The basis of the disease here is not inflammation or infection of the urinary organs, but the processes that a woman experiences in this difficult climacteric period. As you know, menopause, or menopause, occurs as a result of the extinction of the activity of the genital organs - the ovaries, which secrete female hormones. This dramatically undermines the immune system of women, and this reason alone is a sufficient factor for the onset of cystitis.
In addition, the mucous membranes of the bladder, vagina and urethra in all women are zones that are largely dependent on the hormonal state. In a normal state, the mucous membranes are elastic, elastic, and strong. When the concentration of female hormones in the body decreases, the mucous membranes become thinner and become vulnerable to the penetration of bacteria. The woman herself feels constant dryness in the urogenital zone, which once again proves the hormonal component of this process. As a result, it is quite reasonable for a woman to show signs of cystitis, which in this case is called atrophic.
Symptoms of cystitis in menopause
They are somewhat different from what a woman feels with ordinary inflammation of the urinary organs:
- strange discomfort in the pubic area,
- false and frequent urging to the toilet,
- the appearance on the pad or toilet paper drops of blood.
Treatment of cystitis of the first stage with menopause
If a woman was diagnosed with cystitis in menopause, treatment with hormone-containing drugs is simply a must.
So what can a doctor prescribe? The most famous drugs - Ovestin, Divigel, Klimara. All of them contain estradiol, or estriol - the female sex hormone, the amount of which is now in the patient's body so small.
How long will a woman have to take these drugs? In general, in developed countries, women of solid age take them for the rest of their lives, and this helps them to stay in good shape. We have a bias towards hormonal drugs, and the cost of such drugs seriously hits the wallet. When treating cystitis with menopause, you need to undergo hormone therapy, and then, when the symptoms of inflammation disappear, you can gradually reduce the daily dosage and completely abandon the drug for a while. Perhaps the doctor will allow the patient to drink his courses, and not constantly.
Treatment of cystitis of the second stage with menopause
It also involves hormonal drugs that must be taken during the entire course of therapy prescribed by the doctor. In addition, pain relievers can be prescribed for relieving unpleasant symptoms. Adrenergic blockers that relieve muscle spasms of the ureter and bladder will also be helpful and thereby restore the woman’s ability to control urination.
Often requires the use and drugs, the action of which is aimed at diluting the blood. This will improve microcirculation in small vessels and restore the function of the urinary organs. These drugs include Curantil, TromboAss, Trental and others.
Is warming allowed in this case? It all depends on the severity of the disease. If a woman does not have blood impurities on a pad, toilet paper or urine, then a heating pad can sometimes be applied to the area of the urogenital area. By the way, this can be combined with foot warming, as well as sometimes visit a bath or sauna.
Treatment of the third stage of cystitis with menopause
Unfortunately, this stage of the disease is considered to be quite serious, and the treatment that is not always carried out gives results. This is due to the fact that the walls of the bladder for several years received irreversible changes and can not be restored. Even taking estrogen now will not give good results, because such patients often develop estrogen tolerance.
The use of local hormonal agents, as well as drugs and ointments with a regenerative effect sometimes gives a positive effect, although it is not possible to fully restore the lost ability to control their urinary organs.
If a woman has urinary incontinence, it can only be managed surgically. Unfortunately, many patients approach this age with a whole bunch of diseases, and therefore some of them are not even allowed to undergo surgery. That is why it is so important not to bring the disease to the last stage, but to do everything possible when the first signs appear.
No wonder they say that preventing a disease is always easier and cheaper than curing it. The same can be said about cystitis with menopause. Every woman, from the age of 45, should listen more carefully to herself in order to feel the climacteric changes that begin in the body in time. Even an uncharacteristic change for her — lengthening or shortening the cycle should alert her. This is a clear reason to visit a gynecologist, who will give recommendations for the prevention of a number of diseases associated with changes in hormonal levels.
Fat fish also has a good effect on hormones. It should be as much as possible in the diet of a woman of solid age. This product can even almost completely replace red meat, which is no longer required by the body in large quantities, as before. Omega-3 fatty acids in fish prevent the aging process and counteract hormonal changes.
To improve well-being and restore hormonal background, a woman can use natural products containing phytohormones. These are products from soybean, hops, sage, wheat germ, coconut fruits, avocados, as well as most of the umbrella plants - fennel, anise and others. Daily using them, the symptoms of cystitis will no longer torment a woman. As a rule, such drugs do not cause adverse reactions, and therefore do not have contraindications, with the exception of individual intolerance.
Also, a woman must be protected from constipation. Tension of the pelvic muscles during bowel movements will invariably affect the bladder area, which may trigger a new exacerbation.
Finally, her psychological state is very important for the hormonal balance in the female body. A woman should not feel old age. On the contrary, right now she has a lot of time and energy for everything that she wanted to accomplish earlier, but for some reason could not do it. New life provides her with new opportunities, and in the power of each to use them for the benefit of her health and well-being.
Causes and pathogenesis
An important cause of the pathogenesis of cystitis is a small dose of the produced hormone - estrogen. Due to the lack of estrogen, the surface membrane of the bladder becomes thin, its protective functions weaken, the microbes continue to develop freely and entail the development of an inflammatory process in the body.
The provocateurs of cystitis are often such harmful microorganisms as E. coli, staphylococcus, anaerobic bacterium - Proteus. There are also parasites that cause cystitis - chlamydia and parasitic microorganisms that cause ureaplasmosis and mycoplasmosis. Cystitis can develop under the influence of bacteria together with other provoking factors (for example, chronic pyelonephritis provokes an exacerbation of the disease).
