It often takes courage to discuss your personal problems with anyone, and light adult incontinence (LAI) is no exception. In fact, women are less likely to be prepared to talk about LAI than any other medical issue other than sexually transmitted infection. A few simple steps could make that first consultation much less awkward, and ensure that you get the help you need.

Relax - you're not alone
Because we're so unwilling to talk about LAI, it's easy to forget just how common it is. Your GP will have had lots of women coming in with similar symptoms, and will be only too aware of how much it can affect your quality of life. In fact, with about one in three women affected by LAI at some point in their lives, you might almost say they'll be expecting you. So don't put off making that appointment. After all, your doctor can't help if they don't know you have an issue.

There's no need to beat around the bush
Once you're in the consulting room, it can be easy to lose your nerve and talk about other issues. But getting straight to the point means that your GP will be able to make full use of your whole consultation time, and give your LAI the attention it deserves. It may well be worth making a list of your symptoms, and when and how they affect you.

Double time?
Most GP consultations are routinely booked for ten minutes. With a problem like LAI, you may feel more relaxed if you can take your time and give the whole story in your own time. If you would like more time, ask the receptionist about the possibility of booking a double appointment.

The truth, the whole truth!
Your GP isn't a mind reader. If they don't ask what you've tried already before they reach for the patient information leaflet, be prepared to tell them in detail. If you've already tried doing pelvic floor exercises and they haven't helped, explain this to your GP. Most of us don't do pelvic floor exercises often enough, or for long enough. To make a real difference, you need to do them for at least 5 minutes three (or ideally 6-10) times a day, probably for a couple of months, before you see a real change. So don't worry if your GP wants to revisit the subject of pelvic floor exercises - they may still be able to help.

Be prepared
Your GP will probably want to examine you, and may want to send off a urine sample. It's not that they're trying to make you feel embarrassed, it's just good medicine! So do be prepared for an examination. If you have small children, try and get someone else to take care of them while you have your appointment. And do avoid attending when you have your period.

Find out what you can expect
Don't be scared to ask your GP what they're planning and why. For instance, if pelvic floor exercises haven't worked, ask about referral to a physiotherapist who can assess to see whether you're doing them correctly. Ask about specialist local services for women suffering from your problem.

Know your rights
In the last few months, the system for referrals within the NHS has changed. You can now expect a choice of clinics if you need to be referred. If your local area doesn't have a specialist continence clinic (and don't worry, there will be lots of young women just like you being referred there!) you can ask your GP to explain all the options.