What causes involuntary urine release during physical activity?Women of a certain age are familiar with that fear of a tiny tinkle accompanying a sneeze. It's embarrassing and unexpected, and it always seems to happen at the worst time. What causes involuntary urine release during physical activity? Female urinary stress incontinence is very common. It occurs after pregnancy or with age. The pelvic muscles that control urine flow and support the bladder can weaken, leading to the surprise droplets of urine. Laughing, sneezing, coughing, heavy lifting, and bending can all prompt the involuntary urine release. What can you do to treat this condition? Pelvic floor exercises will help strenghten and tone the muscles that are weakened. Consider a fluid schedule. You can limit the amounts and/or times of your fluid consumption. You may want to limit alcohol and caffeine. Improve your lifestyle. Lose any excess weight, stop smoking, and treat chronic symptoms that might contribute to the issue. Speak with your doctor. Dr. Karyn Eilber shares how to address female involuntary stress incontinence.