Urinary Incontinence & Overactive Bladder

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Urinary incontinence affects women of all ages, but particularly those in their childbearing years and older women. Approximately 20 million women suffer from urinary incontinence at some point in their lives. This condition can cause tremendous disruption in an individual’s life, along with emotional embarrassment from episodes of incontinence.

Overactive bladder is when you feel the frequent urge to urinate and many times can not make it to the bathroom in time, a problem which becomes more common as you age. Stress incontinence occurs when you leak after strain (such as with coughing, laughing, exercise, intercourse or lifting). The treatment for incontinence depends on the type of problem you have and what will best fit your lifestyle. The good news is there are a number of lifestyle changes that can be made to improve or prevent this condition.

Research has found that incontinence is related to obesity, smoking, sedentary lifestyle, poor diet and occupations that include chronic heavy lifting. Your diet should be carefully examined, since many foods can be irritants that stimulate an overactive bladder. These include spicy foods, corn sweetener, artificial sweeteners, caffeine, acidic juices (cranberry, orange and tomato) and fruits (apples, citrus, cantaloupes and grapes).

Strengthening your pelvic floor muscles is an important part of the treatment and prevention of urinary incontinence. Kegel exercises are, in simple terms, a physical workout for the pelvic floor and the least invasive way to treat stress incontinence. There’s no need to take time out of your day to perform these; they can effectively be done while at rest, for example while in the car or in the office. The muscles used in these exercises, however, can be hard to isolate, and the exercises may be counterproductive if not done correctly. Therefore, your Care Team may refer you to a physical therapist who specializes in pelvic floor disorders. Read more about Kegel exercises here.

Several revolutionary procedures have emerged over the past 15 years, including a relatively pain-free and minimally invasive procedure that offers outstanding results. The tension-free vaginal taping procedure, or TVT, involves placing a small meshlike tape through a vaginal incision and under the urethra like a sling. It is designed to provide support for a sagging urethra in order to eliminate accidental release of urine. It is an outpatient procedure and you can be back to work in 3-5 days.

It is very common if you have incontinence to develop poor voiding habits. The strong urge of an overactive bladder can lead to more frequent trips to the bathroom. As these habits become ingrained, they serve to increase your symptoms of incontinence. Fortunately, these bad bathroom habits can gradually become unlearned. Bladder drills such as emptying your bladder on a specific time schedule and resisting the urge to urinate are an important part of the treatment of overactive bladder. Medications can also help with this retraining process; a number of medications are now available that effectively treat overactive bladder and have minimal side effects.

One treatment for loss of bladder control is Botox, the same medication that is used for cosmetic procedures. Approved for the treatment of overactive bladder in 2013 by the FDA, Botox helps symptoms of urinary frequency, urgency, and urge incontinence. In a procedure which takes about 30 minutes in our Women First office, lidocaine is used to numb the bladder and then Botox is injected into the bladder using a cystoscope. Botox serves to relax the bladder muscle, which spasms in overactive bladder, and the effects typically last about six months. Once symptoms start to come back, you simply return for a repeat injection. Learn more about Botox.

Bladder testing may be recommended to evaluate urinary incontinence and determine the most appropriate course of treatment. Women First provides urodynamic testing in our office. Relatively painless, this procedure involves placing a catheter with numbing cream in the bladder, after which the bladder is slowly filled and the patient is asked to bear down. This test provides valuable information when surgical correction of incontinence is being considered.

