Treatment
Rule out infection when symptomatic. Moisturizers and vaginal estrogen for GSM. Continence strategies and pelvic floor PT. Refer urology/urogynecology for complex prolapse or refractory incontinence.
Menopause symptoms · Ontario
Urinary symptoms in menopause
Medically reviewed by Dr. Nathan Roth, MDCM, FRCSC, FACOG · Updated 2026-11-01
Can menopause cause urinary problems?
Yes. The urethra and bladder trigone are estrogen-responsive. After menopause, women may notice urgency, frequency, leakage, or recurrent urinary tract infections as part of GSM. Low-dose vaginal estrogen often helps tissue health; pelvic floor physiotherapy helps stress incontinence. HormoneFit treats urinary GSM as a medical issue, not an inevitable aging joke.
- Recurrent UTIs after menopause warrant GSM evaluation
- Vaginal estrogen can reduce UTI recurrence in selected women
- Distinguish urge vs stress incontinence for therapy
- Blood in urine needs investigation
References & guidelines
Educational only — not personal medical advice. Virtual HormoneFit visits are private-pay membership care. In-person OHIP-insured consultations are arranged separately when medically indicated. Book a virtual visit or view care plans.
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