Treatment FAQ

what is the best treatment for urinary pain in menopausal women

by Mona Considine DDS Published 3 years ago Updated 2 years ago
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Hormone treatments may relieve symptoms and can be taken orally or applied to the skin in a cream, yet are not appropriate for all suffering from painful urination during menopause. For such patients, vaginal moisturizers and lubricants can be used to ease symptoms.

Treatments for menopausal urinary symptoms
Local estrogen, applied externally, is helpful in relieving the symptoms of urinary urgency, frequency and stress incontinence, and can also help prevent urogenital atrophy and the recurrence of urinary tract infections.

Full Answer

How can I relieve painful urination during menopause?

Oct 07, 2021 · As lack of estrogen is the primary cause of urogenital atrophy, the treatments for it in postmenopausal women involve low-dose hormone replacement therapy (HRT). These can help restore the vagina to premenopausal condition and relieve many symptoms of urogenital atrophy Over-the-counter medication, such as Oxytrol

Do I need treatment for menopause symptoms?

This safe, effective, state-of-the-art laser treatment can bring new life to your vaginal tissues, which can in turn prevent chronic menopause-related UTIs from occurring. Treatment with MonaLisa Touch is quick and painless, and it offers you a hormone-free, medication-free solution.

Can menopause cause urinary problems?

Strengthening the muscles of the pelvic floor is also beneficial to maintaining control and avoiding urinary incontinence and can be worked on with Kegel exercises. Additional treatments for atrophy related to menopausal change can address the lack of estrogen, which is the primary cause of deterioration. Hormone treatments may relieve symptoms and can be taken orally or …

How can I treat vaginal dryness caused by menopause?

May 22, 2018 · Urinary problems after menopause are not a normal part of aging and can be treated. What you can do Treatment for urinary incontinence can include limiting or avoiding caffeine, taking medicine, using special medical devices, physical therapy, or having surgery, depending on the cause of the condition.

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Can menopause cause painful urination?

It's common for women in menopause to lose control of their bladder. You may also feel a constant need to urinate even without a full bladder, or experience painful urination. This is because during menopause, the tissues in your vagina and urethra lose their elasticity and the lining thins.

Can menopause cause pain in urethra?

Some women also have urinary symptoms, such as pain when urinating and urinating more often than usual. Together, these symptoms of the genital and urinary tract systems are called genitourinary syndrome of menopause.Apr 4, 2017

How do you get rid of a UTI from menopause?

Going to the bathroom whenever you get the urge and allowing your bladder to empty as fully as possible can also remove bacteria from your urinary tract. In addition, some women find that drinking cranberry juice or taking daily cranberry supplements helps ward off UTIs.

Can menopause make you feel like you have a UTI?

When estrogen levels decline, the “bad” bacteria multiply and increase your risk of UTI. Other menopausal changes that elevate your risk of UTIs include: Thinning and dryness/irritation of vaginal tissue. Weakening of the pelvic floor and drooping pelvic organs (pelvic organ prolapse)

How do you treat an inflamed urethra?

Antibiotics can successfully cure urethritis caused by bacteria. Many different antibiotics can treat urethritis. Some of the most commonly prescribed include: Adoxa, doxycycline (Vibramycin), Monodox, Oracea.Jan 26, 2022

Can estrogen cream help UTI?

Conclusion: It seems that intravaginal use of estrogen cream would effectively prevent and reduce the UTI in postmenopausal women.

Is there a cream for UTI burning?

Phenazopyridine relieves urinary tract pain, burning, irritation, and discomfort, as well as urgent and frequent urination caused by urinary tract infections, surgery, injury, or examination procedures.

When should you take estrogen pills?

Most estrogen pills are taken once a day without food. Some have more complicated dosing schedules. Pros. Like other types of estrogen therapy, estrogen pills can reduce or resolve troublesome symptoms of menopause.Nov 30, 2021

Does HRT help with UTIs?

Treatment with hormone therapy (HT) may help prevent urinary tract infections (UTIs) in older women, research suggests. Women who've gone through menopause know all too well its effects on the reproductive and urinary system.Jul 23, 2020

What are the signs of coming to the end of menopause?

The most common symptoms include:Hot flashes. These cause you to feel a sudden rush of warmth in your face and upper body. ... Night sweats. Hot flashes during sleep can result in night sweats. ... Cold flashes. ... Vaginal changes. ... Emotional changes. ... Trouble sleeping.

What is the fastest way to get rid of cystitis?

Things you can try yourselftake paracetamol up to 4 times a day to reduce pain.give children liquid paracetamol – follow the instructions on the bottle.drink plenty of water.hold a hot water bottle over your lower tummy.avoid having sex.avoid drinks that may irritate your bladder, like fruit juices, coffee and alcohol.More items...

Are cranberry supplements good for UTI?

