Guideline to Manage Urinary Incontinence in Menopause

May 06, 2024
JOGO TEAM

Menopause brings many changes in your body, including urinary incontinence, which can disrupt your life. This issue often stems from a drop in oestrogen levels, a key hormone for bladder health. Urinary incontinence need not be an inevitable part of menopause.

You can tackle urinary incontinence by understanding these bodily changes and arming yourself with expert tips and medical insights. Let's explore ways to preserve your dignity and comfort with the latest urinary incontinence treatments.

Why Does Urinary Incontinence Occur During Menopause?

Half of all women may face urinary incontinence during post-menopause. Hormonal shifts, especially the drop in oestrogen, lead to this. Oestrogen keeps your urinary system strong and flexible, but lower levels can cause vaginal dryness and more frequent bathroom trips.

These issues are part of the Genitourinary Syndrome of Menopause (GSM). Grasping the link between oestrogen and urinary health is vital for handling this menopausal hurdle. With this insight, proactive measures to tackle symptoms and boost your well-being are within reach.

Oestrogen’s Role in Menopause and Urinary Incontinence

Menopause causes a drop in oestrogen, affecting your bladder and urinary tract. This hormone keeps these organ’s tissues in good shape. Lower levels of oestrogen can lead to GSM, which includes:

  • Vaginal dryness
  • Sudden needs urinate
  • Incontinence
  • Increased visits to the restroom

Knowing how oestrogen levels impact your urinary health is critical in managing incontinence. Spot the signs of GSM and get the proper care to ease these issues. Tackle the hormonal root cause to find effective strategies for these conditions. By taking action, you maintain life quality amid natural changes.

Types of Urinary Incontinence During Menopause

Menopause might introduce different urinary incontinence types, each with unique symptoms. Let us delve into these variations:

1. Stress Incontinence

Stress incontinence occurs when physical activities cause urine to leak. To handle this, lifestyle changes like cutting down on caffeine and alcohol can aid, as these can irritate the bladder.

Try reducing your water intake in the evening to reduce night-time bathroom trips. If stress incontinence affects your daily life, talk to a healthcare expert. They can check your condition and suggest personalised medical treatments to improve your quality of life. As you look for ways to manage this issue, remember that other urinary challenges might also emerge, needing their own strategies.

2. Urge Incontinence and Nocturia

A sudden, strong need to urinate, followed by leakages, could mean urge incontinence. This issue often disrupts sleep due to frequent nighttime bathroom needs, known as nocturia. These symptoms can affect sleep and daily routine, causing tiredness and stress.

Understanding and handling urge incontinence and nocturia is a move towards tackling the broader range of urinary issues during menopause.

3. Mixed Incontinence

Mixed incontinence in menopause can be a complex issue, mixing symptoms of stress incontinence with the urgency seen in urge incontinence. This mix can deeply affect your daily life and emotional state. Beyond understanding mixed incontinence, lifestyle changes are key in managing symptoms.

Lifestyle Remedies for Menopausal Urinary Incontinence

Menopause might bring the challenge of urinary incontinence. Yet, you can manage it with lifestyle adjustments. Here are some practical measures:

  • Knowing where public toilets are when you are travelling brings peace of mind.
  • Using pads or bed mats adds a security layer against leaks.

These steps help with incontinence and boost overall well-being during menopause. Embracing the following practical measures prepares you to manage the symptoms of these natural life stages.

1. Pelvic Floor Exercises

Kegels are crucial for strengthening the muscles that help your bladder and urethra and are vital for handling urinary incontinence during menopause. To do these exercises, first find the pelvic floor muscles by trying to stop urination.

With an empty bladder, contract these muscles for five seconds, then relax for five seconds. Do this ten times, thrice daily. Increase the frequency and duration as you increase. While these exercises are vital in managing incontinence, a healthy diet and weight also support bladder health.

2. Diet and Weight Management

Your diet is key in handling urinary incontinence during menopause. Certain foods and drinks can irritate the bladder, leading to more frequent and urgent bathroom visits. To reduce these symptoms, consider avoiding irritants like caffeine, alcohol, spicy foods, and acidic fruits. By avoiding these, you may see fewer incontinence episodes.

Extra weight, especially around the middle, adds pressure to your bladder and pelvic floor muscles, which can worsen incontinence symptoms. Maintaining a healthy weight with a balanced diet and regular exercise can ease this pressure and might improve bladder control.

While diet and weight are important, looking into additional support options can further your journey to better bladder control.

