Best Incontinence Underwear for Women

We compare top brands and identify the 6 best women’s incontinence underwear options in 2023 for comfort, absorbency, value, and more.

Last updated: Dec 23rd, 2022
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In this Review

Top considerations and evaluation criteria
How our top recommendations compare
About incontinence
Types of incontinence underwear
Factors to keep in mind when purchasing incontinence underwear
Because Market
Lily Bird
Dry Direct
Incontinence underwear FAQ
Why you should trust us
Best Incontinence Underwear for Women

If incontinence is an issue you struggle with, you're not alone. Urinary incontinence affects more than 44% of women between the ages of 20 and 80. By 65, 75% of women report urine leakage. At the same time, fecal incontinence impacts over 8% of the population, leading to daily inconveniences, struggles, and occasional embarrassment.

Incontinence underwear – including pull-ups, pads, and adult diapers – can help you manage leakage and keep yourself dry and sanitary, regardless of your circumstances. Today's incontinence underwear manufacturers offer far more variety than the standard adult diapers of yesteryear while providing better moisture absorption and sensitive skin protection.

This guide details six top brands for women's incontinence underwear, looking at style options, absorbency, sizing, materials, and cost.

If you don't have time to read our complete guide, check out our top list of recommendations.

Our 2023 recommendations for best incontinence underwear for women

Our Top Picks

Because Market offers comfortable, discreet, and high-quality incontinence underwear at a fair price. The convenience is hard to match.

You’ll find pull-ups, pads, and guards in a range of sizes. Shipping is discreet and free on orders over $25. Take advantage of their subscription delivery plan.

Top considerations and evaluation criteria

To evaluate our top picks, we considered five primary evaluation criteria: quality, cost, absorbency, comfort, and options. Understanding how our top picks performed in these categories can help you decide which product is best for you.


Winner: Because Market

When choosing incontinence underwear, the last thing you want is to buy something ineffective. Products that leak or don't meet your physical needs are useless, so we've looked at several different options – from tab-closure adult diapers to discreet, pull-up underwear – in our quest to find the best deals.

Because Market offers a somewhat limited variety of pull-up underwear options, but the quality of its products shines (one reason why it’s our top choice in 2023). Because Market products are latex- and fragrance-free, made of breathable material, and dermatologist-tested. They look and feel like regular underwear and feature tear-away side seams for easier removal.

Finally, Because Market is our overall winner based on its convenient and cost-saving subscription plan. Enrolling in Because Market's automated delivery membership is free and provides timely shipments each month so that you don't have to worry about running out of your needed product.


Winner: Attends

In today's unsteady economy, everyone is watching their wallet a little closer. And while no one wants to cut corners when it comes to personal care items like incontinence underwear, finding the best price for a good product is essential.

The lowest-priced among our top picks for women's incontinence underwear is Attends, a widely available brand found in pharmacies, big box stores, and online retailers. Attends offers various incontinence underwear options, from pull-up underwear for men and women to unisex adult diapers and briefs. Whatever your physical needs are, Attends likely has a product for you and at a fraction of the cost of competitors. Buying online is the most discreet option.


Winner: Dry Direct

Absorbency is vital when choosing incontinence underwear because it determines how dry and comfortable you’ll be. Some individuals have a much higher void than others and need more leakage support. And we all need the most significant protection overnight.

Dry Direct manufactures the highest absorbency incontinence underwear on the market, with some products holding a whopping 5.5 cups of fluid. With Dry Direct, leakage and overspill are past issues, allowing you tranquil sleep without worry.


Winner: Lily Bird

Lily Bird happens to be our runner-up for best overall and shares many of the same benefits as Because Market. It provides a convenient, discreet delivery membership service that saves 10% off all orders and offers excellent customer service. Its products are affordable and comparable to what you'll find on pharmacy shelves but without the hassle of waiting in the checkout line.

However, what makes Lily Bird stand out the most is its wider variety of comfortable pull-up incontinence underwear styles for women. Lily Bird's classic and modern styles feature odor control technology, maximum absorbency, and soft, latex-free fabric that clings to women's curves, providing ease of movement and no bulkiness under clothes.


