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It all started a few months ago. I occasionally have night time urinary incontinence. I wake up while it is happening but I cannot stop the flow. It’s like I have no control over my muscles. I wake up and jump out of the bed and leave a wet stream all the way to the bathroom. It’s so embarrassing. So far my husband has not noticed and I want to keep it that way. Will hormone replacement therapy affect me in this way? I did notice the first time this ever happened was the day I started on estrogen therapy. I’m at a loss. Someone please give me some advice. I am 42 and female. Total hysterectomy at age 23. Thanks in advance