196 - Leaks, Laughs & Let-Downs: Why Urinary Changes Happen in Perimenopause & Menopause

Urinary leakage, urgency, and recurrent UTIs are not just "part of getting older" — and they're not something you have to quietly put up with. In Part 1 of this two-part series, we unpack what's really happening inside the body during perimenopause and menopause that affects bladder control and urinary health — and why so many women are caught off guard. In this episode, you'll learn: How declining estrogen directly affects the bladder, urethra, pelvic floor, and vaginal tissues Why urinary symptoms often begin in perimenopause — years before menopause The difference between stress, urge, and mixed urinary incontinence How hormonal changes increase the risk of urinary tract infections (UTIs) Why UTIs in older women are frequently missed — and how this contributes to serious illness and even death Why shame and silence have left generations of women underdiagnosed and undertreated This episode lays the essential foundation — the anatomy, the hormones, the warning signs — so you can advocate for yourself and for the women you love: your mum, aunt, grandmother, sister, or daughter. 🎧 Listen to Part 1 first, then continue with Part 2 to learn how to rebuild bladder control and confidence with evidence-based solutions. Resources mentioned: – Pelvic floor health and menopause research – Vaginal estrogen and urinary health – UTI prevention and early warning signs 👉 Download your free Menopause Symptom Tracker at nicolevanhattem.com 👉 Work with me as your Menopause Coach for personalised support