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Treatment of urinary incontinence in menopause in women

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The onset of menopause is accompanied by unpleasant changes in the body, including a violation of the process of urination. Many people think that the treatment of urinary incontinence in menopause in women is almost impossible, therefore, they suffer both physiologically and psychologically. But to get rid of problems with urination is quite realistic, especially if you worry about this issue in advance by organizing prevention.

Urinary incontinence with menopause can manifest itself in the following variants:

  1. Stressful. This type of incontinence occurs when you laugh, cough or sneeze.
  2. Urgent. Manifested in the form of a small amount of urine. First, an uncontrollable contraction of the muscles of the bladder occurs, after which a painful urge arises.
  3. Painful. Incontinence is accompanied by internal burning and pain. The most common cause of infectious diseases.
  4. Frequent. Excretion of urine occurs frequently, but in small quantities. Especially the number of urges at night increases.

It is worth remembering that during menopause in the body comes disharmony, which reduces the resistance to infections and microbes. And if you add the unpleasant symptoms of menopause, lack of hormones, then the likelihood of urethral syndrome in women with menopause is very high. If by the age of 55 only 30% of women start having bladder problems, then by 75 years almost 75% suffer from this disease.

Even if you have never experienced such discomfort and strictly monitored your health, incontinence during menopause may still occur. This is primarily due to hormonal changes. Lack of estrogen provokes a loss of strength and elasticity of the tissues, which disrupts the normal functioning of the bladder.

There are several reasons for frequent urination in menopause in women:

  • Loss of pelvic muscle tone. Muscles due to the loss of collagen are no longer able to fully control urination.
  • Overweight. During menopause, the female body can gain weight, and each extra kilogram creates additional stress for the pelvic floor muscles, which already suffer from loss of elasticity.
  • Loss of bladder tissue elasticity. The cause of urinary incontinence during menopause can be bladder tissue, which with age fails to stretch and become hard. All this causes irritations that cause the body to contract with the slightest physical activity.
  • Lack of secret mucous. The dryness of the mucous membranes during menopause leads to thinning of the tissue, which in this state cannot effectively fight infections without passing them into the body.
  • Changing the position of the internal genital organs. The cause of frequent urination during menopause may be the prolapse of the vagina or uterus due to weakening of the walls. Therefore, the female organ changes its location, irritating the bladder.
  • The presence of diseases. Violations of the urinary system can be associated with problems of other organs (kidney problems, diabetes, impaired digestion).
  • Uterus removal. Doctors have not yet fully studied the connection between uterine loss and incontinence during menopause, but this problem may well arise after surgery.

It can be concluded that menopause and incontinence are linked by a number of factors, and this problem is quite common. Therefore you should not be ashamed to consult a doctor for help.

Symptoms of impaired urination

The climacteric period may be accompanied by several stages of urogenital disorders. Therefore, the doctor can not immediately tell what to do with frequent urination during menopause, until it determines the exact degree of severity. They are:

  1. Easy Urging occurs up to six times a day, but painful sensations may occur periodically.
  2. Average. The number of urges persists (up to 6 times), but when a woman is stressed, she cannot hold the urine.
  3. Heavy Uncharacteristic changes in the state and functioning of the urogenital system occur. The number of urges to the toilet can pass for ten times per day, while urine is excreted in a very small amount.

Abnormal urination in women with menopause may be characterized by the following symptoms:

  • involuntary release of urine under the slightest exertion
  • the allocation of urine on the way to the toilet room,
  • frequent urinary tract inflammations,
  • frequent urge at night
  • urine immediately after urging.

What is the danger of delayed treatment of the disease?

Treatment of urinary incontinence in menopause is quite realistic, but many women continue to put up with the problem of ignorance, suffering from discomfort. This causes a psychological stress. In addition, frequent urination without timely treatment can easily develop into a more serious disease, which will be much more difficult to cope with.

Treatment of incontinence in menopause is based on the complaints and discomfort of a woman. Diagnosis is still required, during which an ultrasound scan is performed:

  • Bladder,
  • the kidneys,
  • ureters,
  • pelvic organs and uterus.

In addition, it is important to distinguish the usual incontinence from other diseases of the urinary system, as well as mental disorders.

Drug treatment of urinary incontinence in women with menopause, involves the administration of certain types of drugs, the choice of which depends on the main symptoms:

  • Increasing the tone of the urethra (Detruzitol, Spazmeks and Driptan).
  • Support elasticity and elasticity of muscle tissue (Nivalin, Ubretid, Neyromidin).
  • To combat stress (Duloxetine or Simbalt).

Sometimes the doctor prescribes only hormonal drugs to eliminate the unpleasant symptoms of menopause:

Homeopathic remedies are also used to correct urinary problems with menopause (menopause in tablets and granules, Remens).

Preparations and the nature of the treatment is determined by the attending physician, because only after the diagnosis can accurately determine the cause of impaired urethra.

Non-drug treatments

It is important to organize a comprehensive body support for this problem:

  1. We train the urethra. The doctor advises the patient to draw up a specific urination routine, gradually increasing the intervals.
  2. We strengthen the pelvic floor muscles. Kegel's systematic exercises can solve the problem if there are no associated diseases.
  3. We resort to physiotherapy. Warming up, microcurrents and other techniques block stagnation in the pelvic area.

It is worth noting that these recommendations can be observed even before the onset of pathology, thereby organizing a kind of prevention of frequent urination during menopause.

Another noteworthy is that it is frequent and abundant drinking reduces the concentration of urine, and not vice versa.

The importance of personal hygiene

Uncontrolled urination causes general discomfort, making it difficult to live normally. To avoid psychological stress, unpleasant smell and irritation of the skin, it is necessary to increase the number of scrubbers, wear hygienic urological pads and find the best means of intimate hygiene.

The prevention of involuntary urination should be resorted to beforehand, without waiting for the onset of menopause. There are several basic methods:

  • weight loss,
  • regular exercise related exercises
  • balanced diet
  • total rejection of alcohol,
  • systematic examination by a doctor.

With the help of these recommendations, you can minimize the risk of bladder problems without suffering from an involuntary discharge of urine, even during menopause.

Urinary incontinence with menopause, causes, symptoms

Hormonal imbalance in the body of a woman caused by menopause, can cause involuntary urination. The onset of this period in life is accompanied by other unpleasant symptoms that have a negative impact on the quality of life of their owners.

Most of them experience frequent mood swings, disturbed sleep, short-term intermittent flushes, excessive sweating, shortness of breath, etc. In this way, the body experiences a kind of stress.

Fortunately, today all these symptoms are easily overcome with the help of modern medicines, which you can continue to enjoy life with. We will talk more about the symptom of urinary incontinence and find out the mechanism of its appearance, symptoms and methods of treatment of this disease.

What are the reasons for involuntary urination?

Arbitrary work of the circular muscle, which is responsible for removing urine outside, is directly dependent on the work of the central nervous system. The loss or partial breakdown of the nervous connection between the muscle and the central nervous system is a consequence of urinary incontinence.

Decreased sex hormone may not be the only cause of the disease. This imbalance may be due to the following causes and diseases:

  1. Urogenital system infections.
  2. Prunus of the anterior wall of the vagina or uterus.
  3. If the uterus has been surgically removed.
  4. Age-loosening of the ligaments and muscles of the pelvis, which support the urinary organs.
  5. Traumatic or operative disorders of the muscles of the pelvis.
  6. Nervous disorders.
  7. Urolithiasis disease.
  8. Parkinson's disease.
  9. Stroke.
  10. Obesity.
  11. Excessive exercise.
  12. Frequent and pathological labor.
  13. Some drugs.
  14. Chronic constipation.
  15. Varicose veins
  16. The most common cause is lack of sex hormones. Estragons control not only reproductive function, but also support the muscle tone of the urogenital system and their blood supply.

