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Read more about cystitis in women. Some women have repeated episodes of cystitis. Read more about recurrent cystitis.
After the menopause, levels of a female hormone produced by your ovaries oestrogen fall. Because of this, some women may notice changes in their vagina and genital area after the menopause. These changes may include vaginal dryness, discomfort during sex and bladder symptoms. These can all usually be improved with treatment. See separate leaflet called Vaginal Dryness Atrophic Vaginitis for more details. Urgency is a symptom where you have a sudden urgent desire to urinate.
You are not able to put off going to the toilet. In urge incontinence, urine leaks before you get to the toilet when you have urgency. Urgency and urge incontinence are often due to an unstable or overactive bladder , or detrusor instability. The detrusor muscle is the medical name for the bladder muscle. Bladder training exercises are the first line of treatment.
Medication may also help. Some people have mixed incontinence, which is both stress incontinence and urge incontinence. Read more about urge incontinence. Stress incontinence is the most common form of incontinence.
It means you leak urine with actions such as coughing, laughing, sneezing or exercise. It happens when the pelvic floor muscles that support the bladder are weakened. Childbirth is a common reason for a weak pelvic floor. The first treatment for stress incontinence is pelvic floor exercises. Surgery to tighten or support the bladder outlet can also help. Medication may be used in addition to exercises if you do not want, or are not suitable for, surgery.
Read more about stress incontinence. You should always see your doctor if you develop incontinence. Each type has different treatments. See separate leaflet called Urinary Incontinence for a general overview and to understand what is likely to happen during your doctor's assessment. If diabetes is not well controlled, the high sugar glucose levels in the blood may make you produce more urine. UTIs are also more common if you have diabetes. Stones in the bladder or kidneys usually cause other symptoms rather than LUTS.
They may cause blood in the urine and severe pain when urinating. This is also uncommon. It causes blood in the urine and is painless. In most cases, the cancer is confined to the inside lining of the bladder. Treatment of these superficial bladder cancers is relatively easy and often completely cures the cancer.
If the cancer has spread into or through the muscle layer of the bladder wall then treatment is less likely to result in a complete cure but can often slow the progress of the cancer.
See separate leaflet called Bladder Cancer for more details. Conditions such as multiple sclerosis may affect the nervous system and cause LUTS. Sometimes medication you take can give you LUTS. Examples of medication which may do this include:. You may have an ultrasound scan on your bladder and urinary tract.
You may be referred to a specialist urologist for tests on your urinary system urodynamic tests. Urodynamic studies test the working of the bladder and are used to see how the urinary system and pelvic floor work.
You may be asked to keep a diary. In your diary make a note of the times you pass urine and the amount volume that you pass each time. Also, make a note of the times you leak urine are incontinent. Your doctor or nurse may have some pre-printed diary charts to give you for this purpose.
Keep an old measuring jug by the toilet you will need to urinate directly into this so that you can measure the amount of urine you produce each time you go to the toilet. If you have unexplained blood in your urine, you will be referred urgently to a urologist for further tests. The treatment for LUTS will depend on the underlying cause. Often, no specific cause is found and so there is no specific treatment. Some women find that their symptoms come and go and do not cause them a great deal of bother or distress.
But if your LUTS do interfere with your normal life, you should see your doctor for advice. You may be offered help at a special continence clinic which can advise about pelvic floor exercises and ways of coping with incontinence. Specialist incontinence nurses can also advise about pads and catheters. Medicines can be effective in helping symptoms of an overactive bladder if there is not enough improvement with bladder training alone.
These medicines work by blocking certain nerve impulses to the bladder which relax the bladder muscle, so increasing the bladder capacity. These medications are called antimuscarinics or anticholinergics. There are several different types and many different brand names. They include oxybutynin , solifenacin and tolterodine. HRT can help menopausal symptoms including vaginal dryness and discomfort when you urinate.
An operation may be required to repair or boost your pelvic floor in some cases. You may be referred to a specialist if your symptoms do not improve after self-help measures and treatment from your doctor. Did you find this information useful? We'd love to send you our articles and latest news by email, giving you the best opportunity to stay up to date with expert written health and lifestyle content. Well, turns out one of the most common tips for preventing a UTI is likely to backfire on you in the worst, most burning and painful way.
Have you been laboring under this colossally bad health advice? You're probably already familiar with this tip, but it's worth repeating. At the risk of sounding indelicate, you need a strong, heavy stream of urine to push that bacteria back out after sex. A glass of water right before you get busy isn't a bad idea. If anything, this is another good reason to stay well hydrated throughout the day.
Don't "prep" your lady parts before sex. There's no need to clean or disinfect yourself before sex to prevent a UTI -- if anything, that will wipe out the helpful bacteria that helps keep you healthy. Do wipe front to back. When you do have that post-coital bathroom break, remember to wipe front to back to prevent pushing bacteria back into your urethra.
Don't assume that "feeling" means you need to pee. When you're aroused, your urethral sponge becomes swollen , insulating your urethra so you don't urinate, says sex educator Dr.