With the decline of estrogen levels during the transition to menopause, the urogenital tract including the bladder, vulva and vagina can be dramatically impacted with the thinning of these tissues. The consequences include bladder symptoms like urgency, frequency of urination, recurrent bladder infections, as well as vulvar burning, vaginal dryness and painful intercourse.
Two main urinary incontinence disorders include stress urinary incontinence and urge incontinence (overactive bladder). Stress incontinence results in involuntary loss of urine due to an increase in intra-abdominal pressure such as coughing, sneezing, exercise, or laughing. Urge incontinence occurs when you have a sudden urge to urinate and cannot hold the urine in, causing leakage.
Unlike other issues related to menopause, this set of symptoms tend to be chronic and progressive without intervention.
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