Oestrogens are essential for helping the tissues keep their strength and elasticity. When levels fall, so delicate body tissues become dry and thin, and muscles more lax. Fortunately, there are many options for treatment, and most provide at least some improvement. Surgery should generally be reserved as a last resort. But you have to practice them regularly and intensively for a good effect.
Physiotherapists know the art of pelvic floor exercises, so ask one for their secrets.
These are special weights which you practice holding in your vagina to teach the pelvic floor muscles to contract. Other drugs, which help to stimulate the nerves, which control urine flow, or which tone up the bladder muscles, may be as effective as pelvic floor exercises. Electrical stimulation of the pelvic floor may be effective therapy, both for stress incontinence and urge incontinence. In one study about one third of the patients were cured or substantially improved. Many surgical options, such as pulling a drooping bladder up into a more normal position, have good success rates.