Winner: Depend

In the incontinence protection market, options are an essential factor that will often dictate what product you choose. For example, a fully mobile 30-year-old woman is likely to choose a different product than an older woman who is immobile and requires a caretaker. Companies with more options have the widest audience because they can meet many unique, individual needs.

Depend has been manufacturing incontinence underwear for decades, and its name is almost synonymous with the market itself. Depend products range from pads, guards, and liners to pull-up underwear for men and women and unisex adult briefs. It offers a wide selection of sizes, styles, and absorbencies, allowing you to find the product that meets your personal needs.

How our top recommendations compare

The chart below offers a quick comparison of our top 6 picks in terms of quality, cost, sizing, comfort, absorbency, and subscription savings options. Your product choice depends upon your lifestyle, budget, and physical needs.

These price comparisons are based on single purchases of each product in a medium size. Pricing does not account for subscription plans or bulk purchases, which can often earn significant savings.

About incontinence

Incontinence is sometimes embarrassing, but it's very common. One-quarter of all women under the age of 65 deal with urine incontinence regularly, and after 65, that percentage jumps to 75%.

Many factors contribute to women's urine incontinence, from childbirth to menopause to typical aging. Still, only 45% of women with incontinence discuss these issues with their doctors, opting to manage their symptoms alone.

Fortunately, management of incontinence issues is relatively straightforward, as there are countless incontinence underwear options available – from pads to adult diapers to pull-ups. But knowing what product works best for you requires a deeper understanding of what type of incontinence you're dealing with. Below, we'll look at different types of incontinence and how they may impact your daily life.

Stress incontinence

Stress incontinence is common in pregnant women and becomes more common as we age. This involuntary leakage can occur when a woman:

  • Coughs
  • Sneezes
  • Laughs
  • Engages in physical activity that stresses the bladder

There are many options for treating stress incontinence, ranging from Kegel exercises to minor surgery. In terms of management, pads can be a good option if you suffer from occasional stress incontinence with low leakage, as they are easily replaceable and have the lowest cost among bladder control products. If you experience greater flow or side leaks, pull-up incontinence underwear is likely a better option.

Urge incontinence

Urge incontinence is driven by a frequent need to urinate combined with the bladder's inability to hold pressure. Many women experience this type of incontinence during and after menopause, but it also arises from several health conditions, including:

  • Urinary tract infections
  • Multiple sclerosis
  • Diabetes

If you struggle with urge incontinence, we advise talking with your doctor about possible treatments, including bladder-relaxing medications, surgery, and changes to your diet and lifestyle.

As for managing it, incontinence underwear offers the most significant leak control when you can't make it to a restroom. Pull-up style undergarments are appropriate for most adult women, but adult diapers with convenient side tabs may be better for those with mobility issues. Many of our top-rated pull-up underwear products also feature tear-away side seams for easier removal.

Fecal incontinence

Fecal incontinence in noninstitutionalized US adults affects 8.3% of the population and has multiple contributing factors as we age. Like urinary incontinence, fecal urge incontinence may occur when a person laughs, sneezes, coughs, or engages in physical activity, causing the bowels to leak. Passive fecal incontinence involves bowel leakage without a person's mental awareness of the need to go to the restroom.

Some of the contributing risk factors for fecal incontinence include:

  • Men and women over 65
  • Individuals who have had their gallbladders removed
  • People who smoke
  • People who are inactive
  • Those with certain chronic medical conditions

Managing fecal incontinence requires pull-up incontinence underwear or adult diapers, as pads and liners are typically not size- and shape-appropriate for bowel leakage. Adult diapers (also known as adult briefs) may be the best option for people with frequent fecal incontinence, since they’re easily removed with side tabs.

Types of incontinence underwear

Incontinence protection products come in various styles, sizes, and absorbency levels. Some manufacturers produce unisex garments, while others feature specific styles for men and women. Gender-specific underwear typically focuses on placing absorbent material in the front for men and the middle crotch area for women. Below, we'll look at the main options and their benefits.

Pull-up underwear

Many of our top-featured incontinence manufacturers produce pull-up underwear, as they are the most popular among noninstitutionalized, fully mobile individuals. This type of protection is the most like regular underwear and is typically made of breathable, non-latex material. Some products feature tear-away side seams for easier removal and disposal.

