MSRA-2457

A 52-year-old woman visits her doctor seeking guidance on managing recurrent episodes of urinary incontinence that occur during laughter or coughing. She reports no symptoms of dysuria, frequency, or urgency. Additionally, she has been experiencing night sweats and irregular periods for the past year. The patient’s medical history includes hypertension and depression. A urine dipstick and examination of the vulva/vagina reveal no abnormalities. What is the recommended initial treatment?