They Help Prevent Urinary Tract Infections Cranberry pills may be an effective way to prevent recurring urinary tract infections (UTIs). Cranberries contain compounds called proanthocyanidins, which prevent E. coli bacteria from attaching to the lining of your urethra and bladder ( 1 , 2 ).Jun 1, 2018

How to reduce the risk of UTI?

For example, drinking plenty of water helps flush some harmful bacteria out of your urinary tract. Going to the bathroom whenever you get the urge and allowing your bladder to empty as fully as possible can also remove bacteria from your urinary tract.

What is the term for the time when a woman stops having menstrual periods and can no longer get pregnant?

Tweet. Menopause is the time in a woman’s life when she stops having menstrual periods and can no longer get pregnant. It results from a decline in the production of the reproductive hormones estrogen and progesterone.

Do antibiotics help with UTIs?

Antibiotics do an excellent job of clearing UTIs. But like most women, you probably don’t relish the idea of taking antibiotics frequently. And rather than just treat UTIs, you’d rather avoid getting them in the first place.

Why does the bladder lose its ability to process hormones?

This is because the pelvic muscle weakens and the lining of the urethra thins. Additionally, the bladder has large amounts of estrogen receptors that are losing their ability to process hormones.

What is the term for the loss of muscle mass in the vagina?

The atrophy , or loss of muscle mass, includes both the vagina and the urinary track, and is responsible for the organ’s inability to hold itself in place. This can also reflect damage to the muscles of the pelvic floor.

What is the term for a time of significant change for women?

2295. Menopause is a time of significant change for women. A result of this process can be painful urination related to differences in the bladder from when the body was younger. There are symptoms that can be uncomfortable yet a normal component of the process, but there can also be symptoms that are more serious and need to be addressed by ...

How long does it take for a urinary tract infection to increase?

The risk of this begins to increase around five years after your final period.

Can you use lubricant on your vagina?

For such patients, vaginal moisturizers and lubricants can be used to ease symptoms. Non hormonal treatments may include taking precautionary measures such as abstaining from alcohol and caffeine and staying hydrated, but there are medical procedures available as well.

Can you contact your doctor about menopause?

If someone is experiencing any of these symptoms, they should contact their doctor. The expected menopause health risks that are uncomfortable yet normal may be able to be treated as well. Consulting your doctor to treat symptoms can ease the period of transition that can cause feelings of distress.

Can menopause be physically and emotionally challenging?

Menopausal symptoms can be physically and emotionally challenging. While many symptoms can be expected, problems such as urinary tract infections require medical evaluation. Treatments are available to ensure your health and well being and can be discussed with a health professional who has expertise in the area.

What is the best treatment for menopause?

Treatments may include: Hormone therapy . Estrogen therapy is the most effective treatment option for relieving menopausal hot flashes.

How to help menopause symptoms?

Practice relaxation techniques. Techniques such as deep breathing, paced breathing, guided imagery, massage and progressive muscle relaxation may help with menopausal symptoms. You can find a number of books and online offerings that show different relaxation exercises. Strengthen your pelvic floor.

Why do you need a blood test for estrogen and folicle?

But under certain circumstances, your doctor may recommend blood tests to check your level of: Follicle-stimulating hormone (FSH) and estrogen (estradiol), because your FSH levels increase and estradiol levels decrease as menopause occurs.

How to stop hot flashes?

Take these steps to help reduce or prevent their effects: Cool hot flashes. Dress in layers, have a cold glass of water or go somewhere cooler. Try to pinpoint what triggers your hot flashes. For many women, triggers may include hot beverages, caffeine, spicy foods, alcohol, stress, hot weather and even a warm room.

What is the best medicine for hot flashes?

Clonidine (Catapres, Kapvay). Clonidine, a pill or patch typically used to treat high blood pressure, might provide some relief from hot flashes. Medications to prevent or treat osteoporosis. Depending on individual needs, doctors may recommend medication to prevent or treat osteoporosis.

Does hypnotherapy help with hot flashes?

Hypnotherapy may decrease the incidence of hot flashes for some menopausal women, according to research from the National Center for Complementary and Integrative Health at the U.S. National Institutes of Health. Hypnotherapy also helped improve sleep and decreased interference in daily life, according to the study.

Can you tell if you're on menopause?

Diagnosis. Signs and symptoms of menopause are usually enough to tell most women that they've started the menopausal transition. If you have concerns about irregular periods or hot flashes, talk with your doctor. In some cases, further evaluation may be recommended. Tests typically aren't needed to diagnose menopause.

Menopause symptom: Hot flashes

Hot flashes, also called hot flushes, are the most common menopause symptom. As many as three out of four women experience hot flashes. Some women begin having hot flashes before menopause, when they are still getting a period. 2

Menopause symptom: Vaginal problems and infections

Vaginal problems, such as vaginal dryness, may start or get worse in the time around menopause. Low levels of the hormone estrogen may cause your vaginal tissue to get drier and thinner. This can cause itching, burning and pain or discomfort. It also can make sex painful and cause small cuts and tears in your vagina during sex.

