Why Peeing “Just a Little” When You Laugh Isn’t Normal (Even Postpartum)
- Dr. Letycia Ory, DPT
- May 20
- 1 min read
Let’s set the record straight: peeing when you laugh, sneeze, or jump is common - but it’s not normal. And no, it’s not just part of “mom life.” You deserve better than pads and embarrassment.
What Is Stress Urinary Incontinence (SUI)?
SUI is the involuntary leakage of urine during pressure changes like:
Laughing
Sneezing
Jumping
Lifting
It usually stems from core and pelvic floor dysfunction, not just weakness.
Why It Happens
Pelvic floor not engaging quickly enough to counter pressure
Poor coordination between breath, core, and pelvic floor
Postural changes from pregnancy or postpartum
Overactive muscles that can't contract fully when needed
According to a 2010 review in Neurourology and Urodynamics, pelvic floor muscle training is the first-line treatment for stress incontinence - and has better outcomes than surgery in mild-to-moderate cases.
Why It’s Not Normal
Normal means symptom-free function. Just because many women deal with it doesn’t make it acceptable - especially when treatment exists.
A 2021 study in BJOG found that women who received pelvic floor therapy postpartum had a significantly lower incidence of incontinence one year later.
What You Can Do
Get a pelvic floor assessment
Learn breath-to-core connection techniques
Identify whether you’re weak, tight, or uncoordinated
Start a personalized plan - not just random Kegels
Don’t settle for pads or crossed legs when you laugh. Peeing when you sneeze is a red flag, not a rite of passage. And yes - it can get better.
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