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Menopause Matters magazine ISSUE 82 out now. (Winter issue, November 2025)

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Author Topic: Bladder- urgency  (Read 2359 times)

Borealis

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Bladder- urgency
« on: October 21, 2025, 05:32:16 PM »

Hello all,
First time here, and hoping for some advice.

I am 43 and have started to experience a few (somewhat minor) what I assume to be perimenopausal symptoms.

Two weeks ago, I started needing to pee more frequently. On one occasion I noticed the subtle smell of a water infection, but only on the first or second toilet visit of the day. No smell the rest of the time. I had no other usual symptoms such as pain or burning, only peeing more often. After two days I was prescribed a 3 day course of antibiotics. It seemed to improve for just over a week and today I've needed to go more times than I count. No smell, pain or burning.
My bladder is somewhat full every time, but not to the point  where I would be running to the toilet straight away "normally." I have probably increased my fluid intake (avoiding coffee and don't drink alcohol) but not hugely to cause this many toilet trips.
(Other symptoms I've noticed for a good few months are days through the month where I feel quite itchy around my vulva. When wiping after a pee for a while now, the skin certainly feels a bit more sensitive down there too.
Can't see anything, but it's frustrating!)

Has anyone found anything that works for this "urgency?" I'm hoping it's not an antibiotic situation again as this feels very different to all past infections I've had.

Thank you!

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Ayesha

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Re: Bladder- urgency
« Reply #1 on: October 21, 2025, 05:42:24 PM »

You might have the beginning of GSM symptoms and topical oestrogen is the answer. The link below will explain a lot about the condition.
https://bssm.org.uk/wp-content/uploads/2023/02/GSM-BSSM.pdf
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bombsh3ll

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Re: Bladder- urgency
« Reply #2 on: October 21, 2025, 05:57:47 PM »

In the immediate term I would get some vaginal estrogen started.

Longer term however, if genitourinary syndrome of menopause is the issue, at 43 I would strongly urge you to consider your systemic estradiol levels.

If your estrogen is low enough and for long enough for these changes to be taking place in your urogenital tissues, there is a good chance that other estrogen sensitive tissues such as bones, blood vessels and brain etc may not have adequate estrogen to function optimally either.
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Borealis

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Re: Bladder- urgency
« Reply #3 on: October 21, 2025, 06:26:44 PM »

Thank you so much, I will absolutely look into this. Hopefully I can get a Doc appointment to get the ball rolling :-\
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CLKD

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Re: Bladder- urgency
« Reply #4 on: October 22, 2025, 12:52:24 PM »

What's the difficulty in getting a GP Appt.?  Our Surgery has an on-line triage form to fill in - I've never waited more than 12 hours for an appt.. 
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