Urinary Problems and Menopause: What’s Really Going On?
Bladder issues aren’t always the first thing we associate with menopause, but for many women, they become an all-too-familiar part of the journey.
From more frequent trips to the loo to the unexpected leaks that catch you off guard, changes in urinary health can be a frustrating—and sometimes embarrassing—symptom of this hormonal transition.
But here’s the thing: you’re not alone, and there’s nothing to feel ashamed about. Understanding what’s going on and knowing what you can do about it can make all the difference.
Why Does Menopause Affect Urinary Health?
As oestrogen levels drop, the tissues in the bladder and urethra can become thinner, drier, and less elastic. This can lead to a range of urinary symptoms, from increased urgency and frequency to infections and stress incontinence (leaking when you cough, laugh, or exercise).
It’s also worth noting that the pelvic floor muscles—which support the bladder and other pelvic organs—can weaken with age, especially if you’ve had children. The result? More pressure on your bladder and more difficulty holding urine when you need to.
Common Urinary Symptoms During Menopause
- Urinary urgency (a sudden need to go)
- Frequent urination, even at night
- Leaking urine during physical activity or laughing
- Burning or discomfort while urinating
- Recurrent urinary tract infections (UTIs)
What Can You Do to Improve Urinary Health?
While these symptoms can be unpleasant, there are practical ways to improve bladder health and feel more in control:
Pelvic Floor Exercises: Regularly practising pelvic floor (Kegel) exercises can strengthen the muscles that support your bladder and reduce leaks.
Stay Hydrated (but smartly): It may sound counterintuitive, but drinking enough water is important. Just avoid caffeine and alcohol, which can irritate the bladder.
Go When You Need To: Don’t try to “hold it” for too long—it can put extra pressure on your bladder.
Avoid Constipation: A full bowel can press on your bladder. Keep your diet fibre-rich and stay active to support digestion.
Wear Breathable Underwear and Stay Dry: This helps reduce the risk of infection and keeps you feeling fresh.
Talk to Your GP or Menopause Specialist: There are treatments available—from topical oestrogen to medications and physiotherapy. You don’t have to manage this alone.
Changes in bladder control or an increase in UTIs can feel isolating—but they’re far more common than we tend to realise. Talking about them, getting support, and exploring your options can really help.