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Urinary Incontinence in Women
Topic Overview
What is urinary incontinence?
Urinary incontinence is the accidental release of urine. It can happen when you cough, laugh, sneeze, or jog. Or you may have a sudden need to go to the bathroom but can't get there in time. Bladder control problems are very common, especially among older adults. They usually don't cause major health problems, but they can be embarrassing.
Incontinence can be a short-term problem caused by a urinary tract infection, a medicine, or constipation. It gets better when you treat the problem that is causing it. But this topic focuses on ongoing urinary incontinence.
There are two main kinds of urinary incontinence. Some women—especially older women—have both.
- Stress incontinence occurs when you sneeze, cough, laugh, jog, or do other things that put pressure on your bladder. It is the most common type of bladder control problem in women.
- Urge incontinence happens when you have a strong need to urinate but can't reach the toilet in time. This can happen even when your bladder is holding only a small amount of urine. Some women may have no warning before they accidentally leak urine. Other women may leak urine when they drink water or when they hear or touch running water. Overactive bladder is a kind of urge incontinence. But not everyone with overactive bladder leaks urine.
What causes urinary incontinence?
Bladder control problems may be caused by:
- Weak muscles in the lower urinary tract.
- Problems or damage either in the urinary tract or in the nerves that control urination.
Stress incontinence can be caused by childbirth, weight gain, or other conditions that stretch the pelvic floor muscles. When these muscles can't support your bladder properly, the bladder drops down and pushes against the vagina. You can't tighten the muscles that close off the urethra. So urine may leak because of the extra pressure on the bladder when you cough, sneeze, laugh, exercise, or do other activities.
Urge incontinence is caused by an overactive bladder muscle that pushes urine out of the bladder. It may be caused by irritation of the bladder, emotional stress, or brain conditions such as Parkinson's disease or stroke. Many times doctors don't know what causes it.
What are the symptoms?
The main symptom is the accidental release of urine.
- If you have stress incontinence, you may leak a small to medium amount of urine when you cough, sneeze, laugh, exercise, or do similar things.
- If you have urge incontinence, you may feel a sudden urge to urinate and the need to urinate often. With this type of bladder control problem, you may leak a larger amount of urine that can soak your clothes or run down your legs.
- If you have mixed incontinence, you may have symptoms of both problems.
How is urinary incontinence diagnosed?
Your doctor will ask about what and how much you drink. He or she will also ask how often and how much you urinate and leak. It may help to keep track of these things using a bladder diary for 3 or 4 days before you see your doctor.
Your doctor will examine you and may do some simple tests to look for the cause of your bladder control problem. If your doctor thinks it may be caused by more than one problem, you will likely have more tests.
How is it treated?
Treatments are different for each person. They depend on the type of incontinence you have and how much it affects your life. After your doctor knows what has caused the incontinence, your treatment may include exercises, bladder training, medicines, a pessary, or a combination of these. Some women may need surgery.
There are also some things you can do at home. In many cases, these lifestyle changes can be enough to control incontinence.
- Cut back on caffeine drinks, such as coffee and tea. Also cut back on fizzy drinks like soda pop. And don't drink more than one alcohol drink a day.
- Eat foods high in fiber to help avoid constipation.
- Don't smoke. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good.
- Stay at a healthy weight.
- Try simple pelvic-floor exercises like Kegel exercises.
- Go to the bathroom at several set times each day, and wear clothes that you can remove easily. Make your path to the bathroom as clear and quick as you can.
- Keep track of your symptoms and any leaking of urine with a bladder diary. This can help you and your doctor find the best treatment for you.
If you have symptoms of urinary incontinence, don't be embarrassed to tell your doctor. Most people can be helped or cured.
How can you prevent urinary incontinence?
Strengthening your pelvic muscles with Kegel exercises may lower your risk for incontinence.
If you smoke, try to quit. Quitting may make you cough less, which may help with incontinence.
Health Tools
Health Tools help you make wise health decisions or take action to improve your health.
Stress incontinence
Stress incontinence is caused by conditions that stretch the pelvic floor muscles, such as:
- Childbirth.
- Weight gain.
When these muscles can't support your bladder well, the bladder drops down and pushes against the vagina. Then you can't tighten the muscles that usually close off the urethra. So urine may leak because of the extra pressure on the bladder when you cough, sneeze, laugh, exercise, or do other activities.
This is the most common type of urinary incontinence in women.
A chronic cough from smoking can make stress incontinence worse.
Urge incontinence
Urge incontinence is caused when the bladder muscle involuntarily contracts and pushes urine out of the bladder. Many times doctors don't know what causes this. But sometimes the cause is:
- Irritation of the bladder.
- Emotional stress.
- Brain conditions such as Parkinson's disease or stroke.
Overactive bladder is a kind of urge incontinence. But not everyone with overactive bladder leaks urine. For more information, see the topic Overactive Bladder.
Other types of incontinence
Less common types of urinary incontinence have other causes. These types include:
- Overflow incontinence.
- Total incontinence.
- Functional incontinence.
- Anatomical incontinence.
The main symptom of urinary incontinence is a problem controlling urination.
- Symptoms of stress incontinence:
- Involuntary release of urine, especially when you cough, sneeze, or laugh
- Leaking a small to moderate amount of urine
- Symptoms of urge incontinence:
- Frequent and sudden uncontrollable need to urinate
- May leak a moderate to large amount of urine, although a small amount is possible
It is common for a woman to have symptoms of both types of incontinence. This is called mixed incontinence.
What Happens
Urinary incontinence usually starts gradually and slowly becomes worse. As it gets worse, a woman may:
- Avoid going out in public because of embarrassment.
- Become less active.
- Have physical problems caused by frequent urine contact. These problems may include irritation of the groin area and more frequent urinary tract infections.
