Tag Archives: hormones

Does Estrogen Replacement Therapy Help with Incontinence?

Posted by Jeanne Lowry on March 17, 2016 under BladderMatters | Be the First to Comment

Original post written by Dr. Anna Garrett for LiveConfidently.com

As women age, they experience a gradual loss of estrogen. The rate of loss increases as menopause approaches. Low estrogen levels are associated with a number of symptoms, one of which is urinary incontinence. This happens because estrogen helps maintain connective tissue and muscle tone in areas that have many estrogen receptors, such as the vagina, urethra, and bladder.

Given that estrogen plays such a significant role in the function of these tissues, it makes sense that replacing the estrogen might be a good idea. For years, millions of women took synthetic estrogen to manage the symptoms of menopause, but in 2002 the Women’s Health Initiative study data showed that estrogen replacement might be causing more harm than good. In that study, oral estrogen replacement, in combination with medroxyprogesterone (a derivative of progestin), was associated with increased risk of cancer, stroke, and blood clots.

The majority of studies of oral estrogen for treatment of incontinence have shown that it actually makes symptoms worse in women who already have incontinence and can trigger incontinence in women who don’t already have it. Therefore, oral estrogen is not recommended as an option for treatment of incontinence.

However, there is some data that suggests that using topical estrogen may be of benefit. Direct application of the cream to the walls of the vagina and urethral tissue has been shown to increase tissue integrity and strength, often reducing the symptoms of incontinence and vaginal dryness that are common in menopause. Since the estrogen is not absorbed into the body in significant amounts, the risk of side effects is low.

Topical estrogen may be most effective when used in combination with other therapies, such as pelvic floor muscle training, also known as Kegel exercises. You’ll need a prescription for estrogen cream, so discuss the options with your doctor and be aware that side effects may occur, including breast tenderness, vaginal bleeding, headache, nausea, and bloating. Typically, you need four to 12 weeks of treatment before you notice improvements, and symptoms usually return about four to six weeks after therapy ends. Treatment plans will vary according to patient needs; follow your physician’s orders and continue with 3-6 month checkups with your prescribing doctor.

Do you have any experience with estrogen replacement therapy, or have you experienced incontinence issues during menopause? To connect with other women just like you, visit our incontinence forum. We’d love to hear your experiences, questions, and suggestions.

Additionally, you can find varying levels of products for incontinence at TotalHomeCareSupplies.com.

Five Simple Tips to Manage Bladder Leakage in Menopause

Posted by Jeanne Lowry on February 16, 2016 under BladderMatters | Be the First to Comment

Original post written by Dr. Anna Garrett for LiveConfidently.com

When you go through menopause, estrogen levels drop. For some women, this can result in weakening of the pelvic floor muscles that support bladder control, causing LBL (light bladder leakage). You’ve probably heard about LBL. It’s that little leak that comes with a big sneeze or a hearty laugh. A range of things, from exercise to caffeinated drinks, can trigger it. It’s also part of that urgent “gotta go right now” feeling you might get on the way to the restroom.

But there’s good news! It’s a myth that LBL is something all women will experience because of menopause, and there are things you can do to manage any unwelcome leaks. Here are five simple tips to help keep you dry and comfortable.

1. Wear the Right Protective Products

Wear an absorbent pad or pantiliner designed just for bladder leaks if you’re going to be out and about. These pads and liners look and feel very similar to menstrual pads and liners, but are designed for very different needs. Because they are specifically designed to absorb bladder leaks, they can often hold two to three times as much urine as a menstrual pad or liner. They also do a better job of controlling odors caused by urine. Our blog post on Incontinence Products vs. Feminine Products further explores the differences between these products.

2. Stay Hydrated

Dehydration can cause constipation, and constipation can contribute to bladder leakage for some women. Drink an adequate amount of water throughout the day (although not too much), eat plenty of fiber, and exercise regularly to keep things moving.

3. Manage Your Schedule

When scheduling your workday, consider scheduling visits to the bathroom on regular, timed intervals throughout the day. This will give you time to change your protective products and help with training your bladder. It may be helpful to keep an incontinence journal for 5-7 days to pinpoint when you’re most likely to visit the bathroom, and then build your schedule from there.

