Urgency and frequency
The need to urinate may arrive suddenly or return soon after you just went.
Urinary urgency, frequency, or incontinence
Bladder symptoms are common. They are not something to hide.
Urgency, frequent trips, nighttime waking, and leakage are different patterns—and identifying yours helps guide better care.
The details of when leakage happens matter.
A sudden urge, frequent trips, nighttime urination, or leakage with urgency, coughing, laughing, or exercise are different patterns that guide care.
Leakage with pressure
Coughing, laughing, lifting, running, or exercise may trigger a small or larger leak.
Nighttime disruption
Repeated bathroom trips can fragment sleep and make bladder symptoms feel bigger the next day.
Bladder, urethral, and pelvic-floor changes can overlap.
Menopause-related tissue changes may contribute, but infection, diabetes, medicines, constipation, pelvic-floor disorders, and neurologic or bladder conditions can cause similar symptoms.
The type of leakage
Urgency leakage and leakage with coughing or movement often need different strategies.
Habits and medicines
Fluids, caffeine, constipation, diuretics, and other medicines can change urinary frequency or control.
Tissue and pelvic support
Genitourinary tissue changes and pelvic-floor weakness can affect comfort, urgency, and leakage.
Match care to the bladder pattern.
A useful plan identifies the type of symptoms, contributing conditions, and which options fit your health and daily life.
ApproachWhat it may includeWhat to know
Track the pattern
A bladder diary, fluid and caffeine review, medicine review, and infection screening when indicated.
Timing and triggers help distinguish urgency, stress leakage, mixed symptoms, and other causes.
Retrain and strengthen
Bladder training, pelvic-floor physical therapy, constipation care, and habit changes.
Conservative care can improve control and often works alongside other treatment.
Add targeted treatment
Local menopause therapy, bladder medication, devices, procedures, or specialist referral.
The diagnosed type, severity, risks, and preferences determine which option belongs in the plan.
Clinical care, built around the whole picture
Your bladder symptoms deserve specific care.
We identify the pattern, consider menopause alongside other causes, and guide pelvic-floor, prescription, testing, or referral options without embarrassment.
Listen first
Your pattern, health history, medicines, goals, and concerns shape the evaluation.
Look beyond menopause
We consider menopause alongside other causes and explain when an exam, testing, or local care is needed.
Plan the next step
Virtual care can begin the review, guide treatment choices, and make the right referral when hands-on care matters.
Clinical leadership
Barbra Hanna, DO, FACOG, MSCP
Founder, board-certified OB/GYN, Menopause Society Certified Practitioner
Meet the care teamYou do not have to plan your day around the nearest bathroom.
Meet virtually with a menopause specialist to review your symptoms and build a practical next-step plan.
Book
Choose a specialist and a time.
Meet
Talk securely by video.
Begin
Receive your personalized plan.
Most major commercial insurance plans accepted.
Coverage varies by plan and location. Not currently accepting Medicare, Medicaid, or HMO plans.