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Incontinence During Perimenopause & Menopause

July 22, 2019

Why does it happen and what can be done?


Along with hot flashes & night sweat, anxiety, weight gain and loss of libido, urinary problems are right up at the top of the symptom list. It is VERY common. Don’t be embarrassed and don’t just accept it. There is help. 



There are 2 types of incontinence:  URGE incontinence, the sensation of needing to get to the bathroom right away to avoid an accident and STRESS incontinence, losing urine with abdominal pressure such as a cough or a sneeze.


Why does urinary incontinence happen during menopause?


Urinary stress incontinence is more common in women who have given birth, either naturally or by caesarean section because this takes a toll on the pelvic floor and can affect nerve endings. You will probably be just fine until you hit the menopausal years.

It can come on quite suddenly, within six to 12 months. It can be dramatic and scary.


Menopause involves a drop-in estrogen which has a significant impact on the level of collagen in the pelvic floor, the bladder, the urethra and the bladder neck. So women may find that they are experiencing urgency, frequency and stress leakage.



What can be done?


First of all, I would recommend using an estrogen/progesterone crème.  The one I love is called Bezwecken Hydration Ovals.  These are  bio-identical, OF COURSE.  The estradiol and estriol will will improve collagen around the bladder, bladder neck and urethra so you get a more resilient bladder that is more elastic (stretchy) and less irritable.  They will be less rigid and less likely to leak.


It also impacts the pH of the urine, so you are less likely to get cystitis, an inflammation of the bladder. Inflammation is where part of your body becomes irritated, red, or swollen. In most cases, the cause of cystitis is a urinary tract infection (UTI).  I have a separate video on UTIs,


Here’s the link: https://www.youtube.com/watch?v=26za-xaThsU


If you watch my videos, you know that I am a huge fan of progesterone and many women do not even want to use estrogen because they are overweight, have breast tenderness and worry about estrogen dominance.

However, when it comes to genital tract problems, estrogen is very protective.  Again, you want estriol or estradiol….NO SYNTHETICS.


Here are my all Natural Bio-Identical Hormone Cremes and Vaginal Support Products:

Bio-Identical ProHELP & Menopause Moisture Creme

Re-newed DHEA Suppositories


If you want the estriol and estradiol hydration ovals, you can Call (877) 880-0170 to order.  They are not online.


What else?  Alter your intake of fluid habits.


Cut out or reduce caffeinated drinks like tea, coffee, coca cola. Switch to decaffeinated alternatives as caffeine is a very potent stimulator of the bladder muscle and can cause urgency. Alcohol, particularly red wine, can be very stimulating to the bladder. You do not have to Tee Total, but the sensible thing is to cut back for a month and see how that impacts bladder function. If it doesn’t then you will know it’s not an issue but if the situation improves you will know alcohol is a trigger.


Here is something very interesting…It is not true that restricting fluids will help because this will make your urine more highly concentrated which can irritate the bladder. Although it may sound logical to you, excessive restriction of fluids is counterproductive. If you are truly struggling with getting up in the night, you can start to restrict what you drink after 7 or 8 at night.  But do not restrict during the day.  Your body needs sufficient fluids.


What about Kegel exercises? for urinary stress incontinence


Kegels, also known as pelvic floor exercises, are great for the stress incontinence (losing urine when you sneeze or cough.) These strengthen the muscles in the vagina, bladder and back passage.  Many women do not do them correctly and therefore do not pull the right muscles and achieve any results.

How to do Kegel exercises: You can feel your pelvic floor muscles if you try to stop the flow of urine when you are urinating.  This will show you what it feels like. To strengthen the muscles, sit comfortably and squeeze as if you are trying to stop the flow of urine. Do this 10 - 15 times in a row. You can do this during daily life, while you brush your teeth or wait for the kettle to boil (I LOVE tea) or sit at your desk.

There are some devices on the market.  They are inserted vaginally and can be programmed by remote to do the exercises and supposedly activate the muscle. I have learned that many women who use these become demoralized after several months to see it made no difference.  I would go with the good old Kegels!

Kegel Device


Okay, urinary incontinence...take charge ladies.  The longer you leave it, the worse it gets. If you do nothing.  it’s not going to get better; it will get worse year after year after year. 


If you would like my written information on the estrogen product that I know and trust, email me. I carry it, but it is not online. I’m here to help you!





You won’t find US in the Depends aisle!


Love You!





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