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  • Avoid gotta-go woe: menopause and incontinence

    by Margery Gass | Sep 17, 2012
    After menopause, those gotta go feelings that doctors call “urgency” and “overactive bladder” tend to increase. Urinary tract infections do, too, for some women. These problems can result from estrogen deficiency. Putting estrogen back right there near the urethra with an estrogen cream, ring, or pill that you insert into the vagina may help in certain cases.

    Curiously, researchers have found that estrogen has to be used locally to help in this situation. Even though declining estrogen plays a role in these problems, oral hormone replacement with pills doesn’t seem to help. In fact, in some large studies midlife and older women, oral hormone therapy actually made things worse. However, neither type of hormone therapy helps with stress incontinence, which is leakage prompted by physical activity or coughing.

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