Quick answer: To manage incontinence, start with a doctor's visit to find the cause, then choose a product that matches your leak volume and mobility: pads for light leaks, incontinence underwear for moderate leaks, and adult diapers or external catheters for heavy leaks. Protect your skin at every change, and check whether ODSP or insurance covers your supplies.

Medical Disclaimer: The information in this guide is intended for general informational purposes only and does not constitute medical advice. Product recommendations are based on common use cases and should not replace a consultation with a qualified healthcare professional. Always speak with your doctor, nurse, or continence specialist before starting, changing, or stopping any treatment or product regimen. If you experience pain, infection, skin breakdown, or any unusual symptoms, seek medical attention promptly. We do our best to keep this information accurate and up to date, but we can't guarantee that it is complete or error-free.

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How common is incontinence?

If you or someone you love has started dealing with bladder or bowel leaks, you are in very good company. Millions of Canadians live with incontinence, and it becomes more common with age. It can range from a few drops when you laugh or lift, to a full bladder release overnight.

Incontinence has many causes: prostate surgery, childbirth and menopause, stroke, spinal cord injury, multiple sclerosis, dementia, or simply muscles that weaken over time. Whatever the reason, it is a health condition, not a personal failing.

It is normal to feel embarrassed, worried about leaks in public, or frustrated by products that don't fit. Those feelings are real. The good news is that the right plan and the right product can give you back a lot of freedom.

How ActivKare helps

ActivKare is a Canadian company based in Ottawa. We specialise in incontinence and urinary care, including options many stores don't carry, such as external male collection systems, catheter insertion aids and self-catheterization tools for women. Orders ship to your door in plain packaging. Many of our products may be covered by private insurance, ODSP, WSIB, Veterans Affairs and other programs. Check with your insurer or program to confirm what's covered.

Not sure where to start? Try our free Product Finder quiz for a personalised recommendation.

Step 1: Talk to a healthcare provider

Before choosing products, see your family doctor or nurse practitioner. Many types of incontinence improve with pelvic floor physiotherapy, bladder training, medication or treatment of an underlying cause such as a UTI or constipation.

Tip: Ask about a referral to a continence clinic or a Nurse Continence Advisor. These specialists can assess your type of incontinence and suggest products that fit it.

Step 2: What types of incontinence products are there?

Every body is different, so treat this table as a starting point.

Step 3: What absorbency level do I need?

Absorbency matters more than almost anything else. Too little, and you will leak. Too much, and you may pay for bulk you don't need. Think about how much you leak at once (drips, a gush, or a full void), how often, and whether nights are heavier than days. Many people use a lighter product by day and a heavier one at night.

Read more: How Do You Know Which Incontinence Absorbency Level You Need?

Step 4: How do I find the right size?

For briefs and protective underwear, measure around the waist and around the widest part of the hips. Use the larger number and compare it with the size chart on the product page. A product that is too tight can irritate skin; one that is too loose will leak at the legs.

Step 5: Try before you commit

Testing a few products before you buy a full case can save you money and frustration. ActivKare offers free samples of many adult diapers, protective underwear, pads and guards. The samples are free, and standard shipping rates apply. Wear each one for a full day or night, then order your favourite in a full package or set up Subscribe and Save so it arrives automatically.

Step 6: Protect your skin

Urine and stool break down skin quickly. At each change, clean gently with a no-rinse cleanser or soft wipes, pat dry, and apply a barrier cream. This small routine helps prevent rashes, sores and infections. Shop skin care in Home Healthcare.

Step 7: Add backup where you need it

• Underpads protect beds and chairs. Washable ones save money over time.
• Booster pads add absorbency inside a brief or pull-up without changing your main product.
• Overnight products are built for longer wear and higher volumes.

Step 8: Make reordering easy

Set up Subscribe and Save so supplies arrive on schedule and you never run short. You can also earn points through our Rewards Program.

Step 9: Ask us anything

No question is too personal. Our team hears them all, from "How do I put a brief on my dad?" to "Can I claim these on my taxes?" Call 1-855-811-3733 (Monday to Friday, 9 AM to 5 PM ET) or email info@activkare.com.

Frequently asked questions

What is the difference between adult diapers and incontinence underwear?

Adult diapers (also called briefs) have side tabs and can be changed while lying down, so they suit heavy leaks and people who need help. Incontinence underwear pulls on like regular underwear and suits people who are active and change themselves.

Can incontinence be cured?

Often it can be improved, and sometimes resolved. Pelvic floor physiotherapy, bladder training, medication and treating causes like UTIs or constipation all help. Ask your doctor or a continence clinic.

Can I claim incontinence products on my taxes?

Incontinence products may count as medical expenses on your tax return. Tax rules change often, so keep your receipts and check with the Canada Revenue Agency or a tax professional. See our Tax Receipts and Deductions page.

What helps with bladder leakage at night?

Use an overnight-rated diaper or underwear, add a booster pad if needed, and protect the bed with an underpad. Men can also consider an external collection system such as AFEX.

Does ODSP cover incontinence supplies?

Yes, eligible ODSP recipients can get supplies covered through the Mandatory Special Necessities benefit. See our ODSP Coverage Guide.