4. Avoid Certain Foods and Drinks

Avoid caffeine and other drinks or foods that can irritate the lining of the bladder. If you don’t like drinking plain water, find one or two alternative drinks that are caffeine and acid free to substitute. And please note, sodas (even if caffeine-free) are very acidic and should be avoided. Our blog post on Foods and Drinks that can Trigger Incontinence has more information on items that can irritate the bladder.

5. Keep Your Pelvic Floor Muscles Strong

Try pelvic floor muscle exercises, also known as Kegel exercises. These exercises are most effective for LBL, not heavier incontinence. To do this exercise, lie on the ground with your legs apart and feet flat on the floor. Gently contract your pelvic floor muscles as if you were trying to stop the flow of urine. Hold this contraction for a few seconds and then release. Continue these exercises, completing three sets of 15 each day. With regular exercise, you should see an improvement within a few months.

If heavier incontinence is a problem, consider having a thorough evaluation of your pelvic floor. It’s possible, especially in menopause, that there is pelvic floor prolapse. In this situation, the nerves that control the bladder may not be connecting well with the pelvic muscles. This requires physical therapy and core strengthening. Kegel exercises could make incontinence worse if you have an undiagnosed pelvic floor muscle spasm, so be sure to check with your physician before getting started.

Remember, one in three women who are experiencing menopause are also experiencing LBL. You’re NOT alone! To connect with other women experiencing light bladder leakage in menopause, visit our incontinence forum. We’d love to hear your experiences, questions, and suggestions.

Five Tips for Controlling Incontinence During Pregnancy

Posted by Jeanne Lowry on September 10, 2015 under BladderMatters, Everything Baby | Be the First to Comment

Original post written for LiveConfidently.com

Light bladder leakage is common during and just after pregnancy, but can easily be controlled with the right products and lifestyle choices. This happens for many reasons, including heredity, hormonal changes, or weight gain, which are all causes of stress incontinence. During pregnancy, stress incontinence occurs when your uterus grows larger and adds weight to your bladder, giving you less space to store urine. If the women in your family experienced light bladder leakage during or after their pregnancies, there’s a greater chance that you will also experience some form of stress incontinence during or after pregnancy. Read on for five helpful tips on controlling bladder leakage and urinary incontinence during pregnancy.

Note: Before reading our tips, it’s important to make sure that you’re actually leaking urine and not amniotic fluid, which is clear and does not have a smell. If you think it could be amniotic fluid, call your doctor as soon as possible.

1. Select the right products.

Thinking that bladder leakage is solely linked to old age, many pregnant women use feminine pads for protection instead of incontinence-specific products. Feminine products are not made to soak up that much liquid and can also increase the chances of urine odors after some leakage. It’s best to find a pad or brief that is specifically designed for light bladder leakage. Not only will you feel much more comfortable, but you also won’t have to worry about any unwanted smells. You may want to read our blog post on incontinence products versus feminine products for more information.

2. Do your Kegel exercises!

When done in repetition over time, Kegel exercises can strengthen your pelvic floor muscles and greatly improve your bladder control. To begin, lie on the floor and squeeze or pull in the pelvic floor muscles. Keep them tight for several seconds, release, and repeat. It’s a simple exercise that doesn’t take much time, and could make all the difference in controlling your bladder. You may want to read our blog post on pelvic floor muscle exercises for more information.

3. Try to keep the weight gain to a minimum.

Added weight only means added pressure on your bladder. It’s impossible to avoid gaining some weight during pregnancy, but with the right diet and low-impact exercises you can greatly decrease your risk for light bladder leakage. Talk to your doctor to design a meal plan that will give you and your baby the proper nutrition without weighing down your stomach with empty calories.

4. Drink eight glasses of water a day.

Many people who suffer from stress incontinence don’t drink enough water, thinking this will make their situation better. Unfortunately, this can make your bladder leakage much worse. Not only will this leave you more susceptible to dehydration and urinary tract infections, but it can also make your urine more concentrated and cause unwanted odors.

5. Cross those legs.

As a last line of defense, it can help to cross your legs when you’re about to sneeze, cough, or laugh. Of course it’s impossible to predict these things, so it’s always best to make sure you’re wearing the right product for your level of bladder leakage.

Have some tips to add? Head over to our incontinence during pregnancy forum to discuss this topic with people just like you!

You can find the original article here.