The symptoms of menopause
How do changing oestrogren levels cause incontinence
The amount of oestrogen varies throughout life, but low levels are typically seen in young girls and women approaching . 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 during menopause happens, but a valid guess is that it’s due to the lowered levels of oestrogen which can affect the urinary tract and pelvic floor muscles.
Decreased oestrogen levels can cause the following effects:
1. 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.
2. 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 a urinary tract infection since the bacteria find it easier to attach and thrive. Infection (UTI) is also a risk for urinary incontinence.
How to treat menopause and 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 .
Pelvic floor muscle training
Since your 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 , don’t hesitate to contact a professional. There is help available. Then continue learning, read our guide on how to deal with leaks during the menopause.