Urinary Urgency
The sudden, desperate need to urinate, sometimes with accompanying leaks (urge incontinence).
Biological Mechanism
Estrogen deficiency affects the detrusor muscle of the bladder and weakens the urethral sphincter. The bladder becomes 'irritated' by the lack of hormonal support.
Common Misdiagnoses
Overactive bladder syndrome, Stress incontinence (they are different)
Evidence-Based Treatments
- 01Local Vaginal Estrogen
Plumps the peri-urethral tissue, improving the 'seal' of the sphincter.
- 02Pelvic floor physical therapy
Addresses the muscular component of incontinence.
Practical Management & Strategies
Urinary Urgency in Perimenopause and Menopause: Causes, Relief, and When to See a Doctor
Experiencing urinary urgency during the menopause transition? Understand how hormones may contribute, evidence-based self-care, red flags, and how to prepare for a clinician visit.
Read Strategy →
Vaginal Dryness & GSM: The Conversation No One Is Having
GSM affects over half of women in perimenopause, yet few receive treatment. We explain the 'why' and the safe, effective solutions available.
Read Strategy →