Treating the cause of incontinence often gets rid of or controls these problems.
Some bladder problems are temporary. For example, you may have a urinary tract infection that causes incontinence, but the problem goes away after the infection is cured.
What Increases Your Risk
Sometimes several things combine to cause urinary incontinence. For example, a woman may have had multiple childbirths, be older, and have a severe cough because of chronic bronchitis or smoking. All of these might contribute to her incontinence problem.
Physical conditions that make urinary incontinence more likely include:
- Pregnancy and vaginal delivery.
- Having had a hysterectomy.
- Obesity or being overweight.
- Older age.
- Bladder stones.
- Structural abnormalities of the urinary tract.
- Blockage of the bladder.
- Chronic bladder infections.
Diseases and conditions that may cause urinary incontinence include:
- Chronic cough due to smoking or bronchitis.
- Pelvic organ prolapse.
- Diabetes.
- Parkinson's disease.
- Alzheimer's disease.
- Multiple sclerosis.
- Bladder cancer.
- Stroke.
- Spinal cord injury.
Medicines and foods that may make urinary incontinence worse include:
- Caffeinated and carbonated drinks, such as coffee, tea, and soda pop.
- Alcohol drinks.
- Prescription medicines that increase urine production (such as diuretics) or relax the bladder (such as anticholinergics and antidepressants).
- Smoking.
When should you call your doctor?
Call your doctor if:
- You have urinary incontinence that begins suddenly. This is called acute incontinence. It is often caused by urinary tract problems or medicines and can be easily corrected.
- The involuntary release of urine is enough of a problem that you need to wear an absorbent pad, or if incontinence interferes with your life in any way.
Don't be embarrassed to discuss urinary incontinence with your doctor. Urinary incontinence is not an inevitable result of aging. Most women with incontinence can be helped or cured.
Watchful waiting
If you have urinary incontinence that develops slowly, you may be able to control the problem yourself. If home treatment is not effective, or if incontinence interferes with your lifestyle, ask your doctor about other treatments.
Who to see
Health professionals who can diagnose and treat urinary incontinence include:
- Family medicine doctors.
- Physician assistants.
- Nurse practitioners.
- Obstetricians/gynecologists(OB/GYN).
- Urologists.
Your health professional may want you to see a urogynecologist.
If you need surgery, it is important to find a surgeon who is experienced in the types of surgical procedures used to treat incontinence.
Exams and Tests
To diagnose the cause of your urinary incontinence, your doctor will ask about your medical history and do a physical exam. It may be easier for you to answer questions if you keep a bladder diary( What is a PDF document? ) for 3 or 4 days before you see your doctor.
To check for stress incontinence, your doctor may ask you to cough while you are standing.
Your doctor may also order these tests:
- Bladder stress test and Bonney test
- Pad test, which can help show how much urine is leaking. You are given an absorbent pad that has been weighed. You wear the pad until urine leaks, and then you return the pad to be weighed again. The increased weight of the pad gives an estimate of how much urine leaked.
- Urinalysis and urine culture
Urodynamic testing
Urodynamic testing is expensive. It is typically done only if surgery is being considered or if treatment has not worked for you and you need to know more about the cause. It provides a more advanced way to check bladder function.
The actual tests done in urodynamic testing often vary. They may include:
- Cystometry, a series of tests to measure bladder pressure at different levels of fullness.
- Postvoid residual (PVR) measurements, which measure the amount of urine that stays in your bladder after you urinate.
- X-rays or ultrasound. These are used to examine changes in the position of the bladder and urethra during urination, coughing, or straining.
If the cause of incontinence is not identified by the above tests, more extensive tests may be needed.
Treatment Overview
Urinary incontinence isn't an inevitable result of aging. Most women who have it can be helped or cured.
The best treatment depends on the cause of your incontinence and your personal preferences. Treatments include:
- Behavioral training, such as bladder training and timed urination. For more information, see Other Treatment.
- Lifestyle changes and pelvic floor (Kegel) exercises. For more information, see Home Treatment.
- Medicines. For more information, see Medications.
- Medical devices. For more information, see Other Treatment.
- Surgery. For more information, see Surgery.
Behavioral training, exercises and lifestyle changes, and medicines are usually tried first. If the problem does not get better, your doctor may try another treatment or do more tests.
When there is more than one cause for incontinence, the most significant cause is treated first, followed by treatment for the secondary cause, if needed.
You may reduce your chances for urinary incontinence by:
- Doing pelvic floor (Kegel) exercises to strengthen your pelvic muscles.
- Staying at a healthy weight. For more information, see the topic Weight Management.
- Quitting smoking. Smoking causes coughing, which can make it harder to control your urine. Quitting smoking relieves coughing. For more information, see the topic Quitting Smoking.
Home Treatment
If you have urinary incontinence, you can take some steps on your own that may stop or reduce the problem.
- Set a schedule of urinating every 2 to 4 hours, regardless of whether you feel the need.
- Talk with your doctor about all prescription and nonprescription medicines you take. Find out if any of them may be making your incontinence worse.
- Use a bladder diary( What is a PDF document? ) to keep track of your symptoms and any leaking of urine. Your diary can help you and your doctor find the best treatment for you.
- If you have trouble reaching the bathroom before you urinate, try making a clearer, quicker path to the bathroom and wearing clothes that are easily removed (such as those with elastic waistbands or Velcro closures). Or keep a bedpan close to your bed or chair.
- Wear a tampon while doing activities such as jogging or dancing to put a little pressure on your urethra and to temporarily slow or stop leakage. Or you may want to try to prevent leaks with a product like Poise Impressa, which you insert like a tampon.
Pelvic floor (Kegel) exercises can help women who have any type of urinary incontinence.footnote 1 These exercises are especially useful for stress incontinence. But they may also help urge incontinence.
