Experiences of Dutch female recreational runners with fecal incontinence: A qualitative study

Women are at increased risk of fecal incontinence (FI) due to pelvic floor dysfunction. Running, may further contribute to FI symptoms. The main aim of this study was to gain insight into the experiences of Dutch female recreational runners with FI during running. We conducted a qualitative study using semi-structured interviews. Participants, recruited through Facebook and running groups, were eligible if they had experienced FI symptoms during running for at least 3 months without FI in daily life. Interviews focused on personal experiences with FI related to running. Data were analyzed using thematic content analysis. Twenty-one participants, aged 31-72 years participated. Two themes emerged: Firstly, feelings and beliefs about FI described emotional responses, while some women expressed acceptance, others reported sadness. Barriers to seeking medical care included a lack of knowledge about treatment options, feelings of shame, and fear of not being taken seriously. Secondly, coping and adaptation strategies describe practical measures such as toilet mapping, carrying toilet paper or clean clothing, and wearing dark clothing. This study highlights the complex experiences of female runners dealing with FI and emphasizes the need for greater awareness, education, and support within the running community to effectively address this issue.