Urinary incontinence during menopause

Do you experience urine leakage when you jump, laugh, or sneeze? Does it happen accidentally? Do you feel an urgent need to go to the bathroom when you hear running water?

If this sounds familiar, you may have urinary incontinence. This condition is quite common, and many women tend to normalize it.

How does menopause affect urinary incontinence?

During menopause, hormonal changes—especially the decline in estrogen—lead to weakened pelvic floor muscles and connective tissues, increasing the likelihood of urinary incontinence or worsening existing symptoms.

Who is at higher risk?

Certain factors can increase the risk of urinary incontinence, including:

• Obesity
• Pregnancy, especially with large babies
• Instrumental delivery
• Perineal injuries or episiotomy
• Hysterectomy
• Smoking

Up to 70% of menopausal women experience genitourinary syndrome, a condition that includes symptoms such as urinary incontinence, vaginal dryness, unexplained itching, pain during intercourse, and a sensation of heaviness in the pelvic floor.

Can these symptoms be improved?

Yes. Several treatments and lifestyle changes can help manage symptoms effectively:

• Pelvic floor exercises, guided by a specialized physiotherapist, can strengthen the muscles.
• Regenerative gynecology and pelvic floor assessments help determine the best treatment plan.
• Estrogen therapy, either systemic or topical, can significantly improve symptoms.
• DHEA treatment is a great alternative for women who cannot or do not wish to use estrogen.

Non-invasive complementary therapies

Advanced energy-based treatments have been scientifically proven to be effective, comfortable, and non-invasive:

• CO2 laser therapy
• Radiofrequency
• Emsella electromagnetic chair

If you’re interested in learning more or would like a thorough evaluation, our regenerative gynecology unit is here to help.