Pull-up incontinence underwear comes in different sizes and absorbency levels, generally ranging from moderate to the highest leak protection for overnight. They are typically not bulky and can be worn discreetly under most clothing.

Pull-ups are appropriate for women of all ages and sizes and offer protection for both urinary and bowel leakage. Overnight underwear may be bulkier and not as optimal for wearing under tight clothing. This product style works best for fully mobile people who can pull them on and off without assistance.

Adult diapers

Also known as adult briefs, adult diapers are the most common incontinence product in hospitals, nursing homes, and other institutions. This is because adult diapers feature side tabs, allowing for easier changing by caretakers. Adult diapers can also be simpler to size than pull-ups, as they can be adjusted for the wearer when putting them on.

Adult diapers or briefs are optimal for those with mobility issues and people who find sizing with pull-ups difficult. They offer urine and fecal incontinence protection and range from moderate to overnight absorbency levels.

Pads, guards, and liners

Many incontinence manufacturers produce pads and liners for women and guards for men. These products feature adhesive tape to bind them into your everyday underwear, providing extra protection against leaks. Pads, guards, and liners are most appropriate for people with minor urinary leaks and do not protect against fecal incontinence due to their placement and size.

Pads, guards, and liners are the most cost-effective incontinence products, and if your most outstanding issue is minor leakage when coughing or sneezing, they may be the best choice for you.

Factors to keep in mind when purchasing incontinence underwear

There are several key factors to keep in mind when shopping for incontinence underwear. Considering each of these factors ensures that you find the product that works best for your body, lifestyle, and needs.

Skin sensitivity

Skin sensitivity is significant when it comes to incontinence protection because frequent leakage without proper drying can irritate the skin, leading to diaper rash, UTIs, and other issues. Moreover, some individuals are latex-sensitive, while others are allergic to added fragrances. Keep in mind your skin sensitivity when looking for products, as many companies offer latex-free, fragrance-free, and chemical-free options.


Mobility is often the key deciding factor when choosing what style of incontinence underwear works best for you. Fully mobile adults who can pull underwear up and down unassisted will often opt for pull-ups based on ease of use and non-bulkiness. People with limited mobility often choose adult diapers or briefs for easier changing with side tabs.


Size can be another crucial factor when choosing between adult diapers and pull-ups. Pull-ups are more difficult to size accurately and don't always come in XXXL sizes to accommodate heavier users. Size also factors into pricing. You might find a brand that sells very affordable pull-ups in a small size, but that price can jump drastically as you move up to large or XL. We recommend reviewing the size charts for each brand and then basing your cost around the size you need. Adult diapers are more accessible to size based on their side-tab adjustment.


Incontinence products vary in absorbency levels from minimum absorbency pads and liners to maximum absorbency overnight adult briefs and pull-ups. And with these variances comes different bulkiness. If you experience minor sprinkling when engaged in physical activity and want to be discreet in tighter clothing, pads or liners may offer all you need. If overnight leakage and accidents are common, you’ll want to opt for the higher-absorbency products. Lastly, there’s no reason you can’t purchase different products for different situations. Many women use pads in the daytime and briefs overnight.

Style and comfort

Style and comfort are essential aspects of anything we wear daily, particularly underwear. Today's incontinence underwear market offers a far more comprehensive selection of styles, materials, and options than ever before, allowing wearers to feel confident, discreet, and comfy in most situations. When shopping for incontinence underwear, we recommend looking at what type of underwear you wear regularly and what style options are the best match.

Because Market

Best overall and Best subscription service


  • Reasonably priced

  • Subscribe & Save option takes 10% off all orders

  • HSA/FSA eligible

  • Discreet packaging and quick delivery

  • Free shipping on any order over $25

  • Fair range of sizes

  • Latex-free and friendly to sensitive skin

  • Strong absorbency and odor protection

  • Offers pull-ups, pads, and guards


  • Does not offer adult diapers/briefs

  • Features just one style of pull-ups

Because Market is our overall winner for incontinence underwear in 2023 based on quality, comfort, fit, maximum absorbency, and a great subscription service. Because Market also provides excellent customer service.

Its subscription delivery plan can't be beaten. With Because Market, you never have to worry about embarrassment in checkout lines, as its products are discreetly delivered to your door each month. If you need to cancel or change your subscription, customer service promptly assists you with no fees or penalties.

