Yes, some women have given birth often and lost all dignity doing so. We have also mostly had monthly periods and accept our bodily functions.
I remember a female boss I used to have joking that her family gave her a pack of Tena lady for her 50th birthday. At the time I was horrified, but now I completely understand. It was a joke, but also a reality for many older people.
There is no shame, it should be talked about more. My DH got huffy for me even mentioning this even though it was not him I was referring to 