Stress incontinence is the inability to control your bladder when you lift heavy items, laugh, or cough. It also refers to a frequent or sudden urge to urinate. Some people refer to it as an “overactive bladder.” But why is it so much worse with menopause?
During menopause, the drop in testosterone, estrogen, and progesterone levels weakens the bladder and the adjoining pelvic muscles. The weakened pelvic floor can lead to urine leaks with activities that put extra pressure on your bladder, such as physical activities, laughing, or sneezing.
Leakage typically involves a few drops of urine, but it can become a total loss of urinary control. This condition can worsen with age, as you lose the muscle strength that controls your bladder. However, urinary incontinence is treatable. Replenishing lost hormones in the body can help improve symptoms of urinary incontinence and benefit overall urinary health.