I'm so embarrassed to write this review, but I have had horrendous bladder issues since having my daughter 2 1/2 years ago (I'm 35 years old). I had a pretty tumultuous pregnancy, and my bladder was shaped like a pancake for about 3 weeks until my lovely babe was finally born. Don't get me wrong, she's the literal best thing that has ever happened to me, but she did a number on my bladder lol. I currently take medication, I use level 5 boutique incontinence pads, and I've been doing kegels to no avail. I have an appointment scheduled with a urogynecologist in a few months, but living with this bladder leakage needs a resolution NOW so I can try to continue to live my life normally. I ordered 3 pairs of these exact undies (Essential Leakproof High Waisted Brief; worn with my level 5 boutique incontinence pads), and they are my only saving grace. When I wear normal underwear, I'm guaranteed to leak even with a pad on. With these, I literally never leak. It has been a lifesaver for me. I have never tried them without the extra incontinence pad because I just use that for reassurance since I know that my issues surpass what these are meant for, but I'm ultimately and truly so happy with these undies and the confidence they've brought to my life... enough so that I just bought 5 more pairs. They also do an impeccable job of hugging my curves, are incredibly soft, and are fabulous quality. All this to say, buy them. If you're like me and know you're more of a "gusher" or "full bladder" gal, I would still wear a pad (just because I've never tested it doesn't mean it's not possible with these; I'm just scared lol). But ultimately, these will change your life completely. They're a must.