Support Centre

Urinary habits and incontinence

Menopause symptoms and treatments.

Urinary habits and incontinence

Around 6 million people in the UK are estimated to have problems with their bladder and incontinence but it is often not spoken about due to embarrassment. In perimenopause and menopause, 1 in 3 women report having accidental leaks and the change in hormones can exacerbate a problem that was already there or cause new urinary symptoms for the first time.

Issues might include:

  • having leaks of urine, especially if you cough, sneeze, laugh or jump
  • feeling the need to go very suddenly and more desperately which might cause accidents
  • feeling pain or discomfort when weeing
  • having an overactive bladder where you need to go very frequently, especially at night
  • having recurrent urinary tract infections

And you’ll be more at risk of these changes happening the older you get as the muscles weaken, or if you’ve given birth vaginally, had a hysterectomy, had cancer treatments in the pelvic area, have a prolapse, if you’re obese and/or smoke.

Book a consultation.

If you have any questions or concerns about your health, please book a consultation.

Don’t worry alone, we’re here to help.

Ways to help

  • It’s a good idea to see your doctor about any new changes to your urinary function
  • HRT (including testosterone) can be beneficial
  • Using local/vaginal oestrogen (placed directly in the vagina) is an effective treatment for urinary symptoms of menopause, this comes in the form of a cream, gel, pessary or ring
  • Doing regular pelvic floor exercise are a must and make sure you know how to do them properly, there are plenty of videos and apps for this online
  • Reduce your intake of caffeine, and fizzy drinks which can be an irritant for the bladder
  • Avoid using soap-based or perfumed products on the genital area as this can dry and irritate the skin
  • Consider seeing a specialist women’s health physiotherapist for extra help if incontinence is bothering you.