Urinary Health

Genitourinary syndrome of menopause (GSM) affects the vagina, vulva, and urinary tract due to declining estrogen. Common symptoms may include vaginal dryness, burning, irritation, painful intercourse, urinary urgency, incontinence, or recurrent UTIs. Lower estrogen can also weaken pelvic floor muscles, increasing the risk of urinary leakage and early signs of prolapse. 

Many women don’t realize these changes are related to menopause, though effective treatment options and lifestyle strategies exist. 

• Frequent urination (day or night)
   
• Painful urination or burning
   
• Urinary Urgency (“must go immediately”)
   
• Urinary incontinence (leakage with coughing, sneezing, or movement)
   
• Recurrent UTIs
   
• Change in urinary scent

• Estrogen - Maintains vaginal, vulvar, and bladder tissue integrity. Declining levels thins vaginal, vulvar, and bladder tissues; reduces elasticity and moisture. 

• Pelvic Floor Weakness - Hormonal and structural changes decrease bladder and urethra support.    

• Melatonin - Lower levels can worsen nighttime urgency and urinary symptoms due to sleep disruption.     

Estrogen maintains tissue integrity, pelvic floor strength, and a healthy vaginal microbiome. Lower estrogen leads to:

• Thinner bladder and urethral linings

• Reduced bladder elasticity
   
• Weak pelvic floor muscles
   
• Increased risk of urinary infections

Consult a healthcare provider if you experience persistent urinary symptoms or leakage, frequent or recurrent UTIs, or worsening or unexplained urinary issues.

A great place to learn more and complement what you’ve read here.