MENOPAUSE AND URINE LEAKAGE
Menopause and symptoms from the urinary tract
There are many perks with getting older. The life experience you gather often gives you a good sense of self-belief and what’s really important in life. Maybe you have grown-up children and time to do all of the things you put aside during the years with small children or the hectic beginning-of-a-career stage? Menopause The period that marks the permanent cessation of menstrual activity. doesn’t have to stand in your way from doing what you love – but there are a couple of things that can be useful to know about during this new period in life.
Most people have heard about common symptoms of menopause, but a topic that is less discussed is how menopause can affect the urinary tract. In this article we will go through just that along with a couple of treatment options that can be helpful, and ease some of the changes in your body.
Menopause and incontinence
The amount of oestrogen varies throughout life, but low levels are typically seen in young girls and women approaching Menopause The period that marks the permanent cessation of menstrual activity. . Oestrogen affects many organs and parts of the body, like the brain, skeleton, uterus, and vagina. It might also be one of the reasons why many women experience incontinence during this period of life. Science hasn’t proved exactly why incontinence Incontinence or being incontinent can refer to both urinary incontinence and faecal incontinence. during menopause happens, but a valid guess is that its due to the lowered levels of oestrogen which can affect the urinary tract and pelvic floor muscles The pelvic floor muscles (or pelvic muscles) are a group of muscles at the bottom of the abdominal cavity. They are located between the pubic bone (at the front) and the base of your spine (at the back). They also support the bladder and bowel. Weakening of these muscles can lead to problems such as urinary incontinence and, if the anal closure muscle is affected, faecal incontinence. . Decreased oestrogen levels can cause the following effects:
These symptoms are collectively known as “genitourinary syndrome of menopause” (GSM). Between 40-60% of postmenopausal women experience GSM, but few seek treatment.
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Loss of tissue condition
Vaginal and urinary tract tissue can become drier, thinner and less elastic (pelvic floor muscles degenerate when they are not stimulated by oestrogen). Generally, combinations of age, childbirth, bodyweight and hormonal factors can lead to this condition and increase the risk of problems with urinary incontinence or urgency feelings.
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Change in pH-environment
Lactobacilli bacteria normally present in the urinary tract create a low pH environment which protects against infection. With age, the level of lactobacilli bacteria is lowered and so does the mucus production. Levels of pH can rise and the mucosa gets drier. This increases the risk of urinary tract infection since the bacteria find it easier to attach and thrive. Infection (UTI) is also a risk for urinary incontinence.
Oestrogen treatment
Oestrogen treatment in the form of creams and vaginal suppositories is one way to manage symptoms, as these treatments provide increased delivery of blood to the tissue. Locally administrated oestrogen adds moisture, making the mucous membranes of the vagina and urinary tract thicker, more acidic and less delicate. It improves the mucus defense against infections which is also reducing the risk of irritation and urinary tract infection. In contrast, oestrogen administrated as pills might worsen urinary incontinence.
Pelvic floor muscle training
Since your pelvic floor muscles are important to improve bladder and bowel control and prevent leaks it is essential to keep up the strength in this muscle group. Add Kegel exercises to your daily routine. A few minutes of pelvic floor training a day can lessen the risk for leaks or even make them go away entirely.
If you feel that you need more help and support with your symptoms during menopause, don’t hesitate to contact a professional. There is proper help to get.