Menopause symptom: Irregular periods or bleeding

Your periods may come more often or less. They may last more days or fewer, and be lighter or heavier. Missing a few of periods does not always mean you are in perimenopause or the transition to menopause.

Menopause symptom: Problems sleeping

Many women in menopause find it hard to sleep through the night. Low levels of progesterone can make it hard to fall and stay asleep. Low estrogen levels can also cause hot flashes that make you sweat while you sleep. 6 This is sometimes called night sweats.

Menopause symptom: Memory problems

You might become forgetful or have trouble focusing. As many as two-thirds of women going through perimenopause say they have problems with memory or trouble focusing. 10 Menopausal hormone therapy does not treat or prevent memory loss or brain diseases, including dementia and Alzheimer’s disease.

Menopause symptom: Urinary problems

Many women develop bladder or urinary problems during menopause. Lower estrogen levels may weaken the urethra. Some women find it hard to hold their urine long enough to get to the bathroom. This is called urinary urge incontinence. Urine might also leak out when you sneeze, cough, or laugh. This is called urinary stress incontinence.

Menopause symptom: Mood changes

You might feel irritable or have crying spells. If you had mood changes with your monthly periods or depression after giving birth, you may be more likely to have mood changes with menopause, too. 13 Even if you never experienced mood changes during your monthly periods or after giving birth, you may still get mood changes during menopause.

What are some ways to help menopause?

Relaxation and stress-reduction techniques, including deep-breathing exercises and massage, a healthy lifestyle (good nutrition and daily exercise ), and enjoyable, self-nurturing activities may all be helpful. Some women try to treat their menopause symptoms with over-the-counter products such as St. John’s wort or vitamin B6.

How to stop incontinence without surgery?

Luckily, there are strategies to help improve the various forms of incontinence without medication or surgery. Try drinking adequate water to keep urine diluted (clear and pale yellow), and avoid foods or beverages with a high acid or caffeine content, which may irritate the bladder lining. These include grapefruit, oranges, tomatoes, coffee, and caffeine-containing soft drinks. Also try Kegel exercises to strengthen your pelvic floor muscles and reduce incontinence episodes.

How does menopause affect sexual function?

Menopause contributes to sexual function changes through the decreases in ovarian hormone production and may lead to vaginal dryness and a decline in sexual function. To counteract these changes, try:

How to stop hot flashes at night?

To get relief from night sweats (hot flashes that occur during sleep), try different strategies to stay cool while you sleep: 1 Dress in light nightclothes. 2 Use layered bedding that can easily be removed during the night. 3 Or, try wicking materials for both. 4 Cool down with an electric fan. 5 Sip cool water throughout the night. 6 Keep a frozen cold pack under your pillow and turn over the pillow often so that your head is always resting on a cool surface, or put a cold pack on your feet.

What are the effects of perimenopause?

Some women find that hormone fluctuations in perimenopause create a feeling of being out of control. Reports of increased irritability, anxiety, fatigue, and blue moods are not uncommon.

How to keep your head from shivering?

Cool down with an electric fan. Sip cool water throughout the night. Keep a frozen cold pack under your pillow and turn over the pillow often so that your head is always resting on a cool surface, or put a cold pack on your feet. 4.

How to get rid of night sweats?

To get relief from night sweats (hot flashes that occur during sleep), try different strategies to stay cool while you sleep: Dress in light nightclothes. Use layered bedding that can easily be removed during the night. Or, try wicking materials for both. Cool down with an electric fan.

What is the best medicine for vaginal atrophy?

Ospemifene (Osphena), a selective estrogen receptor modulator (SERM) medication taken by mouth is used to treat painful intercourse associated with vaginal atrophy. This medication isn't recommended for women who have had breast cancer or who are at high risk of breast cancer. Dehydroepiandrosterone (DHEA), in the form of a nightly vaginal ...

Why is my vagina dry?

With this condition, vaginal tissues become thinner and more easily irritated — resulting from the natural decline in your body's estrogen levels during menopause.

What is a lubricant for vagina?

Vaginal lubricants (Astroglide, Jo, Sliquid, others), applied at the time of sexual activity to alleviate pain during intercourse. A low-dose vaginal estrogen cream, tablet or ring, to reinvigorate vaginal tissues.

What is DHEA in menopause?

Dehydroepiandrosterone (DHEA), in the form of a nightly vaginal suppository is a treatment that may ease painful intercourse in menopausal women. Regular sexual activity or vaginal stimulation — with or without a partner — also helps maintain healthy vaginal tissues in women after menopause. With. Shannon K. Laughlin-Tommaso, M.D.

