A Stress urine leakage or stress urinary incontinence (UI) occurs when the pressure in your bladder is stronger than your urethra, the tube that empties your bladder. You may pee suddenly when lifting, jumping, laughing or sneezing. Stress UI happens during perimenopause and post-menopause when the muscles that keep your urethra closed weaken due to lack of hormonal support.
You can help strengthen your pelvic floor muscles with Kegel exercises – see a trained physiotherapist to get training on the correct set of exercises for you. HT with estrogen applied topically (in creams or tablets) within the vagina is effective for both dry vaginal pain and urinary incontinence. The outer third of the urethra is estrogen-sensitive. When the estrogen cream is applied to the vagina it can increase blood supply to the urethra and nerve function which can help strengthen the muscle.
It might be also advised to stay away from caffeinated drinks because caffeine is a bladder irritant.