Urinary Incontinence and Bladder infections during Menopause -How to Manage the Symptoms

Urinary incontinence, painful urination, and urinary tract infections are common at menopause and perimenopause. Incontinence should not be seen as inevitable. There are plenty of solutions to help improve or cure bladder symptoms. I have some suggestions for you to try and information on the most commonly used homeopathic remedies.

Why do we have more bladder problems during the change?

Increased frequency of urination, urinary incontinence, painful urination and nighttime urinating are common symptoms of menopause. These can be caused by the laxity of muscles because of hormonal disbalance. Weakened pelvic muscles and the thinning of membranes are the most common causes of the bladder symptoms. Bladder problems are very distressing but they are treatable.

With the correct assessment and treatment, bladder problems can be either cured or made much more comfortable.

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A weakening of the pelvic floor muscles is common during perimenopause – you may notice that you have a leakage of urine when you cough, sneeze, jump or run. As soon as you notice these limitations it’s time to work on improving your pelvic floor with exercise that some may know from childbirth. Other interventions include biofeedback using electronic devices, which provide electrical stimulation. Medication and complementary treatments like homeopathy, naturopathy, and acupuncture can reduce many types of leakage. In some cases, collagen implants may be injected and in more severe cases surgery may be required where other approaches are unsuccessful.

Urinary Incontinence Solutions

  • Your gym instructor may be able to give you a program that concentrates on building pelvic floor muscles and core strength. Be careful that your gym exercise does not increase the pressure on the bladder. It’s well worth getting some expert advice so that you aren’t exacerbating the problem through the wrong kind of exercise – e.g. heavy weights and high impact exercises.
  • Pilates has very good exercises to strengthen the pelvic floor muscles and the core.
  • Drink a steady amount of water throughout the day but avoid drinking lots of fluids late at night.
  • Maintain a healthy weight and maybe consult a nutritionist to make sure that you have a healthy diet that has plenty of alkaline foods, fibers, and probiotics and reduce the refined sugar. Supplements like Vitamins B and C may help maintain collagen and elasticity which is important as skin and membranes become thinner as sex hormones levels drop during the menopause.
  • Reduce the intake of alcohol and caffeinated drinks like coffee, tea, green tea, and fizzy drinks.
  • Contact your GP, or if possible, a specialist physiotherapist to discuss assessment and treatment. There is plenty of help out there – don’t suffer in silence.
  • Wear panty liners while you get treatment and have the problem resolved.
  • Even if you don’t suffer from urinary incontinence it’s a good idea to get into the habit of doing regular pelvic strengthening exercises. We should all be doing about 10 pelvic floor lifts 5 times a day as we brush our teeth, wait in queues, drive, etc. Make sure to get good advice on how to do these exercises correctly. 

Homeopathic treatment for Urinary incontinence

Homeopathic remedies can be very useful when correctly prescribed by a professional homeopath. I recently had great results with a combination of the remedy Sepia and the client started pilates class for 1 hour twice a week. I have seen a massive improvement in her symptoms.

Natrum muriaticum is good for stress incontinence. The person might also have vaginal dryness and pain on inter­course, with an aversion to sex. There may also be a marked craving for or dislike of salt. The symptoms may develop after grief, particularly where the person feels sad yet unable to weep or move on.

Apis is valuable for stress incontin­ence that is better in cooler weather. It may be associated with bladder infec­tions with severe burning pain when passing urine. People needing Apis may feel generally worse when hot. They enjoy exercise which makes them feel better.

Sepia is a very important remedy in menopausal women in particular where urine incon­tinence is associated with a sensation of the uterus prolapsing, “of everything falling out below”. There may also be an itchy, sore vagina with a white dis­charge. Chilliness, sensitivity to cold and feeling better after exercise is also common.

Nux vomica patients have frequent urging yet are unable to empty their bladder satisfyingly. Like Sepia, they are chilly and sensitive to cold. Their symp­toms may be worse for periods of over­work or indulgence in alcohol, over­eating, tobacco or coffee. They can be impatient, irritable and pedantic, yet very hard working.

Bladder Infections

Urinary Tract Infections (UTIs) become more common during and after menopause as tissues are thinning. The thinner lining of bladder walls and urethra make them more susceptible to bacterial infection. The first sign that your bladder is under pressure is when you feel that you need to pee but when you try you can’t. Take immediate steps to drink extra water and reduce your intake of sugar which will feed the infection. Support your immune system by taking regular doses of Vitamin C and adding garlic and probiotics to your diet. If you feel pain or burning before, during or after urinating make sure to seek help from your doctor, naturopath or other healthcare professional.

Homeopathic remedies for UTI

Cantharis is indicated for infections with intense, scalding pain when passing urine. There may be blood in the urine and there is a sensa­tion of not being able to fully empty the bladder or the rectum. Unexpectedly, the irritation of the bladder may increase sexual desire in the person.

Pulsatilla is good for bladder pain which comes on sud­denly and intensely, with an extremely urgent need to pass urine. The person may crave open air and moving about, and feel worse indoors. 

Sarsparilla is frequently used for infections when the pain comes on after urination. There may be some blood in the urine and severe symptoms of cystitis. It is easier to pass urine whilst standing up and there is a tendency to urinary retention.

More information about useful homeopathic remedies for cystitis you can find here.

Interested to know more about homeopathy and how it can help you with your bladder problems?

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Disclaimer: This article is for educational purposes only and not intended to replace the advice of your physician or health care provider.

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