Variants of urinary incontinence in menopausal women of their cause and diagnosis

Imperative urinary incontinence - frequent sudden urge to urinate, the amount of fluid in which is negligible.

Urgent - when signals come to the brain late, the bladder muscles contract before the woman has time to reach the toilet. This type of incontinence is more common in patients with sclerosis, diabetes, Parkinson's disease, dementia, etc.

Stressful loss of urine during experiences, mental stress, bright emotional states. Manifested when sneezing, coughing, physical exertion, laughter, sudden movements. The cause of stress incontinence is the weakness of the muscles of the pelvis, which is due to lack of tarragon.

Pain when urinating, bedwetting - symptoms that are much less common in women during menopause.

In any case, you need to consult a doctor (urogynecologist, urologist, gynecologist) for the diagnosis and treatment of the disease. Wrong are those who think that this is a disease of the age and nothing can be done here. Lack of treatment of this disease can lead to more serious consequences that can be prevented.

Complications that may arise are: pyelonephritis, urethritis, cystitis, inflammation of the skin from constant contact with urine, the occurrence of cracks, ulcers, fecal incontinence due to further lowering of the pelvis.

In most cases, the cause can be determined after examining and testing the patient. In more complex situations, it is necessary to resort to the study of the bladder and small pelvis using ultrasound or x-rays, cystoscopy, optical examination and microscopic examination of urine analysis and seeding for the presence of harmful bacterial microflora. After diagnosis, the doctor will prescribe the optimal treatment.

Lifestyle of a woman with symptoms of urinary incontinence

Some directional changes and limitations can help, such as:

  1. Refusal from alcohol, chocolate, vinegar, dairy products, tomatoes, citrus, coffee, sweets, a large amount of liquid. These foods and drinks are bladder irritants.
  2. Monitoring the state of the ratio of their height and weight, bringing them closer to normal. The accumulation of excess fat puts pressure on the organs of the genitourinary system, and provokes incontinence.
  3. Getting rid of strong constipation, after consulting with a urologist about the diet of his food.
  4. Denial of use in the treatment of diuretics and laxatives.
  5. Pelvic floor muscle training with Kegel exercises. This is an effective way to get rid of incontinence.
  6. Getting rid of smoking addiction, this habit is often the cause of urinary incontinence.
  7. A toilet visit every 2-4 hours during the day is mandatory.

Folk remedies for the treatment of urinary incontinence in women

Medicines that nature itself has given us also need to be applied only strictly following the norms. Here are some of the most popular of these medicinal recipes:

Tea from equal quantities of herbs and flowers of Hypericum and centaury. One teaspoon of the mixture to fall asleep in a thermos and pour 200 grams of boiled water, to insist 15 minutes. Strain and drink throughout the day.

Infusion of sage herb. Drink three times a day in one glass.

Lingonberry leaves and flowers, and leaves of Hypericum. For two tablespoons of both, mix and pour 600 ml of boiled water, boil for 10 minutes, cool and strain. The broth to drink after 2 pm, sip from time to time, stretching until the evening.

Drink 0.5 cups of warm boiled water with a teaspoon of honey diluted in it half an hour before breakfast and dinner.

Dill seeds. Take them in the amount of one tablespoon and pour a glass of boiled water in a thermos. Infuse for 2 hours, strain, drink a glass of broth all at once completely. This should be done only once a day.

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How to treat urinary incontinence in menopause in women

Menopause or menopause - age-related changes in the body of a woman, which are associated with the cessation of work of the reproductive function of the ovaries. During this period, the ovaries stop the secretion of hormones, and this is strongly reflected in the work of the female body, and the urinogenital system suffers particularly acutely. Urinary incontinence in menopause is the most common occurrence that women face at this age.

Causes of incontinence

Climacteric changes in a woman's body are primarily reflected in the work of the urogenital system, during this period incontinence is observed. Uncontrolled secretion can be observed even in healthy women who are fine with their kidneys and bladder. Urinary incontinence in menopause in women appears for the following reasons:

  • hormonal changes due to the termination of the secretion of the hormone estrogen by the ovaries,
  • reduced pelvic muscle tone,
  • changes in the echostructure of the bladder membrane,
  • reduction of secreted glands,
  • surgery to remove the uterus or appendages,
  • stress incontinence and overweight.

An awkward situation may arise:

  • on the way to the toilet
  • when coughing
  • sneezing
  • laugh
  • when performing physical activities
  • when lifting heavy objects.

When it becomes impossible to control the process of urination, it is impossible to ignore the symptoms and be shy, you should immediately seek help from a doctor.

Diagnosis and treatment

Treatment of incontinence during menopause begins with drawing up a complete clinical picture. Based on the results of the examination of the work of the kidneys, bladder, uterus and appendages, by means of ultrasound diagnostics and laboratory tests, ways of getting rid of the illness are determined. Depending on the degree of neglect of urination disorders, the type of therapy is prescribed:

  • special Kegel exercises,
  • drug therapy,
  • physiotherapy,
  • phytotherapy,
  • surgical treatment.

Treatment of incontinence in patients during menopause with Kegel exercises consists in the daily performance of special exercises in a sitting position, which are aimed at strengthening the pelvic floor muscles. Drug therapy eliminates the symptoms of incontinence by leading to muscle tone in the urethra, restoring patients the ability to control urination.

Such physiotherapeutic procedures as electromagnetic impulses and heating eliminate urinary incontinence. Some herbs and herbal preparations are also used in the treatment of urinary incontinence during menopause. In difficult cases, when patients do not respond to conservative treatment, surgical treatment is performed.

Menopause is characterized by changes in the composition of hormones in the body of a woman, which provoke the appearance of urinary incontinence. The task of therapeutic measures to restore muscle tone of the bladder and urethra, to return the reflexes of the urogenital system of a woman. For the treatment of urinary incontinence in women during menopause, drugs are used to help restore the tone of the muscles of the genitourinary system, these are such tools as Detruzitol, Driptan, Duloxetine, Reminil. Such homeopathic remedies as Klimadinon, Manopeys, Remens eliminate climacteric symptoms and incontinence. Among physiotherapeutic procedures, the most effective are:

  • warming up
  • electromagnetic waves,
  • microcurrents.
Physiotherapy stimulates the impulses of the urinary tract and urethra through the effects on the patient's brain.

After this treatment, there is a resumption of muscle tone of the urinary tract. Of the herbs that are used to treat incontinence during menopause, only bearberry is used, decoctions from the leaves, which improve the functioning of the bladder, relieve inflammation and improve the process of urine withdrawal. When conservative treatment methods do not help the patient, the surgical treatment method remains, which is carried out with the help of:

  • introduction of a pessary into the urethra zone,
  • injecting subcutaneous fat into the urethra,
  • introduction of implants into the urethra zone,
  • tightening the muscles of the pelvis by laparoscopy.

This method of treatment allows you to raise and align the angle of ptosis of the urethra, thereby returning muscle tone and the ability to reflexively control urination, and do it at the right moment. Methods of surgical treatment are carried out under local anesthesia, except for laparoscopic treatment. This type of surgical treatment is performed under general anesthesia. The doctor inserts special probes into the abdominal cavity, which are used to tighten or partially hem the pelvic muscles, allowing the urethra to be in a normal position. Surgical treatment gives 100% result on the patient's recovery, unlike other methods of treatment.

How to adjust your lifestyle

Treatment of urinary incontinence in women during menopausal disorders until complete recovery may take some period of time. During this period, a woman must adhere to the rules of a healthy lifestyle and personal hygiene:

  • get rid of such bad habits as smoking and alcohol,
  • eliminate spicy foods, spices, spices and essences from the diet,
  • stick to a diet, table number 8 for weight control,
  • use pads,
  • wash out after every trip to the toilet.

