Perimenopause and Urinary Problems

There is Help

Women in the prime of their life often face an embarrassing reality of perimenopause—an increased urge to go to the bathroom, often accompanied by leaking during common activities, such as exercise, sneezing, coughing, or even laughing. In addition, they may suffer more urinary tract infections. According to the National Institute on Aging, these symptoms are due to the fact that "the genital area can get drier and thinner as estrogen levels change."

Less estrogen means vaginal PH increases and the lining of the vagina thins, which, in turn, creates an imbalance in the good bacteria that can leave you prone to vaginal infection. However, the urethra and vaginal canal become even closer, due to the thinning wall between them and increased PH in the urinary tract, creating the opportunity for not only vaginal, but urinary tract infections as well.

Decreasing estrogen can also weaken the muscles controlling the urethra, which can contribute to incontinence. The weight gain often associated with this change in our lives may worsen leakage as well.

Cystitis

Cystitis is a bacterial infection of the bladder or lower urinary tract. Sexual intercourse can increase the risk of cystitis because bacteria can be introduced into the bladder through the urethra during sexual activity. Once bacteria enter the bladder, they normally are removed through urination. When bacteria multiply faster than they are removed by urination, infection results. You must see a doctor and take antibiotics if you truly have cystitis. This is an infection you don't want to mess with!

If you suffer from recurrent urinary tract infections (UTI), there may be a non-drug solution. Cranberry juice has been clinically proven to aid in avoiding infections.

Interstitial Cystitis

Interstitial Cystitis (IC) is a chronic condition resulting in recurring discomfort or pain in the bladder and the surrounding pelvic region. Unlike a UTI, it is not a bacterial infection, though the symptoms may be similar.

Urinary Leakage

As for leakage, the good news is that pelvic floor muscles are just like other muscles. Exercise can make them stronger. Women with bladder control problems can regain control through pelvic muscle exercises, such as Kegel Exercises. But speak with your doctor before doing kegels as some conditions may be worsened.

Tips for Relief

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