The physical effects of overactive bladder are noticeable, but the emotional impact is often overlooked. Individuals may avoid activities like road trips, playing sports, or visiting loved ones due to their self-consciousness about leaking or frequent restroom breaks.
“People begin to organize their lives around managing their bladder,” explains Dr. Aqsa Khan, a urologist at the Mayo Clinic in Phoenix, AZ.
Even in the comfort of their own homes, individuals with OAB can experience stress in simple social interactions. Dr. Khan shares the story of a 50-year-old woman who accidentally urinated while conversing with her neighbor in the yard and had to cover it up by turning on the garden hose.
The loss of control can be devastating, leading to feelings of being infantilized and reminiscent of wearing diapers, according to Dr. Khan.
Intimacy can also be impacted by OAB, prompting individuals to avoid sexual activity for fear of leakage, which can result in relationship issues. Dr. Lenore Ackerman, the research director for UCLA Health’s Division of Female Pelvic Medicine and Reconstructive Surgery, highlights the challenges faced by couples, especially when starting new relationships.
The lack of quality sleep due to OAB can have significant effects on overall well-being, including cognitive issues and a higher risk of depression.
Shame and self-blame can be barriers to seeking help, but OAB is more common than perceived. Ackerman encourages open conversations about OAB to reduce stigma and promote seeking long-term treatments.
Physicians like Dr. Sevann Helo from the Mayo Clinic emphasize the importance of seeking treatment for OAB to regain control and improve quality of life. With proper care and persistence, individuals of all ages can manage and retrain their bladder.