Particular attention should be paid to the mode of the day. A woman should go to the toilet every 2-3 hours to completely empty her bladder, not allowing urine to accumulate and stagnate. If urinary incontinence is accompanied by a strong odor, despite the implementation of hygienic procedures, the amount of fluid consumed per day should be increased. The fluid washes through the urinary tract, and a strong odor is expelled. If the urine has a sharp, sharp, unpleasant smell, this may indicate an inflammatory process in the bladder or in the renal pelvis. In this case, you should immediately consult a doctor.

Menopausal incontinence in women: causes, symptoms and treatment methods

Menopause is the era of change in a woman’s life. During this period, there may be difficulties with the control of the bladder. Menopausal incontinence is a fairly common problem and can create physical and psychological discomfort that affects lifestyle.

The incontinence age of women is 50 years old. This is exactly the age when menopause occurs, which is characterized by significant changes in the female body.

Urinary incontinence with menopause: treatment

Medical examination is required to diagnose urinary incontinence in menopause and treatment prescription. Laboratory tests of urine for infections and other diseases are also conducted. Depending on the diagnosis, different therapy is prescribed. In most cases, the treatment of urinary incontinence in menopause in women is conservative or invasive. If the symptoms of incontinence are serious and other treatments are not effective, surgery may be recommended.

Conservative treatment includes lifestyle changes:

  • weight loss
  • healthy eating and regular exercise,
  • timely urination,
  • constipation prevention,
  • elimination of weight lifting
  • reduction of fluid intake,
  • refusal of caffeine and other irritants of the bladder.

It is also recommended abdominal muscle exercises (Kegel), able to strengthen the pelvic floor and improve urinary control. Electrostimulation can be used to restore muscle tone.

Drug control and injection therapy can block the nerve signals that cause frequent urination, and prevent bladder spasms, rejuvenate the urethra. The use of special tools prevents the flow of urine.

Surgical intervention is most often intended to change the position of the bladder neck and urethra. Catheterization is used in case of complete incontinence.

Modern medicine and hygiene products facilitate and eliminate the symptoms of urinary incontinence during menopause in women.

The main causes of incontinence in menopause

The woman understands that she has enuresis, when she begins to experience frequent urge to emit urine, she cannot hold the urine in her bladder. This problem deprives a full life. In case of severe pathology, a woman cannot leave the house for a long time.

Urinary incontinence with menopause may be supplemented by the following symptoms:

  • uncontrolled leakage of urine when coughing, laughing, lifting weights, sudden movements,
  • the beginning of the release of urine before landing on the toilet,
  • exacerbation of pathology at night (at night you have to get up to the toilet more than 2 times),
  • infectious lesions of the genitourinary system,
  • fecal incontinence,
  • constipated
  • excessive gas formation.

The causes of urinary incontinence in menopause are various factors. With menopause, estrogen synthesis is significantly reduced. And in the structure of the tissues of the bladder and other urinary organs there are receptors that are sensitive to estrogen. Therefore, with estrogen deficiency, there is a decrease in the tone of the pelvic floor, urethra and sphincter. The result is an increase in urine emission.

This is the main factor in the development of the urinary system, but the causes of urinary incontinence are also indirect factors:

  • relaxation of the pelvic muscles due to the lack of sexual intercourse (women often encounter this problem, because of their hormonal imbalance, libido decreases),
  • obesity provoked by hormonal changes (overweight loads the pelvic floor muscles, which during menopause is manifested by increased urination),
  • drying of the mucous membranes of the urogenital tract, which is why the organs of the pelvic region become defenseless against infectious agents (some types of infection provoke an increase in the urge to use the toilet),
  • chronic diseases that are exacerbated during menopause (incontinence often manifests diabetes, endocrine gland malfunction, cystitis, pyelonephritis and other kidney diseases).

In women of any age, incontinence may occur after surgery to remove the uterus, and even with pyelonephritis and renal failure after an unsuccessful removal of a urethral polyp.

In what cases is urinary incontinence diagnosed?

Urinary incontinence with menopause is a frequently observed symptom. But he is diagnosed by different types of manifestations. The main types of pathology are:

  1. Stressful. This type of incontinence is provoked by sharp motor activity: laughter, cough, jerk movements.
  2. Urgent. It is noted with a large accumulation of urine, when it is impossible to reach the toilet. This type of incontinence means that urine flows spontaneously.
  3. Combined. A type of incontinence combining both previous types.

With infection of the urogenital organs, the emission of urine becomes painful, which is associated with an inflammatory process.

The consequences of pathology

For many women with menopause, urinary incontinence becomes not only a physiological, but also a psychological problem. Because of the pathology, the lifestyle of a woman is changing dramatically. The patient is constantly tense, thinking about the problem, forced to exclude many of the usual things and activities. Women have to abandon sexual relations, going to the gym, participating in parties, because of the problem of incontinence, they risk disgrace. You can even go for a walk or shopping in places where there are toilets.

An important point of the problem is the complexity of hygiene. The ideal purity of the linen and the genital area becomes impossible due to the constant flow of urine. A woman is forced to constantly use daily pads, but even they do not save the smell of urine. Therefore, visiting places with large crowds of people is excluded.

Clean women perform hygiene procedures several times a day. But due to frequent washing away, the mucous membranes of the genital area dry up. As a result, the integuments are irritated, begin to itch, and when you release urine, pain arises.

Types of treatment

In case of menopausal enuresis, the therapy can be drug and surgical.

When medication is used several types of drugs:

  • preparations to increase the tone of the sphincter and urethra,
  • medications to restore the elasticity of the bladder, giving elasticity to the pelvic muscles,
  • sedatives
  • hormonal drugs to reduce menopausal symptoms.

Surgical procedures show high efficiency, are transferred without complications. In case of incontinence with menopause, surgical treatment may include:

  • sling application,
  • introduction to the mucous walls of the urethra of special medicinal substances,
  • collospace,
  • Kolpografiyu.

Kegel Gymnastics

In case of urinary incontinence with menopause in women, treatment should be comprehensive. It is important not only to take medications, but also to stimulate the muscles of the pelvic area through special gymnastics. To speed up getting rid of urination problems, Kegel exercises are recommended.

Training consists in alternating compression and relaxation of the pelvic muscles, performed in a sitting position. The patient imagines that she is urinating, trying to stop the flow of an imaginary jet by straining the pelvic floor. During the first trainings, the muscles should be compressed for a few seconds, but gradually the duration of the exercise should be increased until it reaches 2 minutes. Exercises are carried out 4 times a day.

It is recommended to do gymnastics not only according to the standard scheme, but also when coughing, laughing, sneezing and other actions, when the risk of involuntary urine flow increases.

Medications

Many older women experience fear and shame because of the involuntary discharge of urine caused by uncontrolled urination, that is, incontinence. What to do in this situation? If incontinence is of a stress type, then drug therapy may be effective. The following categories of drugs are used for treatment:

  1. Drugs for toning the sphincter and urethra: Spasmex, Driptan, Vesicare.
  2. Medications to increase the stretchability of muscle fibers and positive changes in the structure of the tissues of the bladder: Nivalin, Reminil, Proserin, Axamon.
  3. Preparations for sedation, normalization of the nervous system: Simbalta, Velaksin, Deprim.

For some women, when menopausal symptoms are expressed, hormonal medications are prescribed. They not only improve health during hormonal adjustment, but also eliminate the main problems with urination caused by estrogen deficiency. High effectiveness shows Ovestin, also with menopause, Estriol, Ovipol Clio, Estrokad are recommended. These drugs are of great help to the genitals, urethra and urinary organs, but are used only after permission from the doctor.

If the use of hormonal drugs is contraindicated, then they can be replaced with herbal preparations containing phytoestrogens - substances that mimic estrogen in the body. Of these drugs can be noted Remens, Klimadinon, Chi-Klim.

