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Medical help

If you don't feel that you are able to help-yourself, there is help available through the NHS.

Your GP is your access point to these services, talk to them about which treatment is suitable for you.

Supervised pelvic floor muscle training (PMFT)

If the self-help route isn't for you, professional help is available. Bear in mind, though, that if you have already made serious efforts on your own it might help to convince your GP that you need this specialist help.

You can find more information by clicking here.

Specialist help

There is a specialist incontinence nurse at many GP surgeries and many NHS trusts run incontinence services in your area. There is a womens health physiotherapist in most NHS trusts. Click here to find out more about NHS Incontinence Services or click here to search The Chartered Society of Physiotherapists' register of private womens health phyiotherapists.

Pelvic floor exercise devices

Your GP can prescribe a pelvic floor exercise device to you. The PelvicToner is available on prescription through your GP, click here to find out more or download a factsheet to take you your GP.


The NHS may offer you duloxetine for stress incontinence, if you are unsuitable for or want to avoid surgery. It is not suitable for everyone and has significant possible side effects.


Surgical options include attaching internal vaginal support device (or pessary) in a GP surgery to hold things up, or more complex remaking of the pelvic floor with implants or mesh.  There is a wide variety of options available.

Surgery should be seen as a treatment of last resort. There are inherent risks with all surgery and there have been a number of high profile stories about complications from this sort of surgery recently.

More about surgery ..

Don't wait!

Most importanly, don't put it off, act now! Whether you try self-help first, or seek help from medical professionals, don't put it off.

It is important to know that you are important enough for this to be done for you – women suffering quietly over many many years has created a taboo but for people to struggle without help is a very sad situation.

Time will not heal stress incontinence, it will make it worse!

NEXT - Self-help treatment


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