Symptoms and features of the course of the disease
The main symptoms of cystitis in menopause in women are similar to the manifestations of inflammation of the bladder and are characterized by the following symptoms:
- frequent urging
- pain and hardness when urinating,
- the presence of blood clots in the urine,
- the change of color of urine and the presence of its characteristic specific smell,
- increased body temperature to 37-37.2 degrees, which indicates the course of the inflammatory process in the body.
The first stage of cystitis is catarrhal inflammation, in which patients complain of such symptoms:
- pains and cramps that appear during urination,
- burning and itching of the genitals.
The outer shell of the genitalia is characterized by a strong redness, it can be said, swelling. A diagnostic study of the bladder (cystoscopy) reveals small ulcers on the mucosa and their bleeding. During the ultrasound and laboratory tests of blood and urine no structural changes in the bladder are detected. Inflammation occurs due to the fact that the mucous membrane releases a small amount of mucoprotein, which protects it from infections and external irritants.
At this stage of the disease, women experience a weak aching pain, giving way to acute and strong. There are frequent urge to urinate, which are often accompanied by spontaneous emptying of the bladder. In diagnosis, the doctor detects redness and swelling of the organ, the presence of small erosions, hemorrhage (burst blood vessels) over the entire surface of the bladder. In rare cases, growths (polyps) appear on the organ.
Approximately 5 and more years after the onset of menopause, women may develop the most dangerous third stage of cystitis, urinary bladder atrophy. Signs of its development are spontaneous emptying of the bladder, absence of pain and pain when going to the toilet. The treatment of this stage of the disease is very difficult and ineffective. The disease of this form of the disease (atrophic cystitis) is characterized by irreversible changes in the surface layer of the bladder and subsequently the development of a sclerotic form - microcystis (manifested by a decrease in the capacity of the bladder).
Diagnosis of cystitis in menopause
To make an accurate diagnosis, it is important to conduct research - laboratory and instrumental. Laboratory diagnosis includes tests such as complete blood count, urine analysis according to Nechyporenko. Blood tests are difficult to determine. Identifies signs of inflammation in the body. Urinalysis is a more effective diagnostic method, which allows determining the presence of harmful microbes in it by appearance (characteristic color and smell). The analysis according to Nechiporenko involves taking on the study of the average portion of urine and to reconcile the normal indicators with the existing ones.
Instrumental research methods include:
- cystoscopy (examination of the inner surface of the bladder with the help of an endoscope device),
- Ultrasound (allows you to diagnose cystitis),
- biopsy (collection of material for histological examination) and uroflowmetry (determines the urodynamics of the lower urinary tract), which are less commonly used in this pathology.
Treatment and prognosis
Cystitis in menopause treatment is based on taking antibiotics and anti-inflammatory drugs in conjunction with hormonal. Only a doctor has the right to prescribe drugs, self-treatment is strictly prohibited. At the present time, hormones during menopause, which are produced in any form - in pills, drops, in the form of ointments, ampoules and suppositories, are very common. All drugs are united by one sign - the content of natural female hormones that do not harm the health of women and are considered safe for long-term use. These drugs include "Femoston", "Divigel", "Menostar" and other similar in composition and action. From anti-inflammatory drugs, preference is given to the following: "Canephron", "Cyston", "Fitolysin". Of the antibiotics, the following agents are used: “Furadonin”, “Monural”, “Flemoxin”.
Cystitis caused by menopause is treated differently than normal, and may include hormones.
In addition to the above preparations, homeopathic medicines are taken for menopause, such as:
- "Remens" - a drug that restores hormonal balance and is used in the complex treatment of inflammatory diseases of the female genital organs,
- "Klimakt-Khel" - used in the treatment of autonomic disorders in menopause,
- Ambosex is indicated for urinary incontinence during menopause and for other hormonal disorders.
There are cases when drug therapy for chronic cystitis does not bring proper results, then you have to act quickly. The operation is necessary for women who have:
- the structure of the urethra is disturbed (the vagina is in contact with or closely located with the urethra),
- recurrent cystitis appeared during menopause (occurs when a prolapse or prolapse of the uterus),
- interstitial stage of cystitis (caused by scars on the walls of the bladder, leading to burning and pain),
- adverse outcome of treatment and the inability to take any additional measures (there is a removal of the bladder).
Cystitis in menopause becomes chronic, which cannot be cured forever. In the capabilities of the patient and the physician, to prevent re-exacerbation of the disease, following these recommendations:
- maintain genital hygiene,
- adhere to proper nutrition (eat more fermented milk products, limit the use of salted and spicy foods),
- avoid hypothermia, visit the toilet in a timely manner, do not restrain yourself when urging to urinate.
Traditional methods are considered a good addition to the main treatment. Among them there are many recipes available for home treatment. The very first remedy that can be used to treat menopause and cystitis is warming with milk. First you need to boil the milk in the amount of 3 liters. Wait until it cools down a little, pour it into a basin and thus float the legs. Milk after the procedure can not pour out, and use for the next procedure.
Rosehip decoction (compote) is considered to be very effective in the inflammation of the bladder and has long been used in folk treatment. To prepare the broth, take a handful of berries and boil for 10-15 minutes on low heat. When drinking, you can add honey or sugar to taste. Take this broth can be for a long time.
The decoction can be prepared from such a plant as Echinacea, known for its immune-strengthening properties. To prepare the decoction you need to take 1 tsp. grass and pour a glass of boiling water. Set aside for 3 hours. It is necessary to accept on 100 ml in the morning and in the evening after meal. This method of treatment and the others listed above should be used by all women, without exception, because during the period of menopause, the body is weakened and not protected from external adverse factors.
Why in the period of menopause increases the likelihood of cystitis?
