the menopause and overactive bladder
If you find you need to go to the loo quickly you may have a condition called overactive bladder (OAB). And if you are 40-55 years old then you are one of many women who suffer with OAB as a consequence of the menopause.
During the period leading up to the menopause, and during the menopause itself, the levels of oestrogen begin to fall. As a result you may also experience dryness and discomfort during sex and you are more likely to suffer with bladder problems too. This is because the vaginal wall tissues becoming thinner and dry out and so does the tissue that lines the bladder, and as a result the bladder becomes more sensitive. In additional the fall in oestrogen can cause the pelvic muscles to weaken and you may experience a small leakage of urine if you laugh or cough. In more serious cases this can lead to incontinence.
If you think you may have OAB then you need to make an appointment with your doctor. He/she will perform and examination and may ask you to keep a diary of the frequency you go to the toilet.
There are a number of possible treatments for OAB from helping you to control urges to go to the toilet, to treatments for strengthening muscles and some that can limit irritation. Your doctor may also discuss lifestyle changes, muscle strengthening exercises (eg pelvic floor exercises), or even surgery in severe cases.
Many women look at their diet as what you eat and drink can have an effect on OAB. Certain foods and drinks can trigger bladder symptoms. Some of these foods include:
If thirsty, instead of drinking tea or coffee, choose to drink water. Eight glasses a day, throughout the day, is recommended. Probiotic drinks/supplements can also help. |
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Also, if you are overweight, an unfortunate effect associated with the menopause for some women, you may want to talk to your doctor about how to lose those extra pounds. Excess weight puts pressure on the bladder, urethra and pelvic floor muscles. Some women find that losing weight puts an end to their bladder problems.
Information written by the talkhealth medical panel
Last Reviewed: 4 February 2011
Next Review Date: 4 February 2013