Lifestyle changes
Losing weight often helps stress incontinence. Remember that effective weight-loss programs depend on a combination of diet and exercise.
To learn more, see:
Sometimes making lifestyle changes can help with urge incontinence. Try to identify any foods that might irritate your bladder—including citrus fruits, chocolate, tomatoes, vinegars, dairy products, aspartame, and spicy foods—and cut back on them. Also, avoid alcohol and caffeine.
If you smoke, try to quit. This may reduce coughing, which may reduce your problem with incontinence. For more information, see the topic Quitting Smoking.
Take steps to avoid constipation:
- Include fruits, vegetables, beans, and whole grains in your diet each day. These foods are high in fiber.
- Drink plenty of fluids, enough so that your urine is light yellow or clear like water.
- Get some exercise every day. Try to do moderate activity at least 2½ hours a week. Or try to do vigorous activity at least 1¼ hours a week. It's fine to be active in blocks of 10 minutes or more throughout your day and week.
- Take a fiber supplement, such as Citrucel or Metamucil, every day if needed. Read and follow all instructions on the label.
- Schedule time each day for a bowel movement. Having a daily routine may help. Take your time and don't strain when having a bowel movement.
Not all forms of urinary incontinence are treated with medicines. In many cases, treatment with behavioral methods (bladder training, timed urination) and Kegel exercises are tried before medicines. These treatments, when combined with medicine, may help some women more than either treatment alone.
Medicines used to treat urge incontinence in women may include:
- Anticholinergic and antispasmodic medicines, such as darifenacin, mirabegron, and oxybutynin. These calm the nerves that control bladder muscles and increase bladder capacity.
- Vaginal estrogen.
- Botox (botulinum toxin).
There are several different kinds of surgeries to correct stress incontinence, which occurs when weakened pelvic floor muscles allow the bladder neck and urethra to drop. These surgeries seek to lift the urethra, the bladder, or both into the normal position. This makes sneezing, coughing, and laughing less likely to make urine leak from the bladder.
If other treatments (like pelvic floor muscle exercises) haven't worked to control your incontinence, surgery may be your best option. What kind of surgery you have depends on your preference, your health, and your doctor's experience.
Mixed incontinence means you have both stress incontinence and urge incontinence. Surgery may help women who have mixed incontinence. If surgery works to reduce the stress symptoms, often the urge symptoms cause less bother.
Surgery choices
Other Treatment
Other types of treatment for urinary incontinence include:
- Behavioral methods. These are often the first thing to try. They often work well. They include:
- Bladder training (also called bladder retraining). This is used to treat urge incontinence. With bladder training, you slowly increase how long you can wait before having to urinate by trying to delay urination after you get the urge to go.
- Biofeedback. This is a technique for learning to control a body function that is not normally under conscious control. It is usually used to teach pelvic floor muscle exercises.
- Pelvic floor muscle exercises (Kegels). Kegel exercises can help strengthen some of the muscles that control the flow of urine. These exercises are used to treat urge or stress incontinence.
- Acupuncture. There isn't a lot of evidence for how well acupuncture works for urinary incontinence. In one study, comparing bladder-specific acupuncture to sham acupuncture, both groups had less incontinence. But the group with bladder-specific acupuncture didn't have as many episodes of urgency.footnote 2
- Mechanical devices, such as a pessary.
- Absorbent products, such as diapers.
Before trying behavioral methods or exercise for urinary incontinence, ask your doctor the following questions:
- Is behavioral or exercise therapy alone likely to restore bladder control? Mild to moderate cases of common types of incontinence can be cured or greatly improved by these methods.
- How long should I try behavioral or exercise techniques before I consider surgery or other treatment methods? Techniques like Kegel exercises don't limit future treatment options (and they may even improve the odds of success for other treatments). So it is best to set a length of time after which the improvement can be evaluated.
- Can I use exercises or behavioral methods along with medicine if medicine treatment is recommended? It may be possible to take medicine for a shorter time or to reduce the amount of medicines used if other methods of treatment are combined with medicine.
- Dumoulin C, Hay-Smith J (2010). Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews (1).
- Emmons SL, Otto L (2005). Acupuncture for overactive bladder. Obstetrics and Gynecology, 106(1): 138–143.
Other Works Consulted
- Barber MD, et al. (2008). Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence. Obstetrics and Gynecology, 111(3): 611–621.
- Garley AD, Noor N (2014). Diagnosis and surgical treatment of stress urinary incontinence. Obstetrics and Gynecology, 124(5): 1011–1027. DOI: 10.1097/AOG.0000000000000514. Accessed August 17, 2015.
- Hartmann KE, et al. (2009). Treatment of Overactive Bladder in Women. Evidence Report/Technology Assessment No. 187 (AHRQ Publication No. 09-E017). Available online: http://www.ahrq.gov/clinic/tp/bladdertp.htm.
- Kirchin V, et al. (2012). Urethral injection therapy for urinary incontinence in women. Cochrane Database of Systematic Reviews (2).
- Naumann M, et al. (2008). Assessment: Botulinum neurotoxin in the treatment of autonomic disorders and pain (an evidence-based review): Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology, 70(19): 1707–1714.
- Shamliyan TA, et al. (2008). Systematic review: Randomized, controlled trials of nonsurgical treatments for urinary incontinence in women. Annals of Internal Medicine, 148(6): 1–15.
- Sung VW, et al. (2007). Comparison of retropubic vs transobturator approach to midurethral slings: A systematic review. American Journal of Obstetrics and Gynecology, 197(1): 3–11.
- Tanagho EA, et al. (2008). Urinary incontinence. In EA Tanagho, JW McAninch, eds., Smith's General Urology, 17th ed., pp. 473–489. New York: McGraw-Hill Medical.