Menopause occurs when the amount of sex hormones - estrogen is significantly reduced. These hormones significantly affect the condition of the skin and mucous membranes, making them more elastic and resilient. This also applies to the walls of the bladder: with age, they also become thinner and weaker, the blood in them goes much worse.
Cystitis is an inflammation of the bladder, and in order for inflammation to begin, there are enough of the factors listed above, and at the same time microbes begin to multiply intensively. Also during menopause, bacteria can migrate to the bladder area and from the reproductive organs. Dryness and inflammation of the vagina is easily transferred to the bladder.
It seems that cystitis in menopause appears literally out of nowhere and almost immediately becomes chronic. However, the instigator of the infection can be any, even the most minimal hypothermia, stress, anxiety or cold, which has not been given due attention.
Causes of inflammation of the bladder with menopause
- Reducing the protective function of the body.
- The presence of pathogenic microorganisms in a woman, which give rise to inflammation.
- Genital diseases, such as chlamydia, which are not properly treated, can lead to cystitis.
- Chronic inflammation of the kidneys or other internal organs that are close to the bladder. They can carry inflammation to the bladder.
- Reduced production of the hormone estrogen.
- With kidney stones, too, things are not the best: they often provoke cystitis.
Attention! No female representative is insured against cystitis, because the female body is in principle prone to this disease. If the disease happened once, then there is nothing terrible about it. It is only necessary to properly cure him, and draw conclusions. However, if the ailment is repeated several times with enviable regularity, then it is impossible to leave it unattended, and it is worth undergoing a serious examination of the body.
Symptoms of cystitis in menopause
The symptoms of cystitis in menopause are similar to the symptoms of cystitis in women of reproductive age. This disease is characterized by:
- Discomfort in the intimate area.
- Болезненные ощущения при походах в туалет. Эти походы в туалет становятся неестественно частыми.
- During urination, blood is secreted from the urinary canal. After the woman went to the toilet, pains are felt in the lower abdomen: as the inflamed bladder empties, and its walls touch each other, and since they are inflamed, the patient feels discomfort.
- The color of urine is constantly changing, due to the fact that there is blood in the urine.
- Discharge from the vaginal area with a foul odor.
- If a patient doesn’t do anything for a long time, then she may have a high temperature, nausea and vomiting begin.
Attention! For treatment and correct diagnosis, it is necessary to consult a doctor, as self-treatment can only make the patient worse, and her illness will become chronic.
Diagnosis of cystitis in women of menopausal age
In order for the doctor to establish the correct diagnosis and determine the degree of development of the disease, the patient needs to pass urine for a general analysis, as well as for the content of bacteria in it that provoke cystitis. In addition, you need to do ultrasound of the kidneys and ultrasound of the bladder. Based on these data, the doctor makes a diagnosis and prescribes the appropriate treatment.
Treatment of cystitis in menopause
Since cystitis in menopause is caused by the absence of sex hormones, you need to fill this gap. And if a woman has not yet been given hormone replacement therapy, the doctor will justify the need for hormones. Perhaps hormones will need to be taken throughout their remaining life.
However, only with the help of hormones can not cure cystitis. It is necessary to use a number of medicines and follow some rules.
- In the early stages of the disease, topical ointments and gels should be used to help relieve inflammation.
- If a woman did not go to a doctor in time and started her illness, then it will have to be treated more intensively. For the complete destruction of bacteria need antibiotics, a course which is prescribed by a doctor. By the way, antibiotics - this is a drug that must be used according to a certain scheme. It is extremely undesirable to forget that you need to drink the medicine and for some other reason to miss them.
- In order for the mucous sheaths not to be too dry and not aggravate the situation, it is recommended to use candles, for example, Ovestin.
Folk remedies for the treatment of cystitis during menopause
Traditional methods of treatment can be used for cystitis in menopause, as an additional tool to maintain their health. But before that, consultation with a doctor is also necessary, as folk remedies may not be as harmless as it may seem at first glance.
- First of all, helps to remove bacteria from the body to drink plenty of fluids. You can drink anything: juice, fruit drinks, mineral water, juice and herbal teas.
- If there is no blood in the urine, then the stomach can be heated using a heating pad or a bottle of warm water.
- When menopause is well suited tincture of mountain ash. For its preparation, take 200 grams of rowan fruit and fill them with either vodka or brandy. The drug should be infused for 2 weeks in a dark place, fasting it, you need to strain it and drink one teaspoon before each meal.
- Pour 200 grams of hops into the vodka. Insist the medicine for a week and take 10 drops dissolved in a glass of water twice a day, regardless of the meal.
- Parsley decoction is an excellent diuretic. To do this, take a teaspoon of parsley seeds and pour them with a liter of water. Leave overnight to insist, strain the next morning and consume a couple of sips every three hours.
Prevention of cystitis with menopause
- Carefully follow the rules of personal hygiene.
- Try to prevent bacteria from reaching the vaginal area from the anus.
- For washing, use only mild soap for intimate hygiene.
- Choose only soft underwear from natural fabrics so that the skin can breathe in it.
- Try to eat less salty, spicy, seasonings. These dishes provoke inflammation of the mucous membranes.
- Avoid hypothermia. Even the most banal frozen hands can be the reason for the development of the disease.
- Drink plenty of water: up to 2 liters per day.
- Avoid constipation, as a strong strain on bowel movement can damage the walls of the bladder.
Thus, cystitis during menopause is a very insidious disease, and women are more susceptible to it only because their reproductive system is so organized. The period of menopause only increases these risks, so it is important to be extremely attentive to your female health, and in case of any discomfort consult a doctor, since menopause and cystitis is a very dangerous combination.
Cognitive video on this topic:
Do symptoms of cystitis change with the onset of menopause?
