Menopause and incontinence: treatment, causes
Many women are faced with a problem like urinary incontinence during menopause. This unpleasant phenomenon is manifested differently and has several degrees of severity, but one reason ― hormonal changes. Thanks to the hormone estrogen fabrics have elasticity. The lack of this substance the tone of the pelvic muscles is reduced, the bladder is unable to retain the accumulated urine and incontinence occurs.
Hesitate to a delicate problem, women refuse to seek help to the doctor. Without proper treatment, the problem is getting worse.
The main problems with urination in menopause
The basic manifestation of the pathology of menopause ― constant urge to urinate, inability to hold urine. It is not possible to live a full life. Women with severe incontinence have to be at home. The problem is accompanied by such phenomena as:
- Involuntary urination during laughing, coughing or exercise.
- Urine on the way to the bathroom. Women complain that «not have».
- Night may need to urinate more than 2 times.
- Infectious lesions of the urinary tract.
- Sudden urge to have a bowel movement.
- The inability to retain the gases.
Causes of urinary incontinence during menopause
Urinary incontinence during menopause, as well as disruption of bowel control has several reasons. The main reason is the lack of estrogen, which is why there is muscle weakness and incontinence. Such changes occur during menopause, even if a woman has never suffered from diseases of the urinary system. The human body is a complex mechanism and causes of incontinence independent of each other.
Weak pelvic floor muscles
When menopause weaken the muscles of the body, including the muscles of the pelvis. Their task is to maintain the tone of majevica and intestines, and because of the weakness of the control over these bodies is lost. Over time, this leads to prolapse ― prolapse of the pelvic organs. The vagina feels pressure, there is a seal, a bulging body. If time does not solve the problem, prolapse of the pelvic organs will have to be eliminated surgically.
The reduced elasticity of the bladder
During menopause mocevic can become hyperactive. Its walls are badly stretched, the body becomes rigid. Due to the loss of elasticity mocevic is particularly irritable and begins to contract even with small movements. Urine also puts pressure on weak detrusor, even if it has accumulated a little (normal 300-400 ml). During menopause there is a feeling filled with majevica may involuntary leakage.
Due to the special exercises restores the elasticity of the pelvic floor muscles.
Dryness in the vagina
The lack of estrogen in blood in menopause, inhibits secretory function of the mucous membranes. When menopause occurs dryness in the vagina, because the mucous membrane is unable to excrete the normal amount of mucus. This problem affects the urethra. Dehydrated tissue thinning, natural protective function weakens. In the end, more likely to have infectious diseases of the urinary system which causes urinary or exacerbates the situation.
Due to hormonal disturbances there is an increase in body mass. Extra pounds contribute to the loss of control majevica and intestines. Pelvic muscles are considered the «Foundation» of the main part of the weight of the person. Weakened at menopause, the muscles are not able to hold much weight. As a result, the weakness of majevica and colon, leakage of urine and feces at a voltage of, the inability to «endure.» To avoid this trouble you should control weight.
The treatment of urinary incontinence during menopause
Unfortunately, many women are ashamed of their problems, refusing to go to a doctor’s appointment and put up with incontinence, changing their way of life. There are many ways the treatment of all types of urinary incontinence — from regulation of urination prior to surgery, which is an extreme measure. Importantly, during treatment ― not to expect quick results and continue treatment, which takes some time.
Exercises for pelvic muscles
Incontinence are eliminated through combination therapy. An indispensable method is the special exercises, to strengthen pelvic muscles. Most popular exercises Kegel:
- Slowly strain the pelvic muscles and hold this position for 3-5 seconds, gradually increasing the time to 20 s. Training to carry out not less than 4 times a day.
- At a rapid pace to replace the tension and relaxation of the muscles of the pelvis.
- An average pace to make 30-50 contractions, gradually increasing the load up to 300 cuts per 1 approach. You can train anywhere at any time.
Any ways of elimination of urinary incontinence can be used only after prescription. Independent attempts to solve the problem can aggravate the situation.
Control over urination
There are 5 ways of dealing with incontinence, who have no contraindications. They can be used in the treatment or prevention. The implementation of these recommendations helps restore control over majevica and intestines effortlessly. The main condition ― not to give up, and work on yourself to achieve results without interruptions.
Need to enrich the diet with vegetable fiber to avoid constipation, which is particularly dangerous during menopause. Every day you need to eat 3 servings of fruit and 5 of vegetables and grains. It is important to drink enough water. Fiber intake with a lack of fluid leads to constipation or exacerbates existing problems with bowel movements.
Nutritionists urge, especially during menopause, daily drink at least 1.5—2 liters of fluid. Many diets in various diseases require the same. If the body will get a sufficient amount of water to decrease irritation on the walls of majevica (concentrated urine is a strong irritant), and eliminates constipation. During hot weather you need to drink even more. It is worth to give up coffee, alcohol and carbonated drinks.
Daily exercise should be at least half an hour at menopause. But that does not mean you have to force themselves to a grueling run or special exercises. To keep yourself in the normal form, you can:
- to walk in the Park;
- clean the apartment;
- walk 1-stop;
- to do the splits.
Strengthening the pelvic muscles
Muscle tone returns of menopause with regular exercise. In addition to kegels, it is recommended during urination to interrupt the flow to keep the muscles compressed. If you experience the urge to sit on a hard chair and squeeze pelvic muscles. The urge will weaken and you slowly walk to the bathroom. As a result of training muscle elastic will not give urine spontaneously emerge.
Limiting the number of toilet visits
To the restroom during menopause to go only when you explicitly need bowel movements or if mocevic filled enough. You can’t go to the bathroom at the slightest urge to urinate, or «just in case», for example, before leaving the house. It just makes things worse. Normal person should urinate 5-6 times a day and 1 time at night, with no irritants in the diet (caffeine, alcohol).
Every woman in order to avoid urinary incontinence during the menopause should:
- to lead a healthy lifestyle;
- to use electrical stimulation of the pelvic muscles or to strengthen them through specific exercises;
- during menopause take special gormonozawisimae drugs.
Urinary incontinence during menopause is a common problem that is treatable. If you experience this phenomenon don’t be shy. You should consult a doctor as early as possible until the pathology was not aggravated. The doctor will choose an individual treatment that will get rid of problems and live a full life. Against attempts of self-medication by any means should be avoided, as this can aggravate the situation.