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Estrogen and the Bladder, Urinary Tract, and Pelvic Floor

From the Menopause and Hormones Articles List

Woman wonders about menopause and bladder and pelvic floor issuesDoes estrogen have any affect on the bladder, urinary tract system, and pelvic floor?


Estrogen plays a role in the health of almost every part of a woman’s body, including her bladder, urinary tract system, and pelvic floor. So when menopause arrives and estrogen levels drop, several health problems can occur, many with uncomfortable and even embarrassing symptoms.

Without enough estrogen, the urinary tract and vaginal tissues can deteriorate, leading to urogenital atrophy. Both the bladder and urethra can become weak without enough estrogen. In addition, the pelvic floor can weaken if the support structures become thin from too little estrogen.

If you do not choose to use estrogen replacement during menopause, you may find you must learn to cope with a number of symptoms affecting your bladder, urinary tract system, and pelvic floor. These can include:
Because adequate estrogen is necessary to keep your bladder, urethra, and pelvic floor support structures healthy, if you are in either natural or surgical menopause you should talk to your doctor about whether or not estrogen may be right for you. Estrogen choices come in a variety of delivery systems, including pills, creams, patches, and more. Using vaginal options may allow you to use a lower dose that is applied more directly to the affected area, while systemic options may also help treat other symptoms of menopause such as hot flashes and night sweats.

Untreated, some bladder, urinary tract, and pelvic floor conditions can worsen and lead to more serious health risks, so it’s important to talk to your doctor as soon as possible if you are experiencing symptoms. With quick and proper treatment, you may be able to reverse symptoms and prevent permanent damage.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

09-15-2015 - 04:20 PM


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