If your female patient complains of incontinence during jarring activities such as when running/playing tennis or standing for long periods, advise her to try a large tampon (ie, the next size up from that which she normally uses) for those intervals. Often this is enough support to the anterior vaginal wall and pelvic floor to prevent incontinence.

If she finds this helps, she is a candidate for a vaginal pessary which can be left in place for up to 3 months.

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