Sonia Kumar

It is a pleasure to serve under your chairmanship, Dr Huq. I congratulate my hon. Friend the Member for Hastings and Rye (Helena Dollimore) on securing this important debate. Today, I want to talk about the stigma and embarrassment in relation to women’s incontinence: stress incontinence, urinary or faecal incontinence, and double incontinence. It affects so many aspects of women’s lives: where they go out, how much time they spend out, their relationships and their sleep patterns. And of course there are the effects on their mental and physical health. Working as an NHS physiotherapist, I spoke to women about their incontinence when I did back screening, and I heard over and over again that women felt an overwhelming sense of shame—the fear of the smell, the sense of being dirty and the feeling of always having to check their pad to make sure that it is in place and has not leaked down their leg. It is estimated that a third of women in the UK are living with urinary incontinence. That means someone in this room will have those symptoms. A third of women suffer from a pelvic floor disorder after childbirth, including urinary incontinence and pelvic organ prolapse, but only 17% of women actually seek help. I would recommend to any woman who is suffering that she seek professional help from her GP or specialist. What we do not talk about for both faecal and urinary incontinence is the psychological problems, low self-esteem, anxiety, depression, sexual problems, social isolation, physical problems, skin breakdowns, and the falls when having to get to the toilet as quickly as possible. At the moment, we also know there is an economic case that is also very compelling. Research shows that every £1 spent on women’s health services will return up to £13 back into our emergency services by reducing women going to A&E and GP appointments. So what do I, as a clinician, propose? As a physiotherapist, of course I propose physiotherapy. Physiotherapy is the first line of intervention preventing mild to moderate incontinence and prolapse. It is therefore essential that we have women’s health physiotherapists in hubs locally as they are rolled out. We should also take a multifaceted approach to urinary and faecal incontinence, where women’s mental health, physical health, lifestyle—their caffeine and dietary intake—and the incontinence all get addressed. We should also make sure that, when people need the most help, referrals to secondary care or a surgeon are optimal. We also need to get the first line of treatment for incontinence on to our high streets, making it more accessible for women to get self-referrals as quickly as possible. We should not have a barrier to speaking to a healthcare professional or a GP; women should be able to go into a high street pharmacist and say, “I’ve got incontinence. What can be done to help?” I welcome the Government’s steps for women’s health hubs, but we need to go further by making sure that there is a national campaign so that women know that those hubs exist. I say to the women listening to this Westminster Hall debate: you are not alone and there is no shame. As a nation, we cannot allow women to feel shame or embarrassment about this topic any longer. Incontinence is common, so will my hon. Members join me in my mission to break the silence, end the stigma and eliminate the anxiety around incontinence?