A 58 year old, G4 P4, presents to clinic with a complaint of losing urine. It mostly occurs when she coughs or sneezes, but occasionally happens when her bladder is full and she is not able to get to the bathroom in time. She is overweight, and has essential hypertension.
Blood pressure is controlled with atenold and hydrochlorothiazide.
She is not on any other medications. Her last menstrual period was at age 49.