- Waetjen LE, et al. (2008). Factors associated with worsening and improving urinary incontinence across the menopausal transition. Obstetrics and Gynecology, 111(3): 667–677.
Current as of: February 19, 2019
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD – Internal Medicine & Adam Husney MD – Family Medicine & Kathleen Romito MD – Family Medicine & Avery L. Seifert MD – Urology
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.


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Officials in Cambridge, Mass., have urged the family of deceased Boston Marathon bombings suspect Tamerlan Tsarnaev not to ask that he be buried in a city-owned cemetery. Meanwhile, at least four private cemeteries in the area have already turned down such a request.
From Boston, WBUR's Deborah Becker tells our Newscast Desk that Cambridge City Manager Bob Healy issued a statement over the weekend. In it, as The Boston Globe reports, he says that "the difficult and stressful efforts of the residents of the City of Cambridge to return to a peaceful life, would be adversely impacted by the turmoil, protests and wide spread media presence at such an interment. The families of loved ones interred in the Cambridge Cemetery also deserve to have their deceased family members rest in peace."
Cremation is not an option for Tsarnaev's Muslim family.
Three people were killed and more than 250 people were wounded April 15 when two bombs exploded near the marathon's finish line. On April 18, authorities say, Tsarnaev and his 19-year-old brother, Dzhokhar, were responsible for the shooting death of a MIT police officer on the Cambridge school's campus. In the early hours of April 19, according to investigators, they engaged in a gun battle with police in Watertown, Mass. Tamerlan Tsarnaev, 26, died from the gunshot wounds and blunt trauma he sustained during that firefight. Dzhokhar Tsarnaev was captured later that day in Watertown.
According to The Associated Press, the funeral director who has been holding Tsarnaev's body says he will now seek help from the commonwealth of Massachusetts.
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Copyright 2021 NPR. To see more, visit https://www.npr.org.


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Burial of the dead at the Battle of Wounded Knee, S.D.
- Title: Burial of the dead at the Battle of Wounded Knee, S.D.
- Creator(s): Trager and Kuhn, photographer
- Date Created/Published: [not before 29 December 1890]
- Medium: 1 photograph : print ; sheet 15 x 21 cm, mount 23 x 28 cm.
- Summary: Photograph shows U.S. Army soldiers watching while Native American Lakota people killed by the U.S. Army in the Wounded Knee Massacre on December 29, 1890, are buried in a mass grave.
- Reproduction Number: LC-DIG-ds-14867 (digital file from original) LC-USZ62-44458 (b&w film copy neg.)
- Rights Advisory:
No known restrictions on publication.
- Call Number: LOT 11347 [item] [P&P]
- Repository: Library of Congress Prints and Photographs Division Washington, D.C. 20540 USA https://hdl.loc.gov/loc.pnp/pp.print
- Notes:
- Title transcribed from item text written by the photographer on the original photo.
- Photographer: Trager and Kuhn, Northwestern Photo Co., Chadron, Neb. (copyright claimant). Photo copyrighted January 17, 1891.
- Historical terminology in a collection description might include negative stereotypes and words considered offensive that also provide context for the document's creation. For questions or comments about this material, contact Prints & Photographs Division staff through our Ask a Librarian service at https://ask.loc.gov/prints-photographs/.
- Subjects:
- United States.--Army--People--South Dakota--Wounded Knee--1890-1900.
- Wounded Knee Massacre, S.D., 1890--Aftermath.
- Massacres--South Dakota--Wounded Knee--1890-1900.
- Mass burials--South Dakota--Wounded Knee--1890-1900.
- Lakota Indians--South Dakota--Wounded Knee--1890-1900.
- Indigenous peoples--South Dakota--Wounded Knee--1890-1900.
- Indians of North America--South Dakota--Wounded Knee--1890-1900.
- Format:
- Collections:
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- Rights Advisory: No known restrictions on publication.
- Reproduction Number: LC-DIG-ds-14867 (digital file from original) LC-USZ62-44458 (b&w film copy neg.)
- Call Number: LOT 11347 [item] [P&P]
- Medium: 1 photograph : print ; sheet 15 x 21 cm, mount 23 x 28 cm.
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- Call Number: LOT 11347 [item] [P&P]
- Medium: 1 photograph : print ; sheet 15 x 21 cm, mount 23 x 28 cm.
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Clean Yourself for the Divine Invitation
Mawlana Shaykh Nazim Adil Sultanul Awliya ·
· Lefke · Tuesday, Jun 29, 2010
Transcript available in:
2010 Cyprus Summer
German TV Interview
The Worst Characteristic Is to Say, "I Am Here"
Video Clip Shaykh Nazim Meeting with Pope Benedict XVI
We Were Not Created to Kick a Ball Around
I Sit As the Servant Sits and I Eat As the Servant Eats
What Does Mawlana Shaykh Nazim Say About NurMuhammad.com?
Ask Your Lord for More, and He Will Give
Do You Ride Your Ego, or Does It Ride You?
Guidance for First of Rajab and Beyond
"Give for Me, Not to Me"
In Everything There Is a Sign Indicating the Lord's Oneness
Islam Is Not Rooted within Four Walls!
What Is the Qutb al-Mutassarif?
Heavenly Winds Gives Us Real Life
Why the Naqshbandi Tariqah is called "Most Distinguished"
Khatm in Lefke
Laylatul Raga'ib from Lefke
Ask For Divine Grants and Avoid Crises
We Are Commanded to Love Ahlu 'l-Bayt
Hadrah with Sultan and Shaykh Hisham
O Muslims! Return to the Islamic Ways!
O Doctors of Shari`ah, Cure Your Patients!