Cystitis is a disease in which the bladder mucosa is inflamed. This rather unpleasant disease can affect women at any age. The representatives of the fair sex of reproductive age, as a rule, the disease manifests itself very clearly.
The following main signs of the development of cystitis can be distinguished:
- The amount of urination increases significantly throughout the day. Some women go up to 60 times.
- At night, there is a need to urinate more than 2-3 times.
- During intimate relationships, the woman feels discomfort.
- There are frequent false urge to urinate.
- After urinating, droplets of blood are secreted.
- During urination, pronounced pain appears.
- Uncharacteristic discharge may appear in the urine.
As you can see, all the symptoms indicate problems in the urinary system. Therefore, the lady cannot fail to notice the development of cystitis. When menopause symptoms of the disease are less pronounced.
- Increased urination during daytime. But it is less intense than in women of reproductive age. As a rule, ranges from 10-20 times throughout the day.
- Urine changes color and there is a specific odor, which was not there before.
- The lady feels non-intensive pain or discomfort in the suprapubic area.
- Body temperature rises to 37-37,20C, which indicates an inflammatory process.
Why during menopause cystitis happens more often
Favorable conditions are created for pathogens that provoke cystitis in women to enter the body: Escherichia coli, staphylococcus, anaerobic bacteria, chlamydia, etc.
The infection can enter the bladder from the vagina. Dry walls of the genital organs are more vulnerable to microorganisms that provoke the inflammatory process.
The microflora from the inflamed vagina due to the dryness of the mucous membranes is easily transferred to the organs of the urinary system. In addition, cystitis with menopause develops due to reduced immunity. A slight overcooling of the body, stress or another factor can lead to the disease.
Even the most "scary" menopause can be defeated at home! Just do not forget two or three times a day.
Stages of cystitis with menopause
During menopause, such stages of cystitis development are distinguished:
- The catarrhal stage is the initial phase of the disease.
It is on her infection of the bladder. The ladies of menopausal age experience discomfort in the lower abdomen and a false need to urinate. During urination, pain and pain are possible. The outer shell of the genitals will be strongly red. You should contact your urologist and undergo ultrasound of the bladder. During examination, a specialist will reveal that the lower fragment of the organ is reddened, has edema and slight erosion.
- Interstitial inflammation is already accompanied by marked discomfort not only in the bladder, but also in the urethra.
A woman may feel constant aching pain, which is replaced by acute or severe pain. Cases of incontinence are possible. The lady should be alerted that a sharp and unpleasant smell, a cloudy precipitate appeared in the urine, and sometimes blood can be present. Ultrasound will show severe edema of the bladder mucosa, and significant erosion with hemorrhages. Sometimes growths appear in the form of polyps. Urinalysis will show the presence of leukocytes.
- Atrophic cystitis is a chronic stage of the disease.
It is characterized by urinary incontinence with mild pain, or even in their absence. Due to the persistent destruction of the bladder mucosa, its functioning has deteriorated. During a special study of cystoscopy or ultrasound, it will be discovered that the mucosa has turned pale, has a slight pattern of vessels and is atrophy or, in other words, is dying out. The walls of the bladder became thicker, and the volume decreased. Perhaps the growth of polyps. Due to the regular stagnation of urine, stones and various tumors can form.
When a woman pays attention to the first symptoms and immediately turns to a specialist to prescribe the correct treatment, the disease does not proceed to the next stage.
How can I cure
Treatment of cystitis in menopause should be carried out only by a doctor. Before prescribing medications, he will conduct a diagnosis, which includes: blood and urine tests, ultrasound of the bladder, cystoscopy - an examination of the bladder from the inside using a special cystoscope device.
The doctor will prescribe medication, which will focus on the following aspects:
- Elimination of the pathogen cystitis.
For this purpose, conduct urine culture. This analysis lasts from 5 to 7 days. It allows you to identify the bacterial, viral or fungal nature of the microorganism that provoked the inflammatory process. Depending on its nature, the doctor will prescribe specific drugs. Before receiving the results of the analysis, the patient is prescribed antibiotics: Furadonin or Ciprofloxacin. Thanks to a wide range of effects, they act on the pathogen, eliminate inflammation, and also exclude the possibility of secondary infection, which is not uncommon in menopause.
- Termination of the inflammatory process with steroid or non-steroid drugs.
- Relief of pain when urinating.
For this purpose, pain relievers and antispasmodics are prescribed.
- Restoration of hormonal levels.
To do this, a woman takes a blood test for hormones.
In those cases when the lady's body temperature is increased to 380C or there is an acute pain syndrome, the treatment is carried out in the hospital. When the results of the urine analysis show a greater concentration of bacteria, the patient needs hospitalization. Intoxication of the body directly in the bladder through the catheter injected antibacterial and antiseptic drugs.
What treatment is carried out at different stages of the disease
Therapy depends on the stage of cystitis:
- At the catarrhal stage, hormonal drugs of local use are prescribed: gels, creams and suppositories. The most popular are: Ovestin, Divigel and Klimara. The course of treatment is 3 months. During this time, the structure and tone of the mucous is restored. To relieve the inflammatory process is prescribed: Cyston, Kanefron and Fitolysin.
- At the interstitial stage, hormone preparations are prescribed in tablets and additionally the same topical means as in the previous stage. The following hormonal preparations show a good effect: Divina, Klimonorm, Klymen. To eliminate the bacteria, nolycinone, monural, etc. are prescribed. If it is necessary to stop the pain during urination, then No-Shpu, Spazgan, Papaverin and Baralgin are recommended.
