Pages: 32 - 37
Article topics: Menopause, Pelvic floor dysfunction, Postmenopausal women, Primary care, Quality of life
Urinary incontinence (UI) is a common and frequently under-recognised condition among postmenopausal women and may significantly affect physical comfort, psychological wellbeing and social participation. Many women delay seeking help because of embarrassment, stigma and the belief that UI is an inevitable consequence of ageing. This review explores the pathophysiological mechanisms, psychological and physical burden, social implications and barriers to help-seeking. The implications for primary care assessment and management are clear as general practice nurses (GPNs) and general practitioners (GPs) are well placed to identify unreported urinary symptoms, provide support and initiate early intervention.