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Pelvic floor: incontinence is common – and very treatable

A few drops when jumping, coughing or lifting heavy weights – very few people talk about it, including many athletes. Yet it is common, and the first treatment is well researched.

Updated: September 2026

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Athletes are affected too

A large 2026 analysis of 32 studies with more than 4,600 athletes aged 18 to 45 found that frequency did not differ clearly between sports – not even between sports with and without jumping. It was most clearly linked to training volume: each additional hour per week raised the likelihood by about 6%.

What helps: pelvic floor training

A 2018 Cochrane review states that targeted pelvic floor muscle training can cure or improve urinary incontinence, both leakage under strain and other forms. The authors see it as part of first-line treatment.

A further Cochrane review from 2024 confirms: the International Consultation on Incontinence recommends pelvic floor training as first-line therapy. Whether it is supervised individually or in a group probably makes little difference to quality of life. Targeted, repeated contractions of the pelvic floor did slightly better than indirect training.

Pregnancy and afterwards

Targeted pelvic floor training early in pregnancy can help prevent later incontinence in women without symptoms. As a general programme for everyone after birth its effect is uncertain; if you have symptoms, individual guidance tends to help more than a standard programme.

⚠️ Leaking urine is not something you have to accept, even if you are young and sporty. Raise it with your gynaecologist and ask about supervised pelvic floor training.

Sources

  1. Domínguez-Pérez, N., Sevilla-Arrabal, I., Navarro-Brazález, B. et al. (2026): Urinary Incontinence in Women Athletes: Umbrella Review and Meta-analysis of Sport-Related Factors. Sports Medicine 56(9), 2185–2208. View source
  2. Dumoulin, C., Cacciari, L. P. & Hay-Smith, E. J. C. (2018): Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 10, CD005654. View source
  3. Hay-Smith, E. J. C., Starzec-Proserpio, M., Moller, B. et al. (2024): Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database of Systematic Reviews 12, CD009508. View source
  4. Woodley, S. J., Lawrenson, P., Boyle, R. et al. (2020): Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews 5, CD007471. View source

The complete list of sources is in the app under Help & FAQ.

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