Available products

Because Market produces women's and men's pull-up style underwear geared toward the fully mobile. Those with mobility limitations or caregivers may prefer a brand that provides adult diapers/briefs for easier changing. Below, we've highlighted Because Market's top products for women's incontinence.

Premium Maximum Plus Underwear for Women

Premium Maximum Plus is a comfortable, dermatologist-tested pull-up that’s friendly to sensitive skin and made of breathable material with plant-based cellulose fluff for absorption. It offers advanced odor protection and reinforced leak guards to keep you feeling dry, odor-free, and confident. This style provides maximum absorbency and comes in small to XXL sizes.

Premium Overnight Plus Underwear for Women

Because Market's Premium Overnight Plus offers maximum absorbency. It is a pull-up with a 4-cup total absorbency level, allowing you to sleep without worries of leakage. This underwear is breathable, soft, and sensitive skin-friendly. It comes in sizes S-XXL.

Because Premium Pads for Women

Because Premium Pads come in three absorbency levels: moderate, maximum, and overnight.


Because Market's underwear options – including pads and guards – are FSA/HSA eligible.

The following prices are for small to medium-sized undergarments, and it’s important to note that prices go up with sizes. For instance, a 40-count pack of S/M sized Premium Maximum Plus Underwear for Women costs $31.68, while an XXL costs $51.48.

Because Market's Subscribe & Save option is its primary asset, along with its pricing. By enrolling in this membership plan, you not only save money, but no one has to worry about running out of necessities or last-minute dashes to the pharmacy. The Because Market subscription earns 10% off all orders and discreetly delivers your products to your door each month. You can cancel your subscription at any time without fees or repercussions.

Because Market provides free shipping on all orders over $25. For orders under $25, standard shipping costs $2.99. For orders delivered to Alaska or Hawaii, there is an additional $12.99 charge.

Lily Bird

Best for daytime comfort and Runner-up best overall


  • Unscented and latex-free

  • Odor control technology neutralizes urine acid, reducing smell and irritation

  • Subscribe & Save membership takes 10% off all orders

  • Offers both classic and modern styles of pull-ups

  • Pads are extra-long and form-fitting

  • Pads and underwear are HSA/FSA eligible

  • All underwear is maximum absorbency

  • 10-day trial for just $1.99


  • Pricier than some competitors

  • Not hypoallergenic (but latex-free)

  • Only available through the company website

Like Because Market, Lily Bird's greatest asset is its subscription membership program. This program provides discreet and timely deliveries each month at a discounted price, so you don't have to worry about running out at a time of need. Additionally, Lily Bird offers two women's pull-up incontinence underwear styles: classic and modern. Both types provide maximum absorbency and a streamlined shape, allowing for comfort and easy wearability under most clothing.

Available products

Lily Bird manufactures pads and pull-up incontinence underwear for women. It is one of the few companies we've tested offering two styles of pull-ups, with both providing maximum absorbency. Lily Bird's full line of products includes:

  • Pads
  • Pull-up underwear
  • Wipes
  • Supplements

Below, we'll look at Lily Bird's top sellers for incontinence management.

Lily Bird Classic Underwear

Lily Bird's Classic Underwear comes in medium and large sizes, both providing maximum absorbency. These unscented pull-ups offer odor-protection technology and feature high-quality flexible fabric fitted around the legs, keeping moisture in. They can absorb up to 2 cups of fluid at one time and up to 4.25 cups total.

Lily Bird Modern Underwear

Lily Bird Modern Underwear is higher-cut at the thighs and has a more streamlined design than the classic fit. This style comes in three sizes: S/M, L, and XL/XXL. It absorbs just barely less overall than the classic fit, holding up to 4 cups of liquid total and 2 cups at one time.

Lily Bird Pads

Lily Bird Pads come in an extra-long length to give added absorbency and protection from urine or feces accidents. These unscented pads provide odor protection technology without added fragrance and side elastics for better comfort and fit. They are latex- and allergen-free and come in five absorbencies from light to maximum.


Below, we’ve detailed the prices for undergarments and pads in S/M and L sizes to give a side-by-side comparison of Lily Bird’s membership savings.

