency and the small losses observed during this period.
An increased intensity just before the period
It is fascinating to note that the level of progesterone peaks just before the onset of the period, which coincides with an intensification of urinary leaks. As one enters the menstrual cycle, the tone of the perineal muscles increases, and leakage problems generally lessen, often disappearing before the end of menstruation.
Effort-related leaks: a peculiarity during periods
The urinary leaks observed during the cycle may also resemble stress urinary incontinence. In this case, leaks occur when the body is subjected to exertion, whether it be laughing, sneezing, or engaging in physical activity. This is primarily related to the increased pressure exerted on the bladder, combined with a weakness of the pelvic floor muscles.
The different forms of urinary incontinence
Since every woman may experience this situation differently, there are other types of incontinence that deserve attention. Urge incontinence is characterized by urgent and uncontrollable urges to urinate, often related to issues that may arise during menopause or after several childbirths. Other women may suffer from mixed incontinence, which presents a combination of both forms. In this case, a urodynamic assessment can help evaluate the situation.
How to mitigate urinary leaks during periods

There are several approaches to consider for managing this discomfort. Consulting a healthcare professional is a wise initiative to discuss solutions that can range from perineal rehabilitation sessions with a physiotherapist to the use of hormonal contraceptives aimed at reducing progesterone production. Creams containing estrogens and accessories like Kegel balls can also help strengthen the perineum while reducing leaks.
Suitable protections for comfort
For women facing menstrual incontinence, wearing suitable protections is essential. Urinary pads such as panty liners or absorbent underwear can be valuable allies for experiencing this period without apprehension.
Menstrual incontinence is a serious issue that affects many women, but understanding the mechanisms and recognizing the solutions available allows for better management of this condition. Personally, I have also faced this reality: after having children, I found myself confronting unforeseen situations. Thanks to a better understanding of my body and the guidance of experts, I was able to alleviate these inconveniences. Listening to myself and choosing suitable protections transformed my experience, allowing me to live this period with more serenity. It is by sharing these experiences that we can all contribute to breaking this taboo and encourage other women to feel less alone in this struggle.