Surgical intervention

If expressed urinary incontinence during menopause, what to do in this situation? Even a cured medical condition can recur, and its symptoms can become more intense. To completely eliminate the problem, you can decide on surgical intervention.

The operation is contraindicated in women with:

  • diabetes,
  • tumors of the uterus, inflammation of the vagina,
  • bleeding disorder.

The following types of surgical procedures are used:

  1. Sling. Stretching loop-shaped devices that support the urethra in the correct position, are the most used means for the treatment of urinary incontinence.
  2. The introduction of drugs. The fixing substances are introduced into the mucous walls of the urethra: silicone, collagen or fat mass. They are well supported by the urethra, while they are of natural origin, do not cause allergies.
  3. Colposuspension. Older tissues adjacent to the urethra are attached to the inguinal ligaments. This is the most effective version of the operation, but it is rarely performed because of the many contraindications and possible complications.
  4. Colpography Stretching the vaginal walls. Through the operation, pressure on the urogenital organs is reduced.

Hygiene

Intimate hygiene in the menopausal period becomes more thorough, due to the constant contamination of the linen with urine and the problematic sex life of the woman.

Due to the discomfort caused by wet pants, a woman is often forced to wash. But due to the frequent washing of the genital area, the mucous membranes of the vaginal integuments, which are not sufficiently hydrated due to hormonal deficiency, dry up. As a result, the woman is faced with problems of an intimate nature, vaginal cracks and pain do not allow to have a full sex life. Laundry should be carried out no more than 3 times a day. It is advisable to minimize the use of hygiene products.

With a strong smell of urine, it is recommended to wear daily or urological pads, including aromatic substances, which suppress an unpleasant odor. It is necessary to change the gaskets as often as possible to prevent the occurrence of a skin allergic reaction. It is also desirable to often change clothes, which should not be synthetic. Synthetic absorbs unpleasant odor.

Prevention

In order not to face a delicate problem in old age, a woman should change her lifestyle. It is necessary:

  • walk daily for at least half an hour,
  • refuse food that irritates the urinary organs (alcohol, spices, chocolate sweets),
  • prevent overweight
  • observe hygiene rules.

In menopause, urinary incontinence is a common problem. However, it is easily treated, does not give serious complications. The main thing is not to be shy, but go to the doctor. A medical specialist will select the optimal method of therapy. Self-treatment is unacceptable, as it may aggravate the pathology.

Treatment methods

Treatment of urinary incontinence in menopause in women can be performed in various ways. All patients recommend gymnastics and diet therapy. If during the examination individual problems were identified, then drug treatment is prescribed. Surgery is resorted to in extreme cases when other methods of correction do not show the expected results.

Gymnastics and Diet

The main task of physical education is to strengthen the muscles and increase the tone of the pelvic floor. The most effective exercise is training Kegel. It is carried out by alternating tension and subsequent relaxation of the muscles of the vagina and bladder.

The diet plays an equally important role. Patients with urinary incontinence, especially during menopause, should avoid foods that irritate the inner shell of the bladder. For this purpose, spices, pickles, rich and fried foods are excluded from the diet. It is not recommended to drink alcohol, chocolate, coffee and strong tea.

Incontinence drugs

When a bacterial infection is detected, the patient is prescribed broad-spectrum drugs. As symptomatic relief, antispasmodics and anti-inflammatory drugs are used.

All women under stress need to take sedatives. It happens that after the normalization of the nervous system, the delicate problem disappears on its own.

Hormone treatment is applicable when there are no other causes of incontinence, and only menopause is to blame for everything. Patients are prescribed replacement therapy, normalizing the balance of missing hormones. As a result of treatment, muscle function is restored.

Radical methods are applicable in the case when the disease does not allow to lead a normal life, and other methods of treatment have been ineffective. If the complaint appeared due to the omission of the pelvic organs, then avoid surgery. By establishing a supporting device - a sling - you can achieve the complete elimination of unpleasant manifestations.

With insufficient sphincter tone, the installation of an artificial controller is performed. Tightening the vaginal walls also shows positive results.

How is urinary incontinence in menopause

Urinary incontinence with menopause can manifest itself in the following variants:

  1. Stressful. This type of incontinence occurs when you laugh, cough or sneeze.
  2. Urgent. Manifested in the form of a small amount of urine. First, an uncontrollable contraction of the muscles of the bladder occurs, after which a painful urge arises.
  3. Painful.Incontinence is accompanied by internal burning and pain. The most common cause of infectious diseases.
  4. Frequent. Excretion of urine occurs frequently, but in small quantities. Especially the number of urges at night increases.

It is worth remembering that during menopause in the body comes disharmony, which reduces the resistance to infections and microbes. And if you add the unpleasant symptoms of menopause, lack of hormones, then the likelihood of urethral syndrome in women with menopause is very high. If by the age of 55 only 30% of women start having bladder problems, then by 75 years almost 75% suffer from this disease.

The reasons for the violation of the normal process of urination during menopause

Even if you have never experienced such discomfort and strictly monitored your health, incontinence during menopause may still occur. This is primarily due to hormonal changes. Lack of estrogen provokes a loss of strength and elasticity of the tissues, which disrupts the normal functioning of the bladder.

There are several reasons for frequent urination in menopause in women:

  • Loss of pelvic muscle tone. Muscles due to the loss of collagen are no longer able to fully control urination.
  • Overweight. During menopause, the female body can gain weight, and each extra kilogram creates additional stress for the pelvic floor muscles, which already suffer from loss of elasticity.
  • Loss of bladder tissue elasticity. The cause of urinary incontinence during menopause can be bladder tissue, which with age fails to stretch and become hard. All this causes irritations that cause the body to contract with the slightest physical activity.
  • Lack of secret mucous. The dryness of the mucous membranes during menopause leads to thinning of the tissue, which in this state cannot effectively fight infections without passing them into the body.
  • Changing the position of the internal genital organs. The cause of frequent urination during menopause may be the prolapse of the vagina or uterus due to weakening of the walls. Therefore, the female organ changes its location, irritating the bladder.
  • The presence of diseases. Violations of the urinary system can be associated with problems of other organs (kidney problems, diabetes, impaired digestion).
  • Uterus removal. Doctors have not yet fully studied the connection between uterine loss and incontinence during menopause, but this problem may well arise after surgery.

It can be concluded that menopause and incontinence are linked by a number of factors, and this problem is quite common. Therefore you should not be ashamed to consult a doctor for help.

The role of the diagnosis of the female body with this disease

Treatment of incontinence in menopause is based on the complaints and discomfort of a woman. Diagnosis is still required, during which an ultrasound scan is performed:

  • Bladder,
  • the kidneys,
  • ureters,
  • pelvic organs and uterus.

In addition, it is important to distinguish the usual incontinence from other diseases of the urinary system, as well as mental disorders.

Drug treatment of the disease

Drug treatment of urinary incontinence in women with menopause, involves taking certain types of drugs, the choice of which depends on the main symptoms:

  • Increasing the tone of the urethra (Detruzitol, Spazmeks and Driptan).
  • Support elasticity and elasticity of muscle tissue (Nivalin, Ubretid, Neyromidin).
  • To combat stress (Duloxetine or Simbalt).

Sometimes the doctor prescribes only hormonal drugs to eliminate the unpleasant symptoms of menopause:

Homeopathic remedies are also used to correct urinary problems with menopause (menopause in tablets and granules, Remens).

Preparations and the nature of the treatment is determined by the attending physician, because only after the diagnosis can accurately determine the cause of impaired urethra.

How to prevent urination problems during menopause?

The prevention of involuntary urination should be resorted to beforehand, without waiting for the onset of menopause. There are several basic methods:

  • weight loss,
  • regular exercise related exercises
  • balanced diet
  • total rejection of alcohol,
  • systematic examination by a doctor.

