Incontinence

Around menopause it’s common to feel sudden urgency or to have small urine leaks. It’s more common than you think — and the good news is there are solutions.

Why it happens more at menopause

• Estrogen helps keep the bladder and urethra elastic.
• It also supports the muscles, including the urinary sphincter.
• If the pelvic floor is weakened, it supports the bladder less well.
  When these supports decline, leaks or urgent urges appear. This isn’t about willpower — it’s biology.

What you might notice

• Small “stress” leaks when you sneeze, laugh, run, or lift.
• Sudden, strong urge to urinate, sometimes without warning.
• Feeling your bladder never empties completely.
• Worry about going out without toilets nearby.
• Emotional fatigue or social discomfort because of leaks.

Practical ways to ease it

• Strengthen your pelvic floor (Kegels, Pilates, targeted yoga).
• See a pelvic-floor physiotherapist for rehabilitation.
• Cut back on caffeine, alcohol, and excess sugar.
• Don’t hold your urine for long; go when you need to.
• Keep a healthy, stable weight.
• Do gentle activity (swimming, walking, light strength work).
• Stay well hydrated — spread fluids across the day.

Medical options

• Local estrogen therapy (creams or vaginal tablets).
• Mid-urethral sling procedure (minor surgery).
• Colposuspension or artificial sphincter for severe cases.
  → Discuss the best option with your gynecologist or urologist.

You’re not alone

Thousands of women deal with this every day. There’s nothing to be ashamed of — and there are effective solutions.