Menopausal women are also at greater risk for urinary symptoms. Frequency, urgency, irritation, stress urinary incontinence, which means leakage of urine when they cough, laugh, sneeze or urge incontinence. Estrogen is protective of those symptoms up to a point. So once women become menopausal the "genitourinary symptoms of menopause," which are frequency, urgency, vaginal irritation, itchiness, or burning can occur as well as loss of urinary incontinence. Additionally, as women become menopausal and estrogen levels decline, they start to develop prolapse as well. It may have been present when they were perimenopausal or after the babies, but then when estrogen declines, the prolapse worsens.
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