Understanding Perimenopause and Continence: What Every Woman Should Know
Perimenopause can be a challenging time for many women, bringing with it a range of symptoms that often go unspoken. One of the lesser-discussed issues is how it can impact bladder and bowel control.
As women, we’re naturally at a higher risk for urinary incontinence, with 4.8 million Australian women experiencing this concern. Let’s dive into why this happens and explore the treatment options available, so you can regain comfort and confidence.
What is Perimenopause?
Perimenopause is the transition period leading up to menopause, and it can last several years. There’s no set timeline because it varies from woman to woman. During this stage, our hormone levels, especially oestrogen, begin to fluctuate and eventually decline. While it’s a natural process, these changes can significantly affect various parts of the body, including the bladder and bowel.
The Role of Oestrogen
Oestrogen is an essential hormone that keeps our connective tissues healthy. It helps to strengthen the smooth muscle walls in the bladder and bowel, supports veins and arteries, and keeps our vaginal tissues moisturised. As oestrogen levels drop during perimenopause, the supportive tissues in these areas can weaken, which may lead to bladder or bowel incontinence.
Women who have experienced childbirth, particularly those with traumatic births or multiple pregnancies, may already have slightly weakened pelvic floor muscles. When oestrogen levels decrease, this can further reduce muscle strength, increasing the risk of incontinence.
Stress and the Pelvic Floor
It’s not just about muscle strength. Our pelvic floor is highly responsive to stress, meaning that even if we’re doing regular pelvic floor exercises, they might not always be enough to prevent incontinence. Sometimes, it’s not about strengthening the muscles but rather finding the right balance and understanding the underlying issue.
Getting the Right Diagnosis is Key
The first step in managing perimenopausal incontinence is to talk about it. If you’re experiencing symptoms, reach out to your GP, a continence nurse advisor (like us at Total Continence), or a pelvic floor specialist physiotherapist. The correct diagnosis is crucial because there are many ways to treat and manage incontinence effectively. It’s all about finding the solution that works best for you.
Available Treatments and Support
There are numerous treatment options available, from lifestyle changes and pelvic floor physiotherapy to medications and medical devices. The good news is that there’s also funding available to assist with continence support, particularly through NDIS and other programs.
If you’re unsure where to start, you’re not alone. At Total Continence, we’re here to provide personalised advice and support tailored to your needs. You can also reach out to the Continence Helpline at 1800 33 00 66 for additional guidance.
Let’s Talk About It
Perimenopause and incontinence don’t have to be topics we shy away from. By opening up the conversation and seeking the right help, you can regain control and improve your quality of life. Remember, there are solutions out there, and you don’t have to navigate this journey alone.
Contact Us for Support
If you’re experiencing symptoms or just have questions, don’t hesitate to reach out. Our team at Total Continence is here to help with compassionate, expert care designed to support your comfort and well-being. Contact us today or fill out our referral form to start your journey to better continence health.
