Women can experience OAB before menopause, agrees Arthur Mourtzinos, M.D., a urologist with the Lahey Clinic Continence Center in Boston, who has treated female OAB patients ranging in age from 28-98.
In younger women, OAB can be a sign of a more serious condition, such as a neurologic disease (MS, spinal cord injuries), kidney stones, bladder infection or even a bladder tumor.
If you have overactive bladder symptoms at any age, get evaluated by a physician, say all the doctors we interviewed.
2. Myth or Fact? "Urge incontinence" and "stress incontinence" are the same as OAB.
Myth: With OAB, nerves surrounding the bladder send abnormal signals to urinate, even if your bladder isn't full. If you have the urge to pee more than eight times a day (or two or more times at night), you could have OAB and should see your doctor. You may leak, but that's not what defines the condition.
Urge incontinence, in which you leak after a strong feeling you need to go, can be a symptom of OAB. But it can also be caused by other medical conditions, such as diabetes, infection or stroke.
Stress incontinence – leaking when you cough, sneeze or do strenuous exercise like running – is another condition entirely. It's usually caused by an anatomical problem (such as weakness in the sphincter or pelvic muscles) rather than a nerve issue.
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