- At the atrophic stage, the mucous becomes insensitive to estrogen and therefore, hormonal drugs do not give effect. The above medications are prescribed to eliminate bacteria and relieve pain. To cope with urinary incontinence can only be surgically. Therefore, it is advisable not to bring cystitis to this stage.
It is important to know that with timely initiated hormone replacement therapy, atrophy of the bladder mucosa will not begin. Since the cause is eliminated - estrogen deficiency.
The causes of the disease
Among the main causes of cystitis at any age are the following:
- violation of hygiene rules
- wearing synthetic or very small underwear,
- unprotected intercourse,
- previously transferred diseases.
But menopause and cystitis can be linked by other negative factors:
- decrease in bladder tissue tone,
- circulatory problems in the genital area,
- vaginal inflammation,
- violation of microflora.
When menopause in women in the body there are beneficial conditions for bacteria, which provoke inflammation in the bladder. In addition, because of the dryness of the vagina and the imbalance of the microflora, it is easier for bacteria to enter the urinary system.
Also do not forget about nutrition and stress. And so a weakened body during menopause suffers from hormonal imbalance, and against this background, even a slight negative factor can become a provocateur of the inflammatory process.
During menopause, it is quite difficult to quickly determine the inflammation of the bladder. But at the slightest complaints worth a visit to the gynecologist and urologist. Preventive hospital visits can save a woman from developing a chronic form of the disease, the treatment of which is very problematic.
There is a list of basic methods for the diagnosis of inflammatory processes:
- general urine analysis,
- urine nutrient analysis,
- Ultrasound of the bladder,
- CT scan.
It is very important for women in menopause to check urine at least four times a year in order to detect pathological processes in time.
Atrophic changes in the bladder mucosa
Here, hormone replacement therapy is useless, because the urinary walls lose their sensitivity to estrogen. At this stage, urinary incontinence during menopause can be managed only with the help of surgery.
It can be concluded that timely treatment protects the female body, not allowing various pathological processes to develop into serious diseases.
What antibacterial drugs can a doctor prescribe?
Cystitis with menopause also needs to be treated with antibiotics, which do an excellent job with pathogenic bacteria. As for the duration of therapy, it can last from one day to two weeks.
Among the main drugs prescribed for menopausal women to combat cystitis are the following:
Broad-spectrum antibiotics (prescribed in cases where other drugs cannot be taken):
Important! These funds should not be taken by people with individual intolerance to their active substance or additional components.
Among the side effects is to highlight the rare allergic reactions on the skin.
But the treatment of cystitis with antibiotics without medical supervision is not allowed, because in the body there may be other pathological processes.
Phytodrugs for inflammation of the bladder
If a woman is not bothered by severe pains or high fever, then you can try herbal remedies. But they should be used only in combination with antibiotics:
- Tsiston (430r). It has diuretic, anti-inflammatory and antibacterial effects. Form release - pills.
- Lingonberry leaves (40-50r). Astringent and anti-inflammatory agent of plant origin. Improves the protective functions of the body and increases the effectiveness of antibacterial therapy. Form release - bags and packaging with dry leaves.
- Monurel (450-500r). Cranberry extract, which with long-term use has a positive effect on the fight against inflammatory processes of the bladder.
- Canephron (350-400r). Combined drug tablets containing rosemary leaves, lovage, centaury. It is very useful in chronic cystitis, because it reduces the intensity of pain, and also reduces the risk of recurrence in the chronic form of the disease.
Natural hormones are also found in Beautiful Life Chinese tampons. Women in menopause often turn to them to normalize the level of hormones, but in addition to this property, tampons can cure cystitis.
These herbal remedies can be combined with antibiotics and hormones, but you should consult with your doctor. Also, these herbal remedies help treat urethritis in women.
What can cause recurrence of the disease?
Even if the inflammation in women stops, it can occur again. Especially it is necessary to show attention to women with a chronic form of the disease. To avoid more problems with the bladder, you need:
- follow the rules of hygiene,
- wash with pH-neutral agents,
- do the right wash
- abandon synthetic fabrics
- avoid hypothermia
- give up very salty foods, spices, smoked meats.
- drink up to two liters of water per day.
- avoid unprotected sexual intercourse.
When is surgery necessary?
According to statistics, almost 6% of people with cystitis need surgical treatment. The main reasons include:
- The proximity of the urethra to the vagina.
- Recurrent type of cystitis.
- The death of the walls of the bladder.
- Interstitial type of disease.
All health problems are easiest to treat in the early stages.Of course, cystitis during menopause is difficult to diagnose, but if a woman systematically visits the hospital, then there is every chance not only to get rid of the disease in the early stages, but not to become a victim of inflammatory processes in the bladder at all.
Characteristics of the climacteric state
Climax can develop in a woman at almost any age. An important role in the occurrence of this state is played by:
- the number of eggs when laying in the embryonic period of the development of the girl,
- chronic diseases of the pelvic organs,
- surgery on the ovaries,
- quality of life, environmental conditions and social environment,
- diet and intake of insufficient nutrients.
Climax develops in the absence of ovaries in the ovaries and a decrease in the functioning of these organs. The main manifestations of menopause include:
- reducing the intensity of all types of metabolism in the body and weight gain,
- reduced functioning of all organs and systems
- the appearance of flashes of apathy, adynamia, lethargy, fatigue,
- reduced concentration
- decreased libido,
Quite often, menopausal women have problems with the organs of the urogenital system. Cystitis occurs most often with menopause.
Reducing the amount of estrogen in a woman’s blood leads to a decrease in the reactivity of the immune system. This factor contributes to the penetration of microorganisms into the bladder and their reproduction in this organ. Reducing the immune system also complicates the use of drugs and the elimination of pathogens from the body.