Medical Treatments for Urinary Incontinence

Understanding medical treatments for urinary incontinence is important as you go through menopause.

The following treatments can help you regain control and comfort:

1. Vaginal Oestrogen Treatment

Vaginal oestrogen might help with urinary incontinence during menopause. By bringing back moisture and flexibility to the vaginal area, it can improve bladder function. Vaginal oestrogen is low risk as it barely enters the bloodstream, making it a potential option for many women.

Talk with your healthcare provider to see if it is suitable for you.

2. HRT for Urinary Incontinence

Oestrogen is key for bladder and urinary tract health, and HRT aims to replenish these hormones. However, it is not suitable for everyone.

Research suggests HRT could worsen incontinence for some, showing the need for a tailored approach. Also, HRT might increase the risk of some cancers, heart issues, and blood clots, depending on the therapy type and length. Weigh these risks against the benefits carefully.

When weighing HRT’s pros and cons, also consider other treatment paths that might support your urinary health.

Advanced Urinary Incontinence Treatment Options

For more advanced urinary incontinence treatments, there are medical interventions to explore:

Medications for Managing Urge Incontinence

Antimuscarinic drugs are often prescribed for urge incontinence. They block receptors in the bladder, relaxing the muscles, which can ease the constant urge to pee associated with this type of incontinence. While these drugs can be effective, be mindful of possible side effects, which may include a dry mouth, constipation, and blurred vision. Discuss these with your doctor to make sure the benefits outweigh any downsides.

Surgical Solutions for Stress and Urge Incontinence

For stress incontinence, surgeries like colposuspension, sling surgery, and urethral bulking agents can offer lasting relief. Doctors may suggest Botulinum Toxin A injections or nerve stimulation therapies when other treatments fail to give the desired results.

Overcoming Urinary Incontinence With JOGO’s Therapies

Bid farewell to quietly enduring urinary incontinence during menopause. There is hope and assistance.

Embrace the change that JOGO brings. Our DTX therapeutics is a non-invasive treatment for incontinence during menopause. We use AI and VR to guide your pelvic floor muscles back to health through engaging neuromuscular training.

Meet with JOGO experts to learn how to rebuild healthy brain muscle connections and reduce symptoms. Take the reins today and enter this new life chapter with assurance and control.

FAQs

Is it necessary to see a doctor for urinary incontinence when going through menopause?

Seeing a doctor for urinary incontinence during menopause can be beneficial:

  • Manage incontinence effectively with available treatments.
  • Identify if symptoms are due to menopause or other conditions.
  • Receive personalised advice on exercises or lifestyle changes.
  • Explore medication or surgical options if necessary.
  • Seeking medical advice can improve quality of life and manage symptoms.

It is advised to consult a healthcare provider to address urinary incontinence during menopause.

Does drinking more water help bladder leakage?

Consuming more water can be beneficial for managing bladder leakage, but it requires balance:

  • Staying hydrated prevents concentrated urine that irritates the bladder, which can worsen leakage.
  • Spread fluid intake evenly throughout the day; avoid large volumes before bedtime.
  • Caffeinated and alcoholic beverages may increase bladder activity, leading to more leaks.
  • Aim for light yellow urine to indicate proper hydration.
  • Consult with a healthcare provider to find the right amount of fluid intake for your condition.

How do dtx therapeutics aid in treating urinary incontinence in menopause?

Treatments for urinary incontinence in menopausal women often require a multifaceted approach, with dtx therapeutics (digital therapeutics) offering innovative solutions. DTx utilises software-based tools to manage and treat medical conditions:

  • Behaviour modification apps guide patients in exercises like pelvic floor strengthening to manage symptoms.
  • Sensor-based devices track activities and provide biofeedback for improved bladder control.
  • Software programs offer personalised plans including diet, exercise, and bladder training schedules.
  • Stand-alone software solutions such as smartphone apps provide easy accessibility for users.
  • Patients favour DTx which offers validated information and significant health improvements.
  • Urologists can prescribe DTx as they would medication, tailoring treatments based on generated data.

How to cure latchkey incontinence?

  1. Identify the pattern triggering latchkey incontinence and attempt to delay bathroom visits gradually.
  2. Engage in bladder training with the assistance of a trained professional.
  3. Perform pelvic floor exercises like Kegels to strengthen bladder control.
  4. Follow proper bathroom habits to minimise urgency.
  5. Consider natural supplements or medications as directed by a healthcare provider.
  6. Stay hydrated and limit intake of bladder irritants such as caffeine and alcohol.
  7. Seek medical advice for advanced treatments, including medications or surgery.

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