Secrets of Pope Benedict's Visit
The Duty of Muslim Scholars Is to Guide Muslims to the Sunnah of Prophet
What Caused the Humiliation of the Muslim World
Islam Does Not Need "Modernity"
Whose Two Days are the Same Will Regret
Wear Turbans and Be in Safety
The Greatness of Sayyidina Muhammad
Is Indescribable
Truth Has Come and Falsehood Has Perished!
We Are Commanded to Be Soft with People
Our Real Identity Will Leave Us Stunned, Bewildered!
Clean Yourself for the Divine Invitation
Your Lord Wants Ease and Comfort for You
"As My Companions Are Like Stars, I Am Like the Sun"
Man Is Limited by His Knowledge
Khutbah in Lefke by Mawlana Shaykh Hisham
Respect Shaykh's Family
Who Will Be Stopped and Questioned
The Wisdom of One Small Ant
Nasheed and Salawat in Lefke
Send Us a Savior
Wisdom Is to Avoid What Does Not Concern You
The Perfection of the Full Moon Cannot Be Matched
Secrets of Grandshaykh's Seclusion
Mawlid Isra and Miraj Celebration
Du`a of Unity after Ziyarah to Holy Hair of Prophet
Today People Speak Like the Braying of a Donkey
Suhbah Turkish
Remember Your Lord and He Will Be Pleased With You
Astounding Blessings of Rajab, Sha`baan, and Ramadan
Quran Recitation From Senegal
Dhikr Is a Heavenly Order
Is Your Chairman Your Ego or Your True Self?
Fear Only Your Creator, Who Is The Protector
Where Are the Fatwas Against Shaytan's Sports?
The Responsibility of Nations Is on Their Leaders
Islam Refutes Man-made Theories That Cover the World Today
O Prophet! Let Your Sandals Honor My Throne!
First Is To Surrender, Then Comes Faith
To Be Blessed with Heavenly Amber
Beauty Is from Obedience and Ugliness Is from Sins
What Distinguishes the Salaf from Others?
Imitate Heavenly Lifestyles
Allah Almighty's Praise for His Prophet Is Unending
Leave What is Stale for What is Fresh and New
"I Have Created All Things for You, My Beloved"
Technology Cannot Save Anyone
Reality of the Renaissance
Close Your Eyes and See
Shaytan's Tricks Distract You from Your Heavenly Oath
Desire of Worldly Wealth Steals Your Faith
Why People Become Tired
Trust Only Heavenly Guarantees
Ramadan Is the Month of Cleanliness
O People, Come and Be Clean Ones!
Benefits For Those Who Fast Ramadan
To Be Received in Majesty Oceans
The Nature of Black Magic and Its Antidote
Ask Only, "O My Lord! Increase Me in Knowledge"
The Downfall of Mankind Through Technology
Restoring One Sunnah Can Save the World
Acknowledge Servanthood
Limiting Hajj and Not Helping the Poor
Kings and Leaders: Be Generous with Allah's
Only Our Charity Protects Us from Heavenly Curses
A Heavenly Warning
Use Your Good Understanding to Discern Truth from Falsehood
It Is an Honor to Say "We Are Descended from Adam"
Leave the Shoes of Ego Behind and Come!
The Heavenly Value of Happiness
Sayyidina Muhammad
Never Came Back From Isra and Mir`aj
Focus on Your Only Goal: Servanthood
Ramadan Prepares Us for the Divine Invitation
Heavenly Honor for Gold and Silver
Qadama Sidq, True Steps Are for Allah
We Left the Way of Goodness and Still Expect Salvation
Maintain Your Servanthood in the Highest Position
Wear the Costume Designed in Heavens
How to Slay the Serpent of Desire
Run to Safety Under the Wings of Your Prophet!
Come to Hayyaatan Tayyibah, the "Sweet Life"
From You, to You!
We Are Ordered to Share Our Wealth with the Needy
Don't Lose Your Only Chance As It Will Not Return
Your Lord Wants to Honor You!
Compete in Goodness


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To have or to have not — a baby
Published 12:00 am Saturday, August 10, 2013
WASHINGTON — The media-created mommy wars haven't just jumped the shark and entered the realm of "Sharknado." Where women once debated ways to balance family-and-career — a hyphenated oxymoron if ever there was one — they're now clashing over whether having babies is really all that.
To bear children or not — that is the only question left to those with first-world problems.
The scene: A tidy beach where a young couple is basking, carefree. How lovely. No little ones to intrude upon the perfect union of two selves entwined in rapturous indulgence.
This was the cover of a recent Time magazine featuring a story titled "The Childfree Life: When having it all means not having children." The story explored a startling statistic: One in five American women ends her childbearing years without maternity.
Some of that low fertility apparently is voluntary. Note that the title is childfree, not childless. Increasingly, couples — and women, specifically — are deciding against childbearing for a variety of reasons, including the unwelcome prospect that scenes such as that depicted on the magazine cover might become less frequent. The pleasure principle seems to be gaining on the procreative impulse.
Fast on the heels of Time's article came a story from the Guardian of Britain reporting research from the London School of Economics suggesting that smart women don't have children. According to the author of the book "The Intelligence Paradox," maternal urges drop by 25 percent with every extra 15 IQ points. Although he opines that such women are too smart for their own good, one could also infer that you're dumb if you have kids.
Yet another story, this one from the BBC News Magazine, plumbed the stretch marks and "breasts … like Zeppelins" — as one reader put it — that frequently follow pregnancy and childbirth. The story featured a photographer who wanted to show women's bodies as they really are after pregnancy. Most do not rebound miraculously as celebrity spreads would have us believe. As if we didn't know.
But a young woman considering motherhood might also conclude that trading a young, fit body for that isn't worth it. Combined, the three stories seem aimed at discouraging, or at least demystifying, motherhood.
Where to begin.
