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[The role of hormones in urinary tract disorders remains confusing, even for those of us in the business of providing care and counsel to patients. The Women’s Health Initiative Study made it clear that oral estrogen has risks and should not be prescribed without a clear reason. On an individual basis, educated decisions can be made between you and your doctor, depending on what menopausal symptoms you need to treat. Hormone depletion causes changes in the urinary tract, especially the urethra. Visible changes to the vaginal canal correspond to the symptoms that many of you may experience from low estrogen, including dryness, itching, and burning in the vagina and the urethral area. Vaginal applications of estrogen will help these symptoms while causing very few side effects. Systemic estrogen has a less clearly defined role in the treatment of urinary tract disorders in the postmenopausal woman. In terms of urinary leakage, estrogen therapy alone will not treat the problem. However, combination therapy of vaginal estrogen and a bladder medication may alleviate symptoms more than either would alone.]
Published: Jan 1, 2006
Keywords: Postmenopausal Woman; Hormone Replacement Therapy; Urge Incontinence; Estrogen Therapy; Vaginal Tissue
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