Estrogen therapy may have several positive effects in women with stress incontinence who are estrogen deficient. Estrogen may increase the density of alpha-receptors in the urethra. In addition, it increases the vascularity of the urethral mucosa and may augment the coaptive abilities of the urethral mucosa.

Treatment Options

1. cut back on your caffeine and alcohol consumption.
2. gradually retrain your bladder to hold more urine by only urinating at certain preplanned times of the day.
3. lose weight to reduce the pressure on your bladder and muscles.
4. use Kegel exercises, or pelvic floor exercises, to strengthen your pelvic muscles.

Estrogen depletion can contribute to more urgency, frequency of urination (OAB) and sometimes urge urinary incontinence. So , due to shifts in their hormonal balance, some women may experience urinary incontinence.

Urinary leakage during intercourse is estimated to affect up to a quarter of women with incontinence. Reduced levels of estrogen starting around menopause can cause thinning of the lining of the urethra, the short tube that passes urine from the bladder out of the body.

The lack of estrogen weakens the bladder (which holds urine) and the urethra, the tube that carries urine out of the body, compromising their ability to control urinary functions.

Common symptoms of low estrogen include:

1. painful sex due to a lack of vaginal lubrication.
2. an increase in urinary tract infection (UTIs) due to a thinning of the urethra.
3. irregular or absent periods.
4. shifts in mood.
5. hot flashes.
6. breast tenderness.
7. headaches or accentuation of pre-existing migraines.
8. depression.

It’s common for women in menopause to lose control of their bladder. You may also feel a constant need to urinate even without a full bladder, or experience painful urination. This is because during menopause, the tissues in your vagina and urethra lose their elasticity and the lining thins.

If you are asking whether all women experience the symptoms typical of menopause, the answer is no. While most women do experience some kind of symptoms when hormone production by the ovaries declines, the extent and type of symptoms are extremely varied among different women.

Menopause is the time that marks the end of your menstrual cycles. It’s diagnosed after you’ve gone 12 months without a menstrual period. Menopause can happen in your 40s or 50s, but the average age is 51 in the United States. Menopause is a natural biological process.