When there are problems with urination in women, this is a reason to seriously worry about their health. As a rule, this worries older women, but it can also appear in young girls, for example, after a difficult birth. Incontinence is one of the symptoms of menopause, when the production of the female hormone estrogen, which is responsible for tissue elasticity, is significantly reduced. This leads to a deterioration of the tone of the urethra, uncontrolled leakage of urine with minimal stress, for example, when coughing, sneezing or lifting weights. This article will discuss the symptoms, causes and treatment of this condition.
Types
Doctors divide the problems with urination in women into three types, which differ depending on how the body behaves. Scientifically, this condition is called incontinence:
- Stress urinary incontinence occurs solely due to an increase in intra-abdominal pressure. In most cases, this is caused by physical education and sports, weight lifting, having sex, even such minor stresses as coughing, sneezing or laughing.
- Urgent incontinence is manifested when a woman experiences an unbearable urge, as a result, in some cases, she is simply not able to react to it. Moreover, in such a situation, the bladder itself may be almost empty.
- The mixed form of this problem combines states characteristic of both the first and second types.
The main thing is to remember: no matter what the problems with urination in women are, it is always additional stress and anxiety. In addition, the condition can go into a serious pathology. A vicious circle forms, to get out of which is not easy.
Typical symptoms
Symptoms of problems with urination in women, which are manifested in different types of this condition, is a strong or partial urge to urinate. As a rule, they become more frequent at night.
When urinating, there is a burning sensation, the urine itself becomes red or pink, which indicates the presence of blood in it, it has an unpleasant odor and a cloudy tint.
When women have problems urinating, they are regularly bothered by tension in their lower abdomen. In some cases, these disorders may not manifest clinically, they can be diagnosed only in laboratory tests.
Reasons for the condition
The causes of problems with urination in women can be very different. Often, several factors are at once blamed for this. In most cases, fatigue and nervous tension are at the core. It is very important to know how to treat urination problems in women. The reasons should also be well known so that the necessary measures can be taken in a timely manner.
Often traumatic or difficult births lead to stress incontinence. Injury during childbirth can consist in stretching or damage to the muscles of the pelvic floor, rupture of perineal tissue. Overweight is often indicated as one of the triggers of stress incontinence.
The consequences of gynecological operations lead to similar conditions. In particular, the removal of tumors in the ovaries or uterus, cysts. Often, incontinence occurs against the background of hypothermia.
Anatomy Features
Often, the reason may lie in the features of the anatomy of the fairer sex. It has already been proven that women face the problem of incontinence more often than men, especially when it comes to stress.
This is because a woman’s urethra is only three to four centimeters long, but a man’s urethra is 24 to 30 centimeters. In addition, if the urethra in men reaches four to seven millimeters in width, in women it is six to ten millimeters.
All this leads to the fact that women need the most durable muscles of the pelvis to control urination. Otherwise, through a wide and meek canal, urine will flow easily and almost unhindered from the bladder.
Climax
Problems with urination in women after 50 years are often rightly associated with menopause.
Due to the reduction of estrogen hormones, the muscular and ligamentous apparatus of the pelvic floor weakens. Weak muscles greatly increase the likelihood of urinary incontinence.
In this state, the sphincter can significantly relax due to the lack of muscle elasticity. With age, they greatly weaken due to hormonal changes. That is why problems with urination in women with menopause are so common.
Overactive Bladder Syndrome
This syndrome provokes a special type of urinary incontinence. It can also be associated with a woman’s neurogenic bladder syndrome.
This type of incontinence provokes the fair sex to be constantly within walking distance from the toilet. She is inwardly afraid of moving away from him as far as possible, a desire arises too often, at least once in a half to two hours.
This condition can occur due to neurological problems, for example, damage to the spine or traumatic brain injury. Similar deviations are characteristic of patients who have recently suffered a stroke. The reason may lie in the development of a dangerous, once even cured genitourinary infection.
Treatment methods
Treatment for problems with urination in women should begin when the causes of the disease have been identified by specialists. There are many options - complications after childbirth, hormonal disruptions, infections, and even tumor diseases. If the situation is not running, charging for the pelvic muscles can help, but in most cases it is ineffective.
In this case, it is important to know which doctor to go with the problem of urination in women. For help, you should contact a urologist. The doctor will conduct a detailed examination, make a precise diagnosis, discuss the treatment methods, the help you need. Now you know which doctor with which to urinate in women should go.
Non-drug methods
Sparing ways to deal with this ailment include exercises to strengthen the muscles of the pelvis, training the bladder.
In addition, do not forget about physiotherapy. This will help you strengthen your muscles, achieve elastic ligaments, improving the circulation of the pelvis. In these cases, as a rule, warming, microcurrents, and electromagnetic pulses are used.
The training itself consists in the formation of a plan of urination and its thorough implementation. Training is best under the supervision of an experienced doctor. It is recommended to gradually increase the intervals between urination. Women who suffer from incontinence, over time, begin to develop a certain stereotype when visiting the toilet. They strive to go there, even if the urge was very weak, barely noticeable. Working according to plan, you should restrain them.
The interval between each visit to the toilet should be increased every week by thirty minutes, until it reaches a duration of three to four hours. In most cases, training is accompanied by drug therapy.
Pay attention to the training of the pelvic muscles. For some, this is the key to a successful treatment for this problem. But only a few consciously work on this. It is believed that this is the best prevention of problems with urinary incontinence.
Medical methods
Such remedies are especially effective in urgent type of problem. Antidepressants and antispasmodics are used to treat this type of disease. For example, Driptan, which can dampen impulses sent by the nervous system, helps a lot. The drug also has a relaxing effect on the muscles of the bladder.
Under the influence of this drug, a woman’s bladder relaxes as much as possible, increasing in volume. As a result, imperative urges disappear without a trace , which the representative of the fair sex could not cope on her own. As a result, she begins to go to the toilet much less frequently.
It is worth noting that the drug has a cumulative effect, so you will feel an improvement only after a few weeks. It should be emphasized that only a doctor prescribes the required dose, focusing on your condition and body characteristics.
Operation
In some situations, only surgery helps to cope with the disease. The surgeon's help is effective when the patient has a stressful form of incontinence. In some cases, the operation is prescribed and with an urgent form of incontinence.
Currently, there are more than a hundred different methods of surgical intervention, with which it is possible to eliminate urinary incontinence in women.
Most of these methods are successfully used in Russia, including minimally invasive operations. As a result of these gentle procedures, the time for rehabilitation is minimal, most often the patient can go home the next day.
The vast majority of women after such operations live a full life. The only thing they have to watch for hypothermia, as they become susceptible to cystitis.
Hygiene rules
When a similar problem occurs, experts advise adhering to certain hygiene rules in order to minimize negative consequences for themselves. For example, urological pads will greatly facilitate the quality of life of the fair sex and their socialization.
There are many high-quality models on the market that can not only reliably absorb liquid, but also neutralize an unpleasant odor.
There are several recommendations that such gaskets should comply with. They should absorb moisture well, retaining all the secretions, anatomically correspond to your characteristics, keep them dry on the surface to prevent skin irritation, and be bacterially safe.
Often women are embarrassed by this problem, use urological pads, constantly postponing their visit to the doctor. Doing this is strongly discouraged, because complications are possible. If you contact a specialist as soon as possible, then there is a chance of eliminating the negative consequences of this type of ailment.