Sometimes, even the most persistent plan of action may not alleviate the symptoms of incontinence. If after making behavioral modifications based on your triggers, completing 6-8 weeks of exercises, and retraining your bladder or bowel you are still struggling with managing your incontinence, it may be time to seek professional help through a physician or PT. Be sure to bring your completed bladder or bowel diary, your plan of action, and any other notes you may have about your self-management with you to your appointment. Your efforts have not been in vain and all your records will help paint a more accurate and personalized portrait of your condition to your doctor, which will help him create a customized treatment plan for you moving forward. Your doctor may recommend further evaluation or sessions with a physical therapist, and, in some cases, may even discuss surgical options.