Lily Bird’s subscription program shaves 10% off all orders and delivers your products every two months or at intervals of your choice. Membership to the service is free, and you can cancel or alter your orders at any time without repercussions.

Lily Bird provides free shipping on all orders over $40. For orders under $40, standard shipping is $5.99. Your subscription service kicks off with a 10-day trial of any style of undergarment for $1.99, with a full shipment coming two weeks later unless you cancel.


Best budget pick and Best style options


  • Widely available from online retailers, pharmacies, and big box stores

  • Lowest prices among the competition

  • Products include pull-ups, adult briefs/diapers, pads, and guards

  • Many sizes and absorbency levels

  • Triple-tier moisture locking system

  • Many accessible options for the mobility-impaired


  • No company subscription option

  • Prices vary considerably depending on retailer

Attends earned our nod as the most budget-friendly and versatile incontinence underwear provider, as the company offers a wide variety of products that can serve many body sizes and lifestyles. Attends’ products accommodate the needs of immobile patients, those seeking maximum absorbency, and women looking for discreet, light-to-moderate pads and pull-ups. Its products promise leak protection, odor elimination, and ultimate comfort at a low price.

Available products

Attends is a long-standing and reliable brand with several budget-friendly offerings for incontinence products, including:

  • Women's pull-up underwear
  • Men's pull-up underwear
  • Unisex adult diapers/briefs
  • Male guards
  • Female pads
  • Underpads (for bedding)
  • Washcloths and sanitary wipes

We've detailed a few of Attends' most popular products for comparison purposes below.

Attends Extra Absorbency Protective Underwear

This unisex pull-up style underwear provides moderate to heavy protection with a flexible waistband and tear-away side seams for easier disposal. It has gathered legs for leakage prevention and is made of a breathable, stretchy cloth-like material that looks and feels like regular underwear.

Attends Discreet Women's Ultimate Pads

These discreet, moderate-absorption bladder control pads provide odor prevention, leakage protection, and Advanced Derma Dry Technology to keep you sanitary, dry, and odor-free. They are appropriate for light to moderate bladder leaks.

Attends DermaDry Plus Briefs

Attends' briefs-style unisex underwear is made of breathable fabric with a triple-layer core that keeps you dry, even with multiple voids. These side-tab undergarments have interior leg cuffs for additional leakage protection and the same odor control materials as all Attends products to keep you feeling confident no matter the circumstances.


Attends products are available through online retailers and brick-and-mortar stores. Our price comparison below draws from a trusted ecommerce site.

Dry Direct

Best absorbency


  • Elastic leg cuffs prevent leakage

  • Features tear-away side panels for easy removal

  • Three times the absorbency of most brands

  • Latex-free

  • Soft, breathable cotton-like exterior layer

  • Produces pull-ups and tab top adult briefs


  • All products are unisex

  • No subscription membership available

Dry Direct offers the highest absorbency of all of the incontinence underwear we've tested, with its overnight underwear having a maximum absorbency of up to 5.5 cups of fluid. Additionally, Dry Direct is a favorite product among caregivers, as it offers tab top adult diapers that allow for easier changing and disposal. All Dry Direct products are unisex, so you miss out on the curve-hugging styles of other brands. But if style isn’t a concern and you want maximum absorbency and convenience, Dry Direct is hard to top.

Available products

Dry Direct produces several unisex options for incontinence, including:

  • Pull-up underwear
  • Tab top adult briefs/diapers
  • Bladder control and booster pads
  • Cleansing wipes

Below, we'll look at two of Dry Direct's top sellers.

Dry Direct Maxi Overnight Brief

These Italian-made tab top adult diapers/briefs hold the maximum absorbency rating, accommodating over 5 cups of fluid. Their hood and loop tabs make it easy for multiple adjustments without losing adherence. Ideal for the most immobile users, these briefs are a caregiver favorite. They come in sizes small through XL.

Dry Direct Ultimate Underwear

This disposable unisex pull-up underwear provides over 40 oz of absorbency capacity and requires just 3-4 changes per day. Ideal for overnight use, it features elastic leg cuffs to prevent leakage and breathable, tear-away side panels for easy removal. It is latex-free and ranges in size from small to XXL.