With the help of these recommendations, you can minimize the risk of bladder problems without suffering from an involuntary discharge of urine, even during menopause.

Why is it happening?

The problem may develop for several reasons. Climax leads to a significant reduction in estrogen production. In the tissues of the bladder and sphincter are receptors that respond to estrogens. By reducing the production of this hormone, the tone of the bladder and sphincter decreases. The result is frequent urination and incontinence.

These are the main reasons, but there are also factors that influence the occurrence of a problem indirectly:

  1. Decreased pelvic muscle tone, which occurs, including, in the absence of intimate life, resulting from a decrease in libido under the influence of hormonal factors,
  2. Excess weight, often appearing in women during menopause, exerts an additional burden on the pelvic floor muscles, which also aggravates urinary problems,
  3. Dryness of the mucous membranes, which occurs during this period, leads to the rapid adherence of a particular infection, and some of them can cause incontinence or frequent urination.

In addition, during this period various chronic diseases are exacerbated. Thus, incontinence can be associated with diabetes mellitus, cystitis, pyelonephritis, etc., diseases of the endocrine system, pancreas, or thyroid gland.

Types of violations

Urinary incontinence in menopause in women, whose treatment is discussed below, is of several types:

  1. Stress occurs with any motor activity, sudden tension of the muscles of the pelvic floor. This type of incontinence is said to occur when urine is excreted during laughter, coughing, sneezing, etc. Most often it is found during exercise,
  2. Urge incontinence is a condition in which uncontrolled urination occurs only with a large accumulation of urine. That is, when it is not possible even for a short time to restrain the urge to urinate, or when the separation of urine occurs even when trying to contain it,
  3. Combined type combines both previous species.

In addition to incontinence, menopause can lead to other problems with urination. For example, to frequent urination in small portions.

Medicines

Used several groups of drugs. The doctor prescribes them in a complex or separately.

  • Driptan increases the tone of the urethra and sphincter. Accepted 5 mg of the active substance three times a day, during the period specified by the doctor. The cost of funds is 650 rubles. Similar properties have drugs Vesicare, Spazmeks, Detruzitol,
  • Nivalin helps to restore the tone of the pelvic floor muscles and the urethral system, and increase their elasticity. It is taken on 10-40 mg 3 times a day, the duration of the course is set by the doctor. The price of the drug starts from 1500 rubles. Ubretid, Reminil, Prozerin, Axamon, Neuromidine, and
  • Simbalta is a sedative medication for the nervous system. Helps to eliminate the stress factor of incontinence. The cost of funds is 2,200 rubles. He is taken 60 mg once a day for at least one month. Duloxetine has similar properties.

Do not self incontinence. Only a doctor can choose the optimal and effective therapy.

In case of strong incontinence, when gymnastics or drug treatment are ineffective, surgery may be performed. Such intervention is highly effective. Usually, it is less traumatic and does not require a long recovery period. The intervention is one of the following types:

  • A sling is an elastic loop that overlaps the urethra, clamping it and holding it in a normal position. An effective method performed under local anesthesia. However, the disease may recur,

  • Drug treatment is topical. Collagen or other substances are applied to the submucosal space to help the urethra maintain normal tone. The method is not always effective and rarely used,
  • Colposuspension is the most complex and the most traumatic of all laparoscopic surgery. Eliminates urinary incontinence in women with menopause forever, because during it the tissues in the urethra are tightened and fixed to the inguinal ligaments,
  • Colporrhaphy is a procedure in which the vaginal wall is tightened, resulting in reduced pressure on the bladder.

The recovery period after such interventions is minimal. It lasts up to 3 weeks. During this period, it is recommended to avoid significant physical exertion, as well as from sexual activity.

Personal hygiene

Personal hygiene during this period has some peculiarities. Often, women have a sense of uncleanliness during incontinence treatment. But frequent washing away leads to the fact that the mucous is dried up even more, as a result of which the condition may worsen. It is necessary to wash away no more than 2-3 times a day, and, not always with the use of cosmetics.

It is necessary to use urological or ordinary pads of high absorbency. It is very important to change them as often as possible to prevent irritation of the mucous membrane and skin with urine.

The smell of urine becomes a serious problem with incontinence. How to reduce it? Many pads contain odor absorbing elements, but they may be ineffective. Therefore it is recommended to carry spare underwear with you. It is important that it was not synthetic, because of this, the smell may increase. You can use wet wipes for intimate hygiene.

The main problems with urination during menopause

The main manifestation of the pathology during menopause is the constant urge to urinate, the inability to hold urine. It does not allow to live a full life. Women suffering from severe incontinence are forced to stay at home all the time. The problem is accompanied by such phenomena as:

  • Involuntary urination during laughter, coughing, or physical exertion.
  • Excretion of urine on the way to the restroom. Women complain that they "do not reach."
  • At night there is a need to urinate more than 2 times.
  • Infectious lesions of the urinary tract.
  • Sharp urge to defecate.
  • The inability to retain gases.
  • Constipation.

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Weak pelvic floor muscles

When menopause in women weakens all the muscles of the body, including the muscles of the pelvis. Their task is to maintain the tone of the urea and intestines, and because of weakness, control over these organs is lost. Over time, this leads to prolapse - the omission of the pelvic organs. The pressure is felt in the vagina, the seal appears, the organ bulges out. If the problem is not solved in time, the pelvic organs will have to be removed promptly.

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Decreased bladder elasticity

With age, the bladder loses its tone, which can lead to enuresis.

In menopause, the urea may become hyperactive. Its walls are poorly stretched, the body becomes rigid. Due to the loss of elasticity, the urea becomes especially irritable and begins to shrink even with slight movements. Urine also puts pressure on a weak detrusor, even if it has accumulated little (normally 300-400 ml). With menopause, there is a feeling of a full urea, involuntary leakage is possible.

Thanks to special exercises, the elasticity of the pelvic floor muscles is restored.

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Vagina dryness

The lack of estrogen in the blood during menopause suppresses the secretory function of the mucous membranes. When menopause in women occurs dryness in the vagina, because the mucous membrane is not able to release the normal amount of mucus. This problem affects the urethra. Dehydrated tissues become thinner, the natural protective function weakens. As a result, infectious diseases of the urogenital system occur more often, which provokes incontinence or aggravates the situation.

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Excess weight

Due to hormonal imbalance, there is an increase in body weight. Extra pounds contribute to the loss of control over the urea and intestines. Pelvic muscles are considered the “foundation” of the bulk of a person’s weight. Weakened muscles at menopause are not able to hold a large weight. As a result, a weakness of the urea and intestines, leakage of urine and feces under stress, the inability to "endure". To prevent this trouble should be controlled weight.

Elimination of climatic enuresis is treated in complex. Return to the Table of Contents

Exercises for the pelvic muscles

Incontinence is eliminated with the help of complex therapy. An indispensable method is a special gymnastics, which strengthens the pelvic muscles. The most popular gymnastics Kegel:

  • Slowly strain the pelvic muscles and hold in this position for 3―5 s, gradually increasing the time to 20 s. Training should be conducted at least 4 times a day.
  • At a fast pace to replace the tension and relaxation of the muscles of the pelvis.
  • On an average pace to make 30-50 cuts, gradually increasing the load to 300 cuts per 1 approach. You can train anywhere at any time.

Any ways to eliminate urinary incontinence can be applied only after prescription. Independent attempts to solve the problem can aggravate the situation.

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Urination control

There are 5 ways to combat incontinence, which have no contraindications. They can be used as part of therapy or prophylaxis. Fulfillment of these recommendations helps to regain control over the urea and intestines without much effort. The main condition is not to quit, but work on yourself until you achieve a result without interruptions.