To the childless, as opposed to the voluntarily childfree, the debate about whether to have a child is no doubt painful. But even among those who can — and do or don't — the conversation is rife with emotion. Everyone feels slightly insulted. Childless women feel that they're viewed critically for not being mothers. Women who are mothers, whether working or stay-at-home, feel inadequate or mocked by iconic images of career women with babies in their briefcases.
Really, isn't it time to retire this faux-ma?
Another scene: I am in the delivery room with my niece moments after she brought her baby girl into the world. She is sobbing. "I feel so sorry for men," she says. "They can't have babies."
She was drowning in hormones, obviously, but never mind. Mothers know of what she spoke. So do fathers, though perhaps in a less immediately physical way. It is the joy that passeth all understanding. And, as with love, you can't explain it to those who haven't experienced it.
Whatever else we choose to do, creation is what we were meant to do.
Sometimes creation takes other forms than parenthood. Would we have a Sistine Chapel if Michelangelo had been distracted by a half-dozen hungry mouths? On the other hand, would we have had Michelangelo if abortion had been available to his mother?
Knowledge of my niece's joy is the secret code of all parents, including adoptive. Mysteriously, the inevitable pain, suffering and sacrifice of parenthood are also part of that joy. What is a rose without thorns? Life without death is imponderably meaningless. I would argue that without death, there would be no love.
Indeed, what makes parenthood so relentlessly amazing — both the beauty and the beast of it — is the possibility of losing the thing you love more than your own heartbeat. Putting someone else's interests above one's own is the alpha and omega of parenthood.
Every person will find his or her own way in this conversation. Parenting surely isn't for everyone and those who choose to be childfree probably have made the right decision. Then again, it's hard to know for certain that one doesn't want children. Many don't, until they do.
Kathleen Parker's email address is firstname.lastname@example.com.


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Reposted from: http://www.businessinsider.com/lasting-relationships-rely-on-2-traits-2014-11?utm_content=bufferdc881&utm_medium=social&utm_source=facebook.com&utm_campaign=buffer
Written by: EMILY ESFAHANI SMITH, The Atlantic
Science says lasting relationships come down to—you guessed it—kindness and generosity.
Every day in June, the most popular wedding month of the year, about 13,000 American couples will say "I do," committing to a lifelong relationship that will be full of friendship, joy, and love that will carry them forward to their final days on this earth.
Except, of course, it doesn't work out that way for most people.
The majority of marriages fail, either ending in divorce and separation or devolving into bitterness and dysfunction.
Of all the people who get married, only three in ten remain in healthy, happy marriages, as psychologist Ty Tashiro points out in his book "The Science of Happily Ever After," which was published earlier this year.
Social scientists first started studying marriages by observing them in action in the 1970s in response to a crisis: Married couples were divorcing at unprecedented rates. Worried about the impact these divorces would have on the children of the broken marriages, psychologists decided to cast their scientific net on couples, bringing them into the lab to observe them and determine what the ingredients of a healthy, lasting relationship were.
Was each unhappy family unhappy in its own way, as Tolstoy claimed, or did the miserable marriages all share something toxic in common?
Psychologist John Gottman was one of those researchers. For the past four decades, he has studied thousands of couples in a quest to figure out what makes relationships work. I recently had the chance to interview Gottman and his wife Julie, also a psychologist, in New York City. Together, the renowned experts on marital stability run The Gottman Institute, which is devoted to helping couples build and maintain loving, healthy relationships based on scientific studies.
John Gottman began gathering his most critical findings in 1986, when he set up "The Love Lab" with his colleague Robert Levenson at the University of Washington. Gottman and Levenson brought newlyweds into the lab and watched them interact with each other.
With a team of researchers, they hooked the couples up to electrodes and asked the couples to speak about their relationship, like how they met, a major conflict they were facing together, and a positive memory they had. As they spoke, the electrodes measured the subjects' blood flow, heart rates, and how much they sweat they produced. Then the researchers sent the couples home and followed up with them six years later to see if they were still together.
From the data they gathered, Gottman separated the couples into two major groups: the masters and the disasters. The masters were still happily together after six years. The disasters had either broken up or were chronically unhappy in their marriages.
When the researchers analyzed the data they gathered on the couples, they saw clear differences between the masters and disasters. The disasters looked calm during the interviews, but their physiology, measured by the electrodes, told a different story. Their heart rates were quick, their sweat glands were active, and their blood flow was fast. Following thousands of couples longitudinally, Gottman found that the more physiologically active the couples were in the lab, the quicker their relationships deteriorated over time.
But what does physiology have to do with anything? The problem was that the disasters showed all the signs of arousal — of being in fight-or-flight mode — in their relationships. Having a conversation sitting next to their spouse was, to their bodies, like facing off with a saber-toothed tiger.
Even when they were talking about pleasant or mundane facets of their relationships, they were prepared to attack and be attacked. This sent their heart rates soaring and made them more aggressive toward each other. For example, each member of a couple could be talking about how their days had gone, and a highly aroused husband might say to his wife, "Why don't you start talking about your day. It won't take you very long."
The masters, by contrast, showed low physiological arousal. They felt calm and connected together, which translated into warm and affectionate behavior, even when they fought. It's not that the masters had, by default, a better physiological make-up than the disasters; it's that masters had created a climate of trust and intimacy that made both of them more emotionally and thus physically comfortable.
Gottman wanted to know more about how the masters created that culture of love and intimacy, and how the disasters squashed it. In a follow-up study in 1990, he designed a lab on the University of Washington campus to look like a beautiful bed and breakfast retreat.
He invited 130 newlywed couples to spend the day at this retreat and watched them as they did what couples normally do on vacation: cook, clean, listen to music, eat, chat, and hang out. And Gottman made a critical discovery in this study — one that gets at the heart of why some relationships thrive while others languish.