Dry Direct is available through Parentgiving, which offers a Subscribe & Save option reducing the price by 5% and providing free shipping. Below, we've highlighted the prices side by side for easy comparison.



  • Wide variety of styles, including pull-ups and adult diapers/briefs

  • Readily available on store shelves and from online retailers

  • Products feature Confidence Core Technology

  • More sizes available than many brands

  • Some underwear styles feature different color options

  • Adult diapers/briefs and underpads work well for those with immobility issues


  • No subscription service (but can be purchased online)

  • Less stylish than some brands

  • Some styles are more prone to leaks around the legs

We selected Depend as the best brand for heavier women and those with mobility issues based on its wide variety of styles and sizes in both pull-ups and adult diapers/briefs. Depend products are readily available on store shelves in various styles, sizes, and absorbency levels. Most Depend products are latex-free, with pull-ups and adult briefs that feature Confidence Core Technology to keep you dry and odor-free.

Available products

Depend produces several incontinence products, including:

  • Women's pull-up underwear
  • Men's pull-up underwear
  • Unisex adult diapers/briefs
  • Underpads (for bedding)

We’ve highlighted three of the top-selling incontinence products for women below.

Depend Silhouette Underwear for Women

Depend Silhouette comes in Classic and Expressions styles. They are both made of smooth shapewear fabric that blends under your clothes. This underwear comes in a wider variety of sizes and colors than many incontinence pull-ups, allowing you to stay dry and odor-free while feeling like you're wearing regular underwear.

Depend FIT-Flex Incontinence Underwear for Women

FIT-Flex is a discreet, latex-free pull-up with moderate to maximum absorbency in four sizes, from small to XL.

Depend Night Defense Underwear for Women Overnight

Night Defense is an overnight maximum-protection pull-up underwear made of soft fabric that moves with you to prevent leaks. It comes in four sizes, from small to XL.


Depend products are available through many online retailers, pharmacies, and big box stores. Here’s a price comparison based on a trusted ecommerce site specializing in home care products.


Best for overnight comfort


  • Manufactures both adult briefs/diapers and pull-ups

  • High absorbency keeps you dry overnight

  • Inner leg cuffs prevent leakage

  • High waist (on pull-ups) allows for ease of movement

  • Available from multiple vendors

  • Relatively low-cost


  • Bulky for day use

  • Unisex styles don’t account for women’s curves

Tranquility specializes in overnight underwear with maximum absorbency, comfort, and fit. Its briefs and pull-ups hold up to 34 oz of fluid with superabsorbent polymers that keep you dry, odor-free, and comfortable throughout the night. While many of our top picks for women’s incontinence underwear feature overnight styles, we appreciated the comfort and options provided by Tranquility.

Available products

Tranquility produces several disposable underwear options, including:

  • Overnight pull-up underwear
  • Overnight tab top briefs
  • Daytime absorbent underwear
  • Booster pads
  • Underpads (for bedding)
  • Swimmates
  • Personal care pads
  • Male guards

Below, we’ll look at Tranquility’s two top-sellers for overnight comfort.

Tranquility Premium Overnight Disposable Absorbent Underwear

Tranquility's overnight pull-up underwear offers maximum protection and a latex-free, full-rise waist panel. Average sizes have a 34 oz maximum absorbency, and larger sizes can hold over 1 qt of fluid. The tear-away side seams provide easier removal, and leg elastics prevent leakage while you sleep.

Tranquility ATN (all-through-the-night) Brief

These poly-backed diaper/brief style underwear feature double side tabs for easier fitting and Kufguards inner leg cuffs that channel fluids to the core and prevent leaks. They are latex-free and come in sizes XS-XL.


You can purchase Tranquility incontinence products from several online retailers, pharmacies, and big box stores.

Incontinence underwear FAQ

Why you should trust us

Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions involving staying healthy and living healthier lifestyles.

We extensively test each health service or product we review. We try our best to give you, our readers, an unbiased exploration of at-home health options, free of marketing jargon or gimmicks. We evaluate products and services based on their adherence to quality, the latest medical evidence and health standards, and a simple question: would we buy the product or service ourselves if it weren’t part of our job, and would we recommend it to family and friends?

Additionally, like all health-related content on this website, this review was thoroughly vetted by one or more members of our Medical Review Board for accuracy.