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The use of vaginal estrogen generally isn t a problem.

Estrogen pelvic floor muscles. Vaginal estrogen therapy. Estrogen replacement with or without progesterone may slow the degradation of collagen through out the body while preserving the normal elastic integrity of the uro genital tissues. Pelvic floor muscle exercises and bladder training. Vaginal hysterectomy for pelvic organ prolapse.

What to expect. So when menopause arrives and estrogen levels drop several health problems can occur many with uncomfortable and even embarrassing symptoms. However some people shouldn t use systemic estrogen. Third and fourth degree perineal tears.

Stress urinary incontinence. It is clear that sex hormones have a direct effect on the pelvic floor. In a woman the pelvic floor supports the uterus vagina bladder urethra large bowel and rectum. Pelvic muscle training or kegels is the practice of contracting and relaxing your pelvic floor muscles you may benefit from kegels if you experience urine leakage from sneezing laughing.

These tissues can undergo atrophy in estrogen deficient states such as menopause whether from natural occurrence or medically induced. The vagina lower urinary tract and pelvic floor all come from the same embryologic origin 1 6 and therefore all contain estrogen receptors. This is a medical term that describes the skin changes that occur in the vagina urethra tube from the bladder and vulva when the ovaries no longer produce estrogen after menopause. Some women might be treated with estrogens before a surgical procedure.

Pelvic organ prolapse. The onset or worsening of bladder problems around the time of the menopause or a few years later often occurs and is thought to be due to the effect of estrogen deficiency on the bladder vagina and pelvic floor muscles. Estrogen plays a role in the health of almost every part of a woman s body including her bladder urinary tract system and pelvic floor. Too little estrogen can weaken pelvic floor muscles and lead to vaginal dryness.

Estrogen deficiencies adversely affect the membranes lining the bladder urethra and more. This can lead to changes in the acidity of the vagina leading to the skin becoming dry thinned. Bladder and incontinence matters. The decline in estrogen is a possible factor in pelvic floor disorders seen in menopausal women such as vaginal atrophy urinary incontinence overactive bladder and pelvic organ prolapse.

1 6 and in the postpartum period 2. Local estrogen is used to treat urogenital atrophic skin changes.

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