Throughout the day, partners would make requests for connection, what Gottman calls "bids." For example, say that the husband is a bird enthusiast and notices a goldfinch fly across the yard. He might say to his wife, "Look at that beautiful bird outside!" He's not just commenting on the bird here: he's requesting a response from his wife — a sign of interest or support — hoping they'll connect, however momentarily, over the bird.
The wife now has a choice. She can respond by either "turning toward" or "turning away" from her husband, as Gottman puts it. Though the bird-bid might seem minor and silly, it can actually reveal a lot about the health of the relationship. The husband thought the bird was important enough to bring it up in conversation and the question is whether his wife recognizes and respects that.
People who turned toward their partners in the study responded by engaging the bidder, showing interest and support in the bid. Those who didn't — those who turned away — would not respond or respond minimally and continue doing whatever they were doing, like watching TV or reading the paper. Sometimes they would respond with overt hostility, saying something like, "Stop interrupting me, I'm reading."
These bidding interactions had profound effects on marital well-being. Couples who had divorced after a six-year follow up had "turn-toward bids" 33 percent of the time. Only three in ten of their bids for emotional connection were met with intimacy. The couples who were still together after six years had "turn-toward bids" 87 percent of the time. Nine times out of ten, they were meeting their partner's emotional needs.
By observing these types of interactions, Gottman can predict with up to 94 percent certainty whether couples — straight or gay, rich or poor, childless or not — will be broken up, together and unhappy, or together and happy several years later. Much of it comes down to the spirit couples bring to the relationship. Do they bring kindness and generosity; or contempt, criticism, and hostility?
"There's a habit of mind that the masters have," Gottman explained in an interview, "which is this: they are scanning social environment for things they can appreciate and say thank you for. They are building this culture of respect and appreciation very purposefully. Disasters are scanning the social environment for partners' mistakes."
"It's not just scanning environment," chimed in Julie Gottman. "It's scanning the partner for what the partner is doing right or scanning him for what he's doing wrong and criticizing versus respecting him and expressing appreciation."
Contempt, they have found, is the number one factor that tears couples apart. People who are focused on criticizing their partners miss a whopping 50 percent of positive things their partners are doing and they see negativity when it's not there.
People who give their partner the cold shoulder — deliberately ignoring the partner or responding minimally — damage the relationship by making their partner feel worthless and invisible, as if they're not there, not valued. And people who treat their partners with contempt and criticize them not only kill the love in the relationship, but they also kill their partner's ability to fight off viruses and cancers. Being mean is the death knell of relationships.
Kindness, on the other hand, glues couples together. Research independent from theirs has shown that kindness (along with emotional stability) is the most important predictor of satisfaction and stability in a marriage. Kindness makes each partner feel cared for, understood, and validated—feel loved. "My bounty is as boundless as the sea," says Shakespeare's Juliet. "My love as deep; the more I give to thee, / The more I have, for both are infinite." That's how kindness works too: there's a great deal of evidence showing the more someone receives or witnesses kindness, the more they will be kind themselves, which leads to upward spirals of love and generosity in a relationship.
There are two ways to think about kindness. You can think about it as a fixed trait: either you have it or you don't. Or you could think of kindness as a muscle. In some people, that muscle is naturally stronger than in others, but it can grow stronger in everyone with exercise. Masters tend to think about kindness as a muscle. They know that they have to exercise it to keep it in shape. They know, in other words, that a good relationship requires sustained hard work.
"If your partner expresses a need," explained Julie Gottman, "and you are tired, stressed, or distracted, then the generous spirit comes in when a partner makes a bid, and you still turn toward your partner."
In that moment, the easy response may be to turn away from your partner and focus on your iPad or your book or the television, to mumble "Uh huh" and move on with your life, but neglecting small moments of emotional connection will slowly wear away at your relationship. Neglect creates distance between partners and breeds resentment in the one who is being ignored.
The hardest time to practice kindness is, of course, during a fight—but this is also the most important time to be kind. Letting contempt and aggression spiral out of control during a conflict can inflict irrevocable damage on a relationship.
"Kindness doesn't mean that we don't express our anger," Julie Gottman explained, "but the kindness informs how we choose to express the anger. You can throw spears at your partner. Or you can explain why you're hurt and angry, and that's the kinder path."
John Gottman elaborated on those spears: "Disasters will say things differently in a fight. Disasters will say 'You're late. What's wrong with you? You're just like your mom.' Masters will say 'I feel bad for picking on you about your lateness, and I know it's not your fault, but it's really annoying that you're late again.'"
For the hundreds of thousands of couples getting married each June — and for the millions of couples currently together, married or not — the lesson from the research is clear: If you want to have a stable, healthy relationship, exercise kindness early and often.
When people think about practicing kindness, they often think about small acts of generosity, like buying each other little gifts or giving one another back rubs every now and then. While those are great examples of generosity, kindness can also be built into the very backbone of a relationship through the way partners interact with each other on a day-to-day basis, whether or not there are back rubs and chocolates involved.
One way to practice kindness is by being generous about your partner's intentions. From the research of the Gottmans, we know that disasters see negativity in their relationship even when it is not there. An angry wife may assume, for example, that when her husband left the toilet seat up, he was deliberately trying to annoy her. But he may have just absent-mindedly forgotten to put the seat down.
Or say a wife is running late to dinner (again), and the husband assumes that she doesn't value him enough to show up to their date on time after he took the trouble to make a reservation and leave work early so that they could spend a romantic evening together. But it turns out that the wife was running late because she stopped by a store to pick him up a gift for their special night out.
Imagine her joining him for dinner, excited to deliver her gift, only to realize that he's in a sour mood because he misinterpreted what was motivating her behavior. The ability to interpret your partner's actions and intentions charitably can soften the sharp edge of conflict.