In women of reproductive age, cystitis, in most cases, manifests itself clearly. The symptoms of this pathology include:
- an increase in the number of urinations in the daytime - up to 50 times,
- the appearance of nocturia - frequent urination at night - more than 2-3,
- frequent urge to urinate,
- excretion of blood after urination
- the appearance of uncharacteristic discharge from the urethra,
- severe pain in the suprapubic region,
- discomfort during sexual contact.
In women in menopause, the symptoms are less pronounced, so it can be difficult to diagnose this disease:
- discomfort or non-intense pain in the suprapubic region,
- increase in body temperature to low-grade figures,
- the appearance of droplets of blood after urination can be combined with menstruation (due to a violation of the cycle),
- an increase in the number of urination (however, not so intense - 10-20 times per day),
- discharge from the urethra can be combined with vaginal discharge during menopause.
Manifestations of cystitis with menopause are less symptomatic. However, a decrease in local immunity can lead to intensive reproduction of microorganisms and the emergence of a vivid picture of the disease (as in women of reproductive age).
Another characteristic feature of cystitis in the period of menopause is the tendency to chronicity of the process. An undetected disease or not fully treated can turn into a chronic form and be observed in a woman after menopause. Due to the reduced activity of the immune system, such conditions are quite difficult to treat.
Frequent urination and pain are unpleasant symptoms of cystitis. However, they do not represent the main danger of this pathology. Cystitis with menopause is dangerous for its complications. Chronic urinary congestion, which is created in the bladder, contributes to the formation of stones, polyps and tumors.
During menopause, the process of cell division slows down. Chronic inflammation and stagnation of urine contribute to dysregulation of this process. All this will increase the risk of tumors in the bladder.
Another terrible complication of cystitis is the spread of infection in an ascending way. As a result, the ureters and kidneys are affected. The chronic process in the kidneys can lead to a decrease in their functionality and the development of renal failure.
That is why it is necessary to promptly diagnose cystitis during menopause, if it developed. This will help start a comprehensive treatment in a timely manner and reduce the risk of complications.
Diagnosis of the disease
Suspecting cystitis during menopause is not easy. That is why the gynecologist and the urologist must become the best friends for this period for a woman. Preventive examinations will help to identify the pathology in the early stages and will not allow the disease to go into a chronic form.
The main methods of diagnosis of cystitis in menopause include:
- general clinical examination of urine,
- urine culture on nutrient media
- excretory urography
- bladder ultrasound,
- computer and magnetic resonance imaging.
In the period of menopause, it is recommended to conduct a general clinical examination of urine at least once every three months. This will allow to identify the pathology of the urinary tract in time, to start the diagnosis in time, and also to prescribe the appropriate treatment.
Treatment of cystitis should always be combined with treatment of menopausal status. For correction of menopause, doctors conduct a study of the concentration in the blood of estrogen and progesterone and prescribe oral contraceptives that cover the needs of women in these hormones. The selection of such drugs is carried out exclusively individually, taking into account the physiological characteristics of each particular woman.
The main principles of treatment are:
- removal of the pathogen from the body,
- elimination of inflammation
- elimination or reduction of the intensity of pain.
Regardless of the etiology of the disease, first-line drugs are antibiotics. Sowing urine on the nutrient medium and identifying the pathogen takes at least 5-7 days. Before identifying the cause of the disease, it is recommended to take a broad-spectrum antibacterial drugs.
Even if the pathogens are non-bacterial microorganisms, antibiotic treatment is indicated because of the high likelihood of secondary bacterial infection. After identifying the causative agent of the disease, pathognomonic agents are prescribed.
Treatment of cystitis is always carried out with the use of anti-inflammatory drugs. It can be both steroid and non-steroidal agents. Depending on the course of the disease and the wishes of the patient, anti-inflammatory drugs can be used in the form of rectal suppositories, injections or tablets.
The treatment of frequent urination is based on the use of alpha-blockers. These drugs will reduce the frequency of urination and almost completely get rid of the false urge to urinate.
Treatment of hyperthermic syndrome begins at a temperature of 38.5 ° C. At the same time prescribed antipyretics.
In severe cases - high fever, a large number of bacteria in the urine, intense pain syndrome - hospitalization in the urology department is necessary. There is a specific treatment and detoxification of the body. It is also necessary to install a catheter with a bladder and maintain local antibacterial solutions and antiseptic agents through it.
Chronic cystitis, which responds poorly to drug therapy, requires surgical intervention. Surgical treatment involves the removal of the bladder or part of it and carrying out reconstructive plastics.
Everything about climax and restructuring of the body with it you will learn from the proposed video:
Symptoms and treatment of cystitis with menopause
This disease when menopause occurs is otherwise called involutional. Thinned walls of the bladder become a favorable factor for the development of the inflammatory process in the body.
Often involutionary cystitis develops due to gynecological diseases. The decrease in the body's defenses in the menopausal period often affects the genitals: vaginal dryness, impaired microflora, etc.
Cystitis is more likely to develop in people who have previously experienced this disease. It is important not to miss the first signs of inflammation in the bladder and start treatment promptly.
- burning and itching in the perineum,
- frequent urination, urging to toilet,
- discomfort in the abdomen,
- discoloration of urine (urine becomes turbid),
- poor urination,
- in some cases, blood streaks appear in the urine (for more information on cystitis with blood, you can read it here).
Cystitis, like any other disease, should be treated at the initial stage of development. The mucous membrane of the bladder with time can be severely deformed, which will lead to unpleasant consequences, such as: a decrease in the volume of the organ and inhibition of functional ability.
For an accurate diagnosis of the disease, it is necessary to pass tests and be examined by a urologist.
