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You laugh at your friend's joke, sneeze during allergy season, or hit a heavy set at the gym, and there it is. A little leak. Maybe you've told yourself it's normal, or that you just need to do more Kegels. Maybe you've already been doing Kegels for months and nothing has changed, or it's actually gotten worse. Here's what I want you to know: leaking with a cough, sneeze, or laugh (what we call stress urinary incontinence) usually comes from one of three different root causes