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What People Are Saying

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Lauren Hayes
25 September 2026
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Ultrasound tech, Emma, was phenomenal! She was so compassionate and took her time to make our experience great. We really appreciate the care she took during our ultrasound.
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Sidney
12 August 2026
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Highly recommend! From the moment I walked in to the moment I walked out, my care was thoughtful, caring, and the furthest thing from feeling dismissed at a doctor’s office. Ellie did a wonderful job making me feel heard, comfortable and validate what I had been experiencing. For a first visit, I left feeling reassured and grateful that I chose this office.
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Charisa McMahon
21 July 2026
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I highly recommend Audrey Fenwick. She truly takes the time to listen and never makes me feel rushed during my appointments. I always feel like my concerns are heard and taken seriously. What I appreciate most is that she’s willing to explore different treatment options rather than taking a one-size-fits-all approach. She works with me until we find a plan that we’re both comfortable with, and I always leave feeling confident that I’ve received thoughtful, personalized care. It’s refreshing to have a healthcare provider who is knowledgeable, compassionate, and genuinely invested in helping her patients feel their best.
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Amy Curry
26 June 2026
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Dr. Shannon was a great provider during my last pregnancy with twins! She answered every question I had, kept me in the loop on all the clinical decisions and options I had available, and made me feel safe and heard during all of my interactions with her and her staff. All of the staff at Women’s first always took great care of me and my babies no matter what concern I had at the time.
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Rhonda Eichenberger
20 June 2026
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They are always all so nice and welcoming. I just love Brook McAfee, APRN, she is awesome!
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Robin
12 June 2026
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Dr Grider is the best Doctor. Very thorough, kind and personable!
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Cathy Carter
4 June 2026
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I cannot tell you how pleased I am with the services provided by Dr. Anne L. Oliphant and the staff at Women First of Louisville. Dr. Oliphant and staff exhibit outstanding professionalism, punctuality and courtesy. I highly recommend Dr. Oliphant based on the fact that she is an exceptionally skilled and compassionate physician who truly takes the time to listen to her patients. Throughout my appointments, she and the staff made me feel completely at ease. She thoroughly explained my diagnosis and patiently answered all my questions without ever making me feel rushed. I had to do bloodwork during my last appointment. The clinicians and staff were especially friendly and professional as well. Dr. Oliphant’s, and the staff’s, empathetic bedside manner and clear communication elicit standout medical providers in the specialized field of menopause medicine. I believe that Dr. Oliphant has really listened to my concerns and has taken the time to support my health journey. I highly recommend her and the staff to anyone seeking personalized and highly effective care.
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Nancy Nance
3 June 2026
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I have been a patient here for over 25 years. The best of care for any need I have had ! Simply the best !
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Kim Goff
12 May 2026
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The care I've received at Women First of Louisville has been outstanding for over 15 years. It is amazing that such a large practice can be so efficient, organized, and caring all at the same time. For my annual checkups, I am able to schedule my mammogram and provider visit together. Pre-check in means I simply sign in and within a minute or two I'm called for my mammogram. Another 2-5 minute wait and I'm with a friendly, knowledgeable technician who completes the mammogram with a smile and a caring attitude. In 10 minutes, I am back in the waiting area and immediately called back for vitals by another friendly professional assistant. Within 5-10 minutes I am in the exam room and my provider, Heather McLennan, arrives. Here is where the appointment is less about efficiency and more about the care she provides to me. Heather always takes the time to speak with me...asking questions about my life, my health and my concerns. These are not just a check list. She listens. She smiles. She looks me in the eyes and participates in a conversation with me that makes me feel like she cares and understands. Her exam is gentle but thorough. I often have a question about recent research or options and she gives me her honest opinion based on facts. I completely trust her and the other women in all aspects of this practice. **A few years ago I did have a less than stellar experience with an assistant who took my vitals. She was dismissive and sloppy and made me feel uncomfortable when I didn't understand her questions. After I shared this experience with the check out staff, the office manager called me the same day for details, an apology and guarantee that the practice would address this as a training issue that would hopefully correct it. I've not seen or heard anything like it since. I am 100% satisfied with the care I receive at Women First of Louisville. I highly recommend you consider them for your healthcare needs.
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Carly Garcia
11 May 2026
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Dr. Lauren Lewis is fabulous! She is extremely kind and patient, and she genuinely cares about those in her care. I felt very comfortable during my first appointment with her and have already recommended her to a friend!