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Urogynecologist Dr. Tirsit Shiferaw Asfaw, MD, FACOG, says that there are several ways a woman’s pelvic floor changes with age, which impacts bladder and urinary health. She explains that ...
The menopause describes the end of a woman's reproductive years, and normally happens around the age of 51. The lead-up to this happening is known as the peri-menopause. It starts, on average, at 46.
Over time, the genitourinary symptoms of menopause – the bladder and vaginal symptoms mentioned above – can get worse, as can your bone and heart health if not treated, she says.
During menopause, the significant decline of estrogen and progesterone levels may cause reduced production of collagen and elastin, leading to thinner and less rigid vaginal walls. [7] The weakening of pelvic floor muscles due to these sudden hormonal changes is also a contributing factor to potential vaginal introital laxity. [ 7 ]
Vaginal rugae disappear in older women and those with an estrogen deficiency. [7] The rugae can disappear with anterior vaginal wall prolapse which can occur when supports to the portion located between the vagina and bladder are damaged and the bladder bulges into the vaginal lumen.
“When you look at the symptoms of a urinary tract infection — that gotta-go feeling, the urgency, the burning — you can get that just as a consequence of genitourinary syndrome of menopause ...
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