Let’s talk about something many women in perimenopause experience but don’t often discuss—urinary incontinence.
If you notice a few drops leaking when you cough, sneeze, laugh, or bend over, you’re not alone—and the good news is, there’s a lot you can do about it.
Start with Kegel exercises. The next time you’re about to urinate, imagine the muscles at the floor of your vagina as an elevator—pull it up and hold, then release it slowly, one floor at a time. You can also use Kegel balls to help strengthen your pelvic floor.
If you need more support, pelvic floor physical therapy can make a big difference. And for many women, topical estrogen cream—sometimes combined with DHEA—can help the tissue stay strong and resilient. Ask your doctor about topical estrogen cream.
Most women can significantly improve or even control leakage with the right combination of Kegel exercises, physical therapy, and hormone support.