My Sasha was diagnosed with incontinence a few years ago. We got the hormone pills, complete with the advice that they can lead to breast cancer. I increased Sasha's activity level and her incontinence went away. Aside from the occassional dribble now she is just fine and not on the hormones any more. The vet couldn't explain it. I figure more activity tightened up the muscles down there for her and thank goodness no more major accidents.