Can you use estrogen patches for vaginal dryness?

Even if you're using systemic hormone therapy pills or patches, your doctor might recommend a low-dose vaginal estrogen treatment if vaginal dryness and related symptoms persist. If you've had breast cancer, talk with your doctor about the risks of vaginal estrogen therapy.

What medicines treat menopause symptoms?

If your menopause symptoms bother you, talk to your doctor or nurse. Your doctor or nurse can suggest medicines to help with your symptoms. All medicines have risks, and your doctor can help you figure out which medicines are best for you.

What is menopausal hormone therapy?

Menopausal hormone therapy is prescription medicine to help relieve your menopause symptoms, such as hot flashes and vaginal dryness, if they are severe enough to disrupt your daily life. Menopausal hormone therapy is sometimes called hormone therapy or hormone replacement therapy.

What is topical hormone therapy?

Topical (TOP-ih-kuhl) hormone therapy is usually a low-dose estrogen cream applied directly to the vagina. It relieves vaginal dryness but does not help with other symptoms, such as hot flashes. It also is available as a vaginal ring, insert, and gel.

Is menopausal hormone therapy safe?

Menopausal hormone therapy, sometimes called hormone replacement therapy, is safe for some women, but it also has risks. That is why the FDA advises women who want to try menopausal hormone therapy to use the lowest dose that works for the shortest time needed.

Who should not take menopausal hormone therapy?

Menopausal hormone therapy may not be safe for some women. You should discuss your risks with your doctor if you have: 2

How long should I take menopausal hormone therapy?

The FDA recommends that women take estrogen-only or estrogen plus progesterone menopausal hormone therapy at the lowest dose that works for the shortest time needed.

What is bioidentical hormone therapy?

Companies that make bioidentical hormone therapy use the term “bioidentical” to suggest that their products are exactly the same as natural hormones. Many of these companies also claim that their products are safer than menopausal hormone therapy. However, the FDA does not recognize this term or regulate these products.

What is the treatment for menopause?

The main treatment for menopausal symptoms is hormone replacement therapy (HRT), although other treatments are also available for some of the symptoms.

What to do for hot flushes and night sweats?

If you experience hot flushes and night sweats as a result of the menopause, simple measures may sometimes help, such as: avoiding potential triggers, such as spicy food, caffeine, smoking and alcohol. If the flushes and sweats are frequent or severe, your GP may suggest taking HRT.

Why do women break bones during menopause?

Women who have been through the menopause are at an increased risk of developing weak bones that may break more easily ( osteoporosis) as a result of the lower level of oestrogen in the body.

How to reduce stress from a syringe?

taking a cool shower, using a fan or having a cold drink. trying to reduce your stress levels. avoiding potential triggers, such as spicy food, caffeine, smoking and alcohol. taking regular exercise and losing weight if you're overweight. If the flushes and sweats are frequent or severe, your GP may suggest taking HRT.

How long does it take to get a follow up on menopause?

Follow-up appointments. If you're having treatment for your menopausal symptoms, you'll need to return to your GP for a follow-up review after 3 months, and once a year after that. During your reviews, your GP may: make sure your symptoms are under control. ask about any side effects and bleeding patterns.

Does HRT help with menopause?

The main benefit of HRT is that it can help reli eve most menopausal symptoms, including hot flushes, brain fog, joint pains, mood swings and vaginal dryness. It can also help prevent thinning of the bones, which can lead to fractures (osteoporosis). Osteoporosis is more common after the menopause.

Can you use testosterone gel on your tummy?

It's common for women to lose interest in sex around the time of the menopause, but HRT can often help with this. If HRT is not effective, you might be offered a testosterone gel to apply to an area of skin, such as your tummy or the top of your leg.

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Diagnosis

Treatment

  • Menopause requires no medical treatment. Instead, treatments focus on relieving your signs and symptoms and preventing or managing chronic conditions that may occur with aging. Treatments may include: 1. Hormone therapy.Estrogen therapy is the most effective treatment option for relieving menopausal hot flashes. Depending on your personal and famil...
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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Lifestyle and Home Remedies

  • Fortunately, many of the signs and symptoms associated with menopause are temporary. Take these steps to help reduce or prevent their effects: 1. Cool hot flashes.Dress in layers, have a cold glass of water or go somewhere cooler. Try to pinpoint what triggers your hot flashes. For many women, triggers may include hot beverages, caffeine, spicy foods, alcohol, stress, hot weather a…
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Alternative Medicine

  • Many approaches have been promoted as aids in managing the symptoms of menopause, but few of them have scientific evidence to back up the claims. Some complementary and alternative treatments that have been or are being studied include: 1. Plant estrogens (phytoestrogens). These estrogens occur naturally in certain foods. There are two main types of phytoestrogens …
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