- OAM (urinalysis),
- Ultrasound of the bladder, kidneys,
- urine analysis for seeding,
- cystoscopy (if necessary).
The exact condition of the bladder membrane can show such a procedure as cystoscopy. This method is shown in the advanced stage of cystitis.
Treatment of cystitis in menopause depends on the degree of mucosal lesions in the bladder.
Stages of development of cystitis can be divided into several stages:
- catarrhal degree of damage to the walls in the body implies a slight erosive mucosal changes and swelling. At this stage, suitable local treatment with drugs containing estrogen,
- with an interstitial degree of inflammation, the walls of the organ are strongly thickened, the mucosa can be deformed to the state of polyps. Hormone therapy is used in the dosage form in the form of tablets, although local candles are also not excluded,
- Atrophic changes in the bladder mucosa are a dangerous consequence of delayed treatment of the disease. This stage is characterized by urinary incontinence. When examining the organ of the bladder wall is thickened, and its volume is reduced, the blood circulation is broken, so the mucous membrane looks pale.
Determine the degree of damage to the bladder and choose a rational treatment regimen - will help the urologist.
Hormonal preparations for the treatment of involutionary cystitis and recommendations for their use
"Ovestin". (candles, pills, cream). The active substance, estriol, is a natural estrogen. It can be used for both prevention and treatment of symptoms caused by estrogen deficiency.
The required dosage of the drug is prescribed only by the attending physician. The regimen of medication is based on an increased dose in the first weeks, with its further reduction and the achievement of maintenance therapy,
"Klimara." A unique patch that daily provides the necessary dosage of estradiol, maintaining a given level of hormone in the body. To reduce the risk of endometrial hyperplasia, progestogen therapy should be further carried out for 10-14 days.
The patch should be attached to clean, dry skin, preferably in the spine or buttocks, it is recommended to avoid the zones of the mammary glands and waist.
The patch is changed weekly. During treatment, exposure to high temperatures (hot bath, sauna) should be avoided, because the patch may come off,
"Klymen." Anti-menopausal drug containing estrogen. It replenishes the deficit of female hormones in the body, eliminates the symptoms caused by diseases in estrogen deficiency.
Able to control the menstrual cycle in women. During menopause, 1 tablet is prescribed for 21 days, after which a 7-day break is taken. The drug must be taken at a certain time (i.e. at the same time) with a small amount of water
Kliogest. Combined tool, which consists of - estrogen and progestogen. Such a composition eliminates: the risk of endometrial cancer cells and allows continuous hormone therapy in women.
Preparations for the treatment of cystitis with menopause in the pelvic organs
Remens is a homeopathic remedy. Available in the form of drops and tablets. Reduces the symptoms of menopause: heart palpitations, feeling hot, "hot flashes", sweating, insomnia. The course of treatment for menopausal disorders for at least 6 months. The tool has practically no contraindications and cases of overdose,
Estrovel. Effective for the normalization of hormone levels, reduces the frequency of "tides". It is a biologically active food supplement. Reception duration - 2 months.
During menopause in women, blood circulation in the genital organs can be impaired, which strictly affects the urinary tract, creating the risk of complications in the inflammatory process in the bladder.
To improve blood flow in the body, it is recommended to take such means as:
Trental . The drug to improve microcirculation, increases the rheological properties of blood. The drug is administered intravenously.
"Curantil" . Stimulates blood circulation, is used for violations of microcirculation of any type (as part of complex therapy). Dosage form - dragee (tablets), the doctor selects the required dosage of the drug individually.
Any drug has contraindications, so self-medication is not recommended. Only the attending physician should dose the required dosage.
Do I need antibiotics
The inflammatory process in the bladder is most often caused by representatives of opportunistic microflora. Decrease in estrogen, hormonal restructuring, decay of the body's defenses - all these factors trigger the development of cystitis in women.
Antibiotics are used to treat a disease that has become the causative agent of a bacterial infection. For the treatment of inflammation of the urinary tract are widely used:
- fluoroquinol drugs: Ciprofloxacin, Norfloxacin,
- nitrofuran preparations: Nitrofurantoin, Furagin,
- Fosfomycin: Monural.
Detailed information on the methods of administration and characteristics of certain medicines can be found here.
Prevention of cystitis when menopause
For the prevention of inflammation in the bladder, hormone therapy may not always help.
To avoid recurrence of the disease it is recommended:
- avoid hypothermia,
- select underwear only from natural fabrics,
- be examined by a gynecologist every year
- do not eat fatty, fried, spicy foods,
- do not forget about personal hygiene
- uncontrolled use of antibiotics is unacceptable.
For any manifestations of cystitis, it is necessary to consult a doctor for an accurate diagnosis of the disease.
The manifestation of cystitis during menopause
Quite often, women in menopause have inflammation of the bladder. Problems arise due to hormonal imbalance. Decrease in the body's defenses leads to unobstructed penetration and rapid reproduction of harmful microbes in the urinary channel. The provocateurs of infection can also be various domestic factors that are not given due attention.
Therefore, the risk of cystitis during menopause increases several times. As a rule, in a normal state, the mucous organs of the system are resilient, elastic and durable. Estrogen deficiency contributes to thinning of the epithelium of the bladder, urethral canal and vagina. As a result of such violations increases the likelihood of penetration into the organs of pathogenic pathogens, leading to the development of inflammatory processes.
The disease can also be provoked by genital infections in women that were not treated in the past. Dangerous pathogens include:
- Candida mushrooms,
- anaerobic bacterium - protei,
- gonococci and other pathogens.
