This is a very common question women ask of their doctors. Urinary leakage with activity or cough is common but not a normal state of being.
With stress urinary incontinence, urine leaves the bladder unexpectedly at the time of a cough, sneeze, laugh, jump, etc. This happens because the strength of the bladder outlet — the urethra, is weaker and no longer is able to keep the outlet closed during the increase in pressure on the bladder. Weakening of the urethra can be caused by loss of strength of the supporting Old ladies peeing known as the pelvic floor muscles.
These are the same ones that you squeeze when trying to keep urine from passing. This connective tissue acts like a strong hammock that keeps the urethra and bladder in the best position.
When the pelvic floor muscles become weak or the hammock support loses its strength, stress leakage can occur. First of all, whether to do something or is up to the woman who is experiencing the leakage. For some women, an infrequent small leak of urine is not bothersome, and does not feel worth the effort of intervening.
However, this leakage indicates that the door is weak, and some women may wish to be proactive and try to avoid any worsening of the problem.
Preventative strategies could include strengthening the muscles of the pelvic floor with Kegel exercises. It could also include avoiding unnecessary strain to the pelvic floor support tissues the hammock.