"Even in relationships where people are frustrated, it's almost always the case that there are positive things going on and people trying to do the right thing," psychologist Ty Tashiro told me. "A lot of times, a partner is trying to do the right thing even if it's executed poorly. So appreciate the intent."
Another powerful kindness strategy revolves around shared joy. One of the telltale signs of the disaster couples Gottman studied was their inability to connect over each other's good news. When one person in the relationship shared the good news of, say, a promotion at work with excitement, the other would respond with wooden disinterest by checking his watch or shutting the conversation down with a comment like, "That's nice."
We've all heard that partners should be there for each other when the going gets rough. But research shows that being there for each other when things go right is actually more important for relationship quality. How someone responds to a partner's good news can have dramatic consequences for the relationship.
In one study from 2006, psychological researcher Shelly Gable and her colleagues brought young adult couples into the lab to discuss recent positive events from their lives. They psychologists wanted to know how partners would respond to each other's good news. They found that, in general, couples responded to each other's good news in four different ways that they called: passive destructive, active destructive, passive constructive, and active constructive.
Let's say that one partner had recently received the excellent news that she got into medical school. She would say something like "I got into my top choice med school!"
If her partner responded in a passive destructive manner, he would ignore the event. For example, he might say something like: "You wouldn't believe the great news I got yesterday! I won a free t-shirt!"
If her partner responded in a passive constructive way, he would acknowledge the good news, but in a half-hearted, understated way. A typical passive constructive response is saying "That's great, babe" as he texts his buddy on his phone.
In the third kind of response, active destructive, the partner would diminish the good news his partner just got: "Are you sure you can handle all the studying? And what about the cost? Med school is so expensive!"
Finally, there's active constructive responding. If her partner responded in this way, he stopped what he was doing and engaged wholeheartedly with her: "That's great! Congratulations! When did you find out? Did they call you? What classes will you take first semester?"
Among the four response styles, active constructive responding is the kindest. While the other response styles are joy-killers, active constructive responding allows the partner to savor her joy and gives the couple an opportunity to bond over the good news. In the parlance of the Gottmans, active constructive responding is a way of "turning toward" your partners bid (sharing the good news) rather than "turning away" from it.
Active constructive responding is critical for healthy relationships. In the 2006 study, Gable and her colleagues followed up with the couples two months later to see if they were still together. The psychologists found that the only difference between the couples who were together and those who broke up was active constructive responding. Those who showed genuine interest in their partner's joys were more likely to be together. In an earlier study, Gable found that active constructive responding was also associated with higher relationship quality and more intimacy between partners.
There are many reasons why relationships fail, but if you look at what drives the deterioration of many relationships, it's often a breakdown of kindness. As the normal stresses of a life together pile up—with children, career, friend, in-laws, and other distractions crowding out the time for romance and intimacy—couples may put less effort into their relationship and let the petty grievances they hold against one another tear them apart.
In most marriages, levels of satisfaction drop dramatically within the first few years together. But among couples who not only endure, but live happily together for years and years, the spirit of kindness and generosity guides them forward.
Read more: http://www.theatlantic.com/health/archive/2014/06/happily-ever-after/372573/#ixzz3ImjBbIZn


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Here's What Every Seller Needs to Know About Virtual Showings
The COVID-19 pandemic has brought social distancing rules that have changed everything from your shopping habits to your work schedule to your social life. But if you're in the midst of selling your home (or plan to in the coming months), the guidelines that affect social gatherings also affect one of the most important elements of the sales process: The open house.
When you can't even host a party with friends, it goes without saying that opening your home to groups of strangers is a no-go for the time being. However, you can still show your home to the maximum number of potential buyers right now without violating any rules. It's all thanks to virtual open houses.
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*Speaking with a professional about what to do, where to do it, and how to present your in the best possible light can help save you time & money. As well as make you more money when selling.
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Tip: If there are areas of your home that don't get much sunlight, replace the bulbs in the light fixtures with white LED bulbs.
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Combi USA is recalling more than 33,000 child car seats made before January 2013 because the harnesses aren't strong enough to meet federal safety standards.
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Greetings. This is D. Randall Blythe, checking in from my beloved hometown of Richmond, VA, United States of America. I was recently released on bail from Pankrác Prison in Prague, Czech Republic, after over a month of incarceration. Now that I am out for the moment, I would like to say a few things.
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3. If it is deemed necessary for me to do so, I WILL return to Prague to stand trial. While I maintain my innocence 100%, and will do so steadfastly, I will NOT hide in the United States, safe from extradition and possible prosecution. As I write this, the family of a fan of my band suffers through the indescribably tragic loss of their child. They have to deal with constantly varying media reports about the circumstances surrounding his death. I am charged with maliciously causing severe bodily harm to this young man, resulting in his death. While I consider the charge leveled against me ludicrous and without qualification, my opinion makes no difference in this matter. The charge exists, and for the family of this young man, questions remain. The worst possible pain remains. It is fairly common knowledge amongst fans of my band that I once lost a child as well. I, unfortunately, am intimately familiar with what their pain is like. Therefore, I know all too well that in their time of grief, this family needs and deserves some real answers, not a media explosion followed by the accused killer of their son hiding like a coward thousands of miles away while they suffer. I am a man. I was raised to face my problems head on, not run from them like a petulant child. I hope that justice is done, and the family of Daniel N. will receive the closure they undoubtably need to facilitate healing. I feel VERY STRONGLY that as an adult, it would be both irresponsible and immoral for me not to return to Prague if I am summoned. This is not about bail money. This is about a young man who lost his life. I will act with honor, and I will fight to clear my good name in this matter. Thank you for reading this, and I wish you all peace.


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Apartment Photos
Active Adult Couple Watering Plants
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Active Adult Couple Walking Bikes
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People Cheering In Front Of Disc Golf Net
Apartment Description
About Finney Crossing
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