In addition, inflammation of the bladder with menopause may be non-infectious. In this case, the bacteria have nothing to do with it. The disease develops rapidly as a result of an allergic reaction, medication, malnutrition, chemical poisoning. Also the cause of the pathology can be an autoimmune disease.
Symptoms of the disease
When menopause symptoms of this disease manifests itself in different ways, depending on the stage, type and form of cystitis. The characteristic signs of bladder damage are:
- pain in the lower abdomen during urination,
- frequent false urges
- discoloration and smell of urine,
- the appearance of purulent discharge or drops of blood in the urine,
- dull aching pain in the suprapubic region,
- discomfort during intercourse,
- weakness and fatigue
- an increase in the amount of urine,
- incontinence - urinary incontinence.
During this period, the woman is worried about the constant pain, which turns into acute and severe painful attacks. In such cases, the symptoms of cystitis are more extensive. There are frequent urges to empty the bladder, which are accompanied by spontaneous urination. The patient is experiencing severe discomfort in the genitals.
During the study, doctors discover:
- single hemorrhages
- полопавшиеся сосуды на поверхности слизистой (геморрагия),
- отечность эпителия,
- фиброзный налет.
During menopause, many women, especially older ones, refuse treatment for cystitis. They consider such a condition to be the norm, age-related changes are irreversible and that after completing the course of therapy, the disease will definitely return. Of course, this is a profound error. If you correctly determine the cause of inflammation of the bladder and start taking medications, then the cystitis will recede for a long time.
The most common consequences of under-treated cystitis are:
- kidney damage (pyelonephritis, nephritis and renal failure),
- degeneration and rupture of the bladder walls,
- weakening of the sphincter and the appearance of urinary incontinence,
- weakness and fatigue of a woman
- stone formation in the organ,
- transition disease in a chronic form.
Diagnosis of the inflammatory process in menopause
For an accurate diagnosis of the patient must pass the instrumental and laboratory tests. The main methods of examination of the bladder women with menopause include:
- OAM (urinalysis) and the collection of urine Nechiporenko,
- clinical blood test,
- tank urine culture,
- Ultrasound of the pelvic organs,
- excretory urography
- cystoscopic examination
- Magnetic resonance imaging.
Treatment of illness with menopause
In this case, therapy is based on taking drugs from different pharmacological groups. To alleviate the condition of the patient, symptomatic medical therapy is carried out, and folk remedies are widely used.
Self-treatment is strictly prohibited, only the doctor can prescribe the patient the appropriate drugs.
What to do with catarrh
In the first stage, you can still do without antibacterial and anti-inflammatory drugs. In such cases, doctors prescribe drugs containing estradiol estrogen groups. Hormonal replacement therapy (HRT) allows you to restore the hormones of a woman during menopause. Thus, pathological processes in the urogenital system are slowed down, and the development of cystitis is controlled.
The most well-known tools include:
Treatment of catarrhal cystitis with this method lasts about three months. By the end of the course, the doctor gradually reduces the dosage of the drug until the symptoms of the disease disappear.
Cystitis in menopause
Climacteric cystitis is the most common urological pathology in patients over the age of 40-45 years. During menopause, it is diagnosed in 10-15% of women, in post-menopause - in 15-20%. In postmenopause, cystitis can be a developmental factor or one of the manifestations of a specific urogenital disorder during menopause. Despite the common etiology with classical acute and chronic bacterial inflammation of the bladder in patients of reproductive age, the effect of hormonal changes during menopause, clinical features and complications justify consideration of involutionary cystitis as a separate form of the disease.
Causes of Cystitis in Menopause
Traditional anatomical and functional background, contributing to more frequent development of cystitis in women than in men, in the menopausal period are complemented by involutive changes in the organs of the urinary system. The leading role in the formation of atrophic processes is played by the hypoestrogenism observed during menopause. According to experts in the field of urology and gynecology, the main factors that increase the likelihood of developing cystitis in peri-and postmenopausal diseases are:
- Atrophy of the bladder mucosa. Against the background of a progressive estrogen deficiency, the epithelial layer becomes thinner, and the folding is smoothed. As a result, the sensitivity of the mucous membrane increases, cracks form faster on it, and microorganisms more easily adhere.
- Circulatory disorders of the urinary organs. Atrophic processes are exacerbated by ischemia of the detrusor, the wall of the urethral canal. The resulting hypoxia reduces the protective potential of the mucous membrane, which contributes to the rapid development of the inflammatory process.
- Change in activity of the receptor apparatus. When menopause in the urethra, bladder decreases the number of adrenergic receptors, decreases the sensitivity of acetylcholine receptors. The reduction of the detrusor becomes less coordinated, the passage of urine is disturbed.
- Other urogenital disorders. Atrophic changes in the vaginal epithelium, urethra lead to a decrease in the primary antibacterial potential of the mucous membranes. Colpitis and urethritis arising during menopause are more quickly complicated by the development of cystitis.
- Weakening ligament apparatus. When estrogen deficiency weakens the muscles and ligaments that form the pelvic floor, which contributes to the formation of cystocele, ureterocele. Urinary organs prolapse facilitates the penetration of microorganisms into the bladder.
The causative agents of the inflammatory process usually become the same microbial agents as in banal forms of cystitis. From urine and tissue biopsy, intestinal sticks are most often sown, less often another nonspecific conditionally pathogenic microflora: staphylococci, streptococci, Klebsiella, proteus, blue pus bacillus, enterobacter, enterococci, candida. In comparison with reproductive age, menopause has less common specific forms of cystitis, caused by mycoplasmas, ureaplasmas, chlamydia, trichomonads, and gonococci.
The mechanism of development of the disease is based on a significant inhibition of natural protective factors that prevent the introduction and reproduction of infectious agents. The main links in the pathogenesis