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Proper nutrition

It is necessary to enrich the diet with fiber in order to avoid constipation, which is especially dangerous during menopause. Every day you need to eat 3 servings of fruit - 5 vegetables and grains. It is important to drink enough water. Consumption of fiber with a lack of fluid leads to constipation or aggravates existing problems with intestinal motility.

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Drinking mode

Nutritionists call, especially during menopause, daily drink at least 1.5-2 liters of fluid. Many diets for various diseases require the same. If the body receives enough water, irritation will decrease on the walls of the urea (concentrated urine is a strong irritant) and constipation will be eliminated. During the hot weather you need to drink even more. At the same time it is worth refusing coffee, alcoholic and carbonated drinks.

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Active lifestyle

Daily physical education classes should be no shorter than half an hour during menopause. But this does not mean that you need to force yourself to a grueling run or special exercises. To keep yourself in normal shape, you can:

  • walk in the park,
  • clean the apartment
  • dance,
  • walk 1st stop,
  • do the splits.

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Strengthening the pelvic muscles

Muscle tone returns to menopause with regular workouts. In addition to Kegel exercises, it is recommended to interrupt the stream and keep muscles squeezed during urination.. When the urge arises, you should sit on a hard chair and squeeze the pelvic muscles. The urge will fade and you can slowly walk to the toilet. As a result of training, elastic muscles will not allow urine to spontaneously flow out.

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Limit the number of visits to the toilet

To go to the latrine during menopause only if there is a clear need for a bowel movement or if the urea is sufficiently filled. You can not go to the toilet at the slightest urge to urinate or "just in case", for example, before leaving the house. This only exacerbates the situation. Normally, a person should urinate 5-6 times a day and 1 time at night in the absence of irritants in the diet (caffeine, alcohol).

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Etiology of the pathological condition

Common, common causes of involuntary urination include:

  • gynecological surgery,
  • damage (injury) of the perineum, pelvis,
  • hard physical labor
  • sarost

In addition, urinary incontinence can occur during strong laughter, coughing, and experienced stress, since at such moments intra-abdominal pressure increases dramatically and is transmitted to the bladder.

In childhood, the cause of enuresis is an incompletely formed central nervous system (central nervous system). During sleep, when the child is unconscious, the central nervous system can not control the muscles at the exit of the bladder.

In young women, this pathology arises due to labor, as during this time the muscles are severely injured. In women in adulthood, incontinence occurs during menopause and due to hormonal imbalance. Male sex suffers from this disease due to diseases affecting the prostate gland.

Therapy folk remedies

Involuntary urination is a problem that has long been known to mankind.That is why alternative medicine provides many recipes that can get rid of an unpleasant illness. Let's stop on the means checked by time and giving the guaranteed result.

The safest folk remedies for the treatment of urinary incontinence in women are the gifts of nature - herbs and their fruits. Of them are preparing healing broths and infusions. Here are some recipes that are effective in involuntary urination against women.

Dill seeds

To make a drink, you will need to pour 1 tbsp. seeds with a glass of boiling water, then wrap the container and leave for 3 hours to infuse. When the infusion is ready, strain it and drink.

Drink this tincture is necessary every day to achieve the effect. This recipe for dill helps women of all ages with urinary incontinence.

Dill seed is rich in vitamins: A, B, C. It also contains useful acids (linoleic, palmitic) and essential oils.

Dog-rose fruit

To prepare the broth will need 4 tbsp. dog rose and 1 tbsp. berry bone. Fill the fruits with purified water (1 l) and cook on low heat for 30 minutes. After 30 minutes, add 2 tablespoons of broth to the broth. rosehip flowers, reducing the fire to a minimum. As soon as the broth boils again, turn off the heat and strain it. Drink a cup in the morning and evening.

Lingonberry and Hypericum

Method of cooking broth: 1 tbsp. leaves of lingonberry and berries and 2 tbsp. Hypericum ordinary mix. Then 3 tbsp. plant mixture pour 600 ml of boiling water, boil over a small fire, let it boil. After the broth has boiled for 5 minutes, strain it. Drink a glass 3 times a day.

1 glass is drunk at 16:00, 2 glass at 20:00 - 21:00, 3 glass before bedtime.

Yarrow officinalis

To prepare the infusion, you need 10 g of a dry plant, 1 glass of water. Cover the grass with water and boil over medium heat for 10 minutes, then remove from heat and leave under the lid for 60 minutes. Drink infusion 3 times a day for half a glass.

Yarrow plant can lead to normal metabolism.

Grass collection

For older women with urinary incontinence, a decoction from the collection of herbs will be useful: bearberry, birch leaves, licorice root, corn corn.

You must take 1 tbsp. each of the plants, mix together and chop thoroughly. 1 tbsp. The resulting mixture is filled with water at room temperature, insist 6 hours. The resulting infusion put on a slow fire for 5-7 minutes, then strain.

Method of application: 1 tbsp. before meals, 4 times a day.

Herbal therapy is an effective way to combat enuresis in women of any age. The main rule is the use of herbal drinks in exact dosages on a regular basis.

Treatment of folk methods in children

To prevent enuresis in a child during sound sleep, it is recommended such treatment at home:

  1. Give 3-5 coffee beans (freshly roasted) before bedtime.
  2. Eat regularly for 1 tsp. honey before bedtime. This natural product calms the child's central nervous system, helps to retain fluid.
  3. Giving an infusion from a plant root to a child To prepare the tincture, you need to pour the chopped root with boiling water (1 cup), simmer for 15 minutes. After removing from the heat, wrap the container and infuse for 4 hours. Giving filtered infusion to a child in a compartment with honey.

A set of specially designed exercises

To treat enuresis was successful, the problem must be approached comprehensively. In addition to the traditional treatment and adoption of herbal, you need to do exercises to strengthen the pelvic muscles, helping to neutralize the pathology, improve blood flow, strengthen blood vessels. Complex exercises:

  1. To perform the exercise, you must sit on a chair, with your feet completely on the floor, your knees are slightly apart. Rest your elbows on your hips, bending your body forward. In this position, strain the muscles of the anus for 2-3 seconds. Repeat the exercise 6 times.
  2. This exercise has a great effect on the entire abdominal cavity of a woman. Method of implementation: strain the vaginal muscles, and keep them in this state for 2-3 seconds. Repeat 6 times. Perform this exercise is better for 8-10 times a day, while increasing the temporary muscle tension.
  3. Urination control. At the first urging to the toilet do not rush to run there. In order to exercise, bring the muscles into tension and wait a few minutes. During emptying, control the effluent by stopping its flow for a couple of seconds.

Bladder training techniques, recommendations

For this purpose, it is necessary to have a special journal in which it is necessary to note the cases of the urge to urinate and the time to satisfy the need. Based on these records, use the provided method of training the bubble:

  1. Fixation of toilet visits. It is necessary to determine, according to the records, the frequency with which the bladder is emptying. After adding 15-20 minutes to temporary breaks. For example, a person visits the restroom every 30 minutes, which means that in the future, the toilet should be carried out every 45-50 minutes. The time interval with time should be increased.
  2. Urine retention. If you feel a strong need to abstain for another 5 minutes before emptying the bubble. In the future, increase the time to 4 hours.

Kegel exercise is a no less effective approach. Performed in conjunction with the above method and other special exercises. This exercise will strengthen the muscles used at the beginning, the end of urination. Women performing this exercise, guaranteed results.

Method of implementation: strain the muscles involved in the beginning and end of urination. Keep them in tension 5-6 seconds, then relax for the same time. Over time, increase tension and relaxation for up to 10 seconds. The ultimate goal: complete 3 sets, 10 times a day.

Control of fluid intake is not less significant component. Recommendations:

  1. Do not drink before bedtime.
  2. To go to the bathroom before bed, in the morning after sleep.
  3. Refuse sweet soda, tea, coffee, coffee drinks.

