Ryan Stewart, DO
Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026

When Should I See a Doctor for Urinary Incontinence?

The simplest answer: if bladder leakage is bothering you, it’s worth discussing with a specialist. There’s no minimum severity threshold — if it’s affecting your quality of life, your confidence, or your daily activities, you deserve help.

Signs It’s Time to Seek Help

You’re wearing pads or liners as a precaution
You’ve started avoiding activities you enjoy — exercise, travel, social outings
You plan your day around bathrooms — always knowing where the nearest one is
Leaking is getting more frequent or more severe over time
You wake up more than once a night to urinate
You’ve experienced sudden, strong urges that are hard to control
You’ve had urinary tract infections that keep coming back
Leaking is affecting your intimate relationships or self-confidence

Why Sooner Is Better Than Later

Many women wait 6-8 years before seeking treatment for incontinence. During that time, symptoms typically worsen. Pelvic floor muscles continue to weaken, and the condition that might have responded to physical therapy alone may eventually require more involved treatment.

The earlier we evaluate incontinence, the more options we have. I’ve had patients tell me they wish they’d come in years ago — not because they needed surgery, but because a few sessions of physical therapy made a dramatic difference that could have improved years of their life.

What Kind of Doctor Should You See?

While your primary care doctor or OB/GYN can discuss incontinence, a urogynecologist has the most specialized training. Urogynecologists complete an additional fellowship specifically focused on pelvic floor disorders, including all types of incontinence. They can offer the full range of treatments — from conservative approaches to advanced surgical procedures.

Your First Visit

There’s nothing to be nervous about. Your first appointment will include:

A conversation about your symptoms, medical history, and goals
A pelvic examination
Possibly a urine test
Discussion of initial treatment options

I know it takes courage to make that first call. Many of my patients tell me they’re relieved once they’re here — they finally feel heard, and they learn that real solutions exist.

No referral is needed. You can schedule directly.

← Learn more about Urinary Incontinence

Frequently Asked Questions

Do I need a referral to see a urogynecologist?

No. You can schedule directly with a urogynecologist without a referral. If you're experiencing bladder leakage, you don't need to go through your primary care doctor first.

What should I expect at my first appointment?

Your first visit typically includes a thorough medical history, discussion of your symptoms, a physical examination, and possibly a urine test. You may be asked to keep a bladder diary before your visit.

Is it worth seeing a specialist for mild leaking?

Yes. Mild incontinence often responds well to simple treatments like pelvic floor therapy. Early intervention can prevent symptoms from progressing and keep your treatment options simpler.