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Overactive Bladder

An overactive bladder is a condition that causes a sudden and difficult-to-control urge to urinate, often accompanied by increased urinary frequency.

Commonality

Causes

Symptoms

Common symptoms include:

  • Frequent urination

  • Sudden urgency to urinate

  • Night-time urination (nocturia)

  • Urge incontinence

Effects on Fertility

Diagnosis

Assessment may include:

  • Medical history – discussion of symptoms, pregnancy history, previous surgery and lifestyle factors

  • Pelvic examination – helps assess pelvic floor strength and identify signs of prolapse

  • Urine testing – used to check for infection or bladder irritation

  • Pelvic imaging – helps assess the bladder and support of the pelvic organs

  • Urodynamic testing (in selected cases) – specialised bladder testing that evaluates how the bladder stores and releases urine

Treatments

Treatment options may include:

  • Bladder training

  • Lifestyle adjustments

  • Medication for overactive bladder

  • Pelvic floor physiotherapy

Ongoing Care

Living with the Condition

Overactive bladder can be distressing and may affect sleep, confidence, travel and social activities. Effective treatments are available and many women experience significant symptom improvement with appropriate management.

When to See a Specialist

You should seek specialist assessment if:

  • Urinary urgency is affecting daily life

  • You are urinating frequently during the day or night

  • Symptoms are affecting confidence or quality of life

  • Symptoms are worsening over time

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