Useful tips

Preventive measures to prevent involuntary urination:

  1. Plentiful Drink. The lack of water causes the body to dehydrate and makes the urine too concentrated. This urine adversely affects the mucous membranes, causing a variety of diseases, painful conditions.
  2. Proper nutrition. It is necessary to limit the consumption of products that adversely affect the bubble: sweet water, alcohol, citrus, coffee, chocolate, spicy dishes.
  3. Adjusting the "chair". Problems with urinary incontinence in adults often arise due to frequent constipation, since the gastrointestinal tract is impaired. Stuck stool exerts pressure on the bladder, lowering the tone, blocking the urethra, making it difficult for the bladder to empty.
  4. Stop smoking.
  5. Lose weight. Excess fat weakens the muscles of the pelvis, impairs the work of the pelvic organs.
  6. Hygiene, wearing linen from natural fabric.

Stress incontinence

Menopause makes it harder for women to control their bladder.

In the most common cases, the problem of lack of bladder control for women experiencing menopause occurs during abrupt physical movements or activity — from coughing, sneezing and laughing to lifting heavy objects. In such situations, the bladder is significantly under pressure, the feeling of its control is weakened, and ultimately urine leakage occurs.

Loss of a few drops of urine during physical activity or leisure leads to stressful incontinence, inviting the associated fear into everyday life. Managing stress incontinence with a range of different treatment options can significantly improve your quality of life and overall well-being.

Urgent Incontinence

Urge incontinence is an inadvertent loss of urine caused by a contraction of the muscles of the bladder. It differs from stress incontinence, especially in the sense of urgency.

This type of incontinence is often called a “painful” or “hyperactive” bladder. It triggers a desire to go to the toilet so suddenly and unexpectedly that many women cannot get there on time.

The constant desire to urinate, even with an empty bladder, is one of the key aspects of urgent incontinence.

Overflow incontinence

Do you feel urine leakage during the daytime? Do you wet sheets at night? Are you experiencing frequent or possibly permanent leakage? If you gave a positive answer to one of these questions, then incontinence from overflow worries you - inability to completely empty the bladder or control urination.

This is a common type of urinary incontinence for women experiencing menopause. It occurs in cases where the bladder is filled, overfilled, and then causes leakage.

Poor urine pressure, nocturia (frequent night urination) and unstable urination - all these troubles are caused by insufficiently active muscles of the bladder and can be the result of overflow incontinence.

First level of treatment: lifestyle change

Regular exercise will help get rid of not only urinary incontinence, but also some other symptoms of menopause.

Before using more cardinal therapies, such as surgical procedures and hormone replacement therapy, start with a few simple changes in lifestyle:

  • refuse to use harmful substances - caffeine, alcohol, nicotine,
  • make it a rule for you to sleep at least 7-8 hours every night,
  • minimize stress overload with yoga, meditation, breathing exercises,
  • eat balanced foods that contain vitamins B, C, D, and E,
  • do regular exercise,
  • load the pelvic muscles with Kegel exercises,

Second level of treatment: alternative medicine

Alternative therapies, stimulating the natural production of estrogen and other hormones, can improve the effect of changing life habits to reduce or prevent various types of urinary incontinence.

Acupuncture, biofeedback, massage, aromatherapy, and even some types of herbs can help a woman find safe and natural ways to ease urinary incontinence during menopause.

The third level of treatment: drugs and surgery

Hormone replacement therapy is by far the most effective way to get rid of menopause symptoms.

Drugs and surgery should be used for prolonged and especially severe cases, when lifestyle changes and alternative medicine cannot stop or prevent urinary incontinence during menopause.

The positive side of such methods is higher efficiency. Two big minuses - increased risks and considerable cost.

However, the benefits of pharmacological drugs outweigh the risks, and often the inevitable side effects. Talk to your doctor to find out if hormone replacement therapy or surgery will be right for you.

Sergey Shepilov, urologist, medical reviewer

Factors of incontinence during menopause

The main reason for the inability to hold urine is the lack of control over the sphincters. During menopause, the problem can occur even if the woman has not previously experienced urinary diseases. Most often, pathology provokes a combination of different factors. Pelvic dysfunction occurs for the following reasons:

  • weakening of the muscles of the pelvis,
  • reduced bladder elasticity,
  • dry genital mucosa,
  • overweight.

Decreased pelvic muscle tone

With age, the muscular system weakens. When menopause is felt most acutely. The reason is to reduce the amount of estrogen that is involved in the production of collagen. Due to the weakness of the muscles, control over the organs of the genitourinary system is lost. In advanced cases, there is a prolapse of the genital organs. If you do not take action on time, the problem can be solved only with the help of surgical intervention.

Hygiene features during menopause

When menopause occurs, special attention is paid to the care of the genitals. For the health of the urogenital system, both hygienic hygiene and excessive cleanliness are dangerous. The abundance of pathogenic bacteria provokes the development of infectious diseases. The use of aggressive cleansing agents for washing the genitals leads to dryness of the mucous. Until the problem of incontinence is resolved, a woman is recommended to use specialized urological pads.

Conclusion

Having found signs of urinary incontinence, many women become depressed, aggravating the manifestation of menopause. In this case, the most reasonable solution is to immediately consult a doctor. Timely treatment guarantees deliverance from the pathology for a long time.

Exercise, hygiene and regular visits to the doctor will protect against the development of incontinence during menopause.

How to diagnose incontinence

A woman herself can detect irregularities in the work of the urinary system on certain grounds:

  • excretion of a certain amount of urine during a sudden movement, exercise, coughing or sneezing,
  • inability to retain urine in the bladder even for a short time,
  • night enuresis
  • frequent pain and itching as a result of the unhindered penetration of infections (cystitis),
  • frequent urination, strong and sometimes painful urges arise when the bladder is almost empty, there is very little urine.

These phenomena can be observed both separately and at the same time, causing physical and psychological discomfort. A woman gets used to being in suspense, it is difficult for her to remain in a team, and with a banal cold, the urge to become more frequent. About sports and intimate life and speech can not be. But current symptoms are not the worst. If you do not engage in treatment, the consequences can be much more pitiable.

Specialists distinguish three forms of the disease:

  1. Easywhen a woman experiences some discomfort when urinating, but can control it under normal conditions and keep the urge to empty the bladder.
  2. AverageIt is characterized by uncontrolled secretion of fluid several times a day.
  3. Heavy. Frequent - more than 10 times a day - the desire to go to the toilet, while urine is released in small portions, without bringing relief. Spontaneous emptying of the bladder can occur between trips to the toilet.

What is the reason?

Why does urinary incontinence occur? In menopause, hormonal adjustment takes place, which makes changes in all body systems. If a woman had problems with the genitourinary area in her youth, they will increase in the second half of life, but even if they are absent, menopause can upset an ideally working system. With an insufficient level of the hormone estrogen dramatically decreases the elasticity and elasticity of the tissues, ensuring the harmonious work of the organs:

  1. Muscle tissue throughout the body becomes thinner, loses its tone, this also applies to the pelvic floor. A woman is no longer able to control muscles to hold urine. If she had experience of traumatic labor, this symptom can manifest itself even earlier, and worsen in menopause.
  2. The lack of natural lubrication in the vagina makes it an accessible target for viruses and bacteria.
  3. The walls of the bladder coarsen, lose their ability to stretch, at the same time becoming hyperactive and sensitive to any irritation. This contributes to involuntary emptying when a very small amount of urine accumulates, leaks and the appearance of drops of urine on the laundry.
  4. The pressure on the bladder from the uterus and vagina, which often descend during menopause.
  5. Increased body weight, pressure on the pelvic floor and stretching the already weak muscles.
  6. Any surgical intervention, especially the removal of the uterus, can disrupt the functioning of all the organs of the small pelvis.

