After using this for 8+ weeks I am happy to say that I no longer leak when I cough or sneeze! Mastering the placement of the gel pads was the trickiest, but after a couple tweaks I’ve had no issues. I’ve found it helpful to apply the pads and wait a few minutes so that they adjust to your body temperature - it seems that it adheres better that way. I would recommend this for anyone that still leaks despite doing “all the right things” (I’m looking at you, kegels!).