Urinary incontinence in menopause develops against the background of other health problems unrelated to the urogenital structure. For example, diabetes or neurological disorders block the sensitivity of nerve endings that transmit information from the bladder to the brain. Disorders, depressing mental activity, deprive a person of control over any physiological functions.

How to recognize urinary incontinence? Distinguish the allocation of a large volume of fluid is difficult not to notice. It is much more difficult to diagnose urine excretion drop by drop. In this case, no laundry stays wet, an unpleasant pungent odor appears. Excretion of urine increases with coughing, sneezing, laughing, physical exertion. An exact diagnosis will be able to doctor after examination of the patient.

What causes incontinence

Since a wide variety of disorders in the body lead to urinary incontinence, they can also contribute to the development of associated diseases:

  • weakened muscles subsequently provoke incontinence of gas and feces, disorders of the bowels,
  • frequent inflammations result in chronic cystitis or urethritis,
  • the prolapse of the reproductive organs will continue,
  • капли мочи, находясь в постоянном контакте с кожными покровами, создают зуд,
  • constant awakenings at night and in the early morning, leading to insomnia,
  • flavored sanitary napkins, without which life in such a situation is unthinkable, can cause allergies and irritate the skin, and they also create a greenhouse effect.

Loss of control over urination is a kind of signal of age-related health problems in menopause. A medical examination will establish the exact cause, the elimination of which has great chances.

Diagnostic methods

To identify the pathology of the pelvis necessarily used ultrasound. The reproductive organs, the urethra, the bladder, the kidneys and the ureters are examined. Thus, violations of the structure of organs, a change in their position, and the presence of tumors are determined.

A urine and vaginal smear are required, a blood test for hormones, an ultrasound of the thyroid gland, consultation with an endocrinologist and other specialists may be prescribed. It is possible that complex treatment will be required.

Self recovery

The most pernicious in this matter are the thoughts that urinary incontinence during menopause in women is completely not treatable, and it is only possible to relieve symptoms for a while. But in most cases there is complete healing and restoration of the quality of life.

It is good when from youth, in particular, after childbirth, a woman independently strengthens the muscles of the pelvic floor. It will save from many problems in mature and old age.

Kegel exercises are aimed specifically at preserving and restoring muscle tone of the genitourinary system. The principle of training is tension and relaxation of the perineum and vagina. Reduction time should be adjusted to 3 minutes. There is a whole set of exercises, the implementation of which just makes these muscles work. It is recommended to work the muscles periodically throughout the day.

When the urge is desirable to sit on a hard surface and, breathing deeply and evenly, urine with muscle strength or do it on the way to the toilet. The same should be done when sneezing and other loads that cause involuntary release of fluid.

Simulators for the development of intimate muscles were also developed - their principle in overcoming mechanical resistance.

It is recommended to train the urethra in the process of using the toilet by deliberately interrupting the urinary stream. Any muscle-controlled work is always good.

Physiotherapy

Physiotherapy sessions warm up, soften the ligaments, returning their elasticity, restore blood flow. Increased muscle tone is removed by electrophoresis and paraffin therapy. The lack of tone is eliminated by microcurrents. Electrical stimulation and magnetic stimulation are aimed at strengthening the muscles of the pelvic floor and sphincter of the bladder, increasing their elasticity. With the help of special devices, you can determine the activity of the muscles of the pelvis and track it in the process of treatment.

Preventive measures

Despite successful conservative or operable treatment, prevention is important to prevent relapse. Not much is required of a woman:

  1. regular gymnastics for intimate muscles,
  2. daily walks,
  3. intimate hygiene,
  4. healthy diet (to maintain optimal weight and normalization of metabolic processes and hormonal levels).

What you need to remember

Menopause is a difficult period, the residence of which is more dependent on the mood and health care throughout life. Any irritating symptom can be reduced or removed in the first place by relaxing and accepting the situation. Even urination, which causes a lot of problems during menopause, cannot break the habitual rhythm of a woman’s life, self-confident, ready to take care of herself, undergo tests and cooperate with doctors in good faith.

Conservative treatment

To eliminate incontinence during menopause, therapy can be complex. Essential importance with this method of treatment refers to the Kegel exercises - gymnastics for the resumption of pelvic muscle tone. Conduct such exercises sitting. The bottom line is this: you need to alternately strain and relax the muscles. You can imagine that you want to go to the toilet, but you need to restrain the urge to urinate.
Such exercises should be carried out 3-4 times a day. Starting with a small period of time muscle contractions and gradually reaching restraint in one position for 3 minutes. Then you can change a little exercise, conducting them during coughing, laughing, and other provoking conditions.
Such incontinence is cured with the help of medicines. However, it can only help with light variants of the disease. What is prescribed for such a disease:

These drugs are acting on the activity of the urethra and sphincter of the bladder,

These drugs also have the ability to restore the flexibility of the pelvic floor muscles:

These drugs remove the tension of the nervous system, helping to normalize other processes in the body.
Certain women to eliminate this difficulty resort to hormonal drugs, which are used to relieve a number of menopausal symptoms:

Able to correct this condition and homeopathic substances:

Surgery against incontinence

To eliminate this problem at 100%, which usually appears during menopause, therapy may be operational. It is more traumatic, but provides an excellent effect. You should not use surgery if there is a serious form of diabetes, inflammation and tumor diseases, pathology in blood clotting. There are several types of operations:

Sling application

Sling is an elastic device in the form of a loop that helps maintain the urethra in the desired position. As a result, the urine will not be able to flow out. A similar procedure is performed under local anesthesia, and this is the most common action for such a problem. However, urinary incontinence is likely to return and this procedure may be repeated,

Drug use

There are substances (collagen, adipose tissue, silicone), which, when inserted into the submucosal area of ​​the urethra, fix it. This forms the anatomically correct position of the urethra. They are hypoallergenic, the procedure itself is practically traumatic. Productivity is achieved thanks to the replenishment of the lack of soft tissues in this area. Injections are performed on an outpatient basis, local anesthesia is used, however, this method is not a panacea. After the meeting, the problem can reappear.

Colposuspension

Lost the tone of the tissue near the urethra is fixed to the inguinal ligaments. This is done during laparoscopic surgery using general anesthesia. From the point of view of effectiveness, this method is in the first position. However, in the majority of situations, it is used last of all, since it has a significant list of contraindications and difficulties in carrying out the operation,

What else can be done to normalize urination?

In case of urinary incontinence during menopause, therapy does not have to consist solely of the efforts of the attending physician. It is required to change the way of life that will either eliminate or prevent the problem from forming:

  • Spend 30 minute walks,
  • Beware of food and beverages that irritate the bladder (pepper, alcohol, coffee, chocolate),
  • To strive to go to the toilet "in a small way" according to the regime
  • Watch for body weight, try to lose weight, if there is excess fat. Urinary incontinence is not a cross at all. This is only a prerequisite for a doctor. In modern medicine, this problem is treated without consequences.

How to fix your own lifestyle
Therapy of such diseases as urinary incontinence during menopause, can take a certain period. In such a period of time a woman is required to follow the following principles of a healthy lifestyle:

  • get rid of bad habits (smoking and drinking alcohol),
  • remove excessively spiced food, spices and spices from the menu,
  • try to stick to a diet, table number 8 in order to control body weight,
  • use gaskets,
  • carry out personal hygiene after urination and emptying.

Special interest must be given to the daily routine. A woman is obliged to go to the bathroom in 2-3 hours to completely empty her bladder, without providing the possibility of accumulation and stagnation of urine. In case of incontinence, which is accompanied by a strong unpleasant odor, even despite the hygiene procedures, you should drink more water per day. The water will wash the urinary tract well, and the unpleasant odor will disappear. With a very sharp smell of urine, we can conclude that there is an inflammatory process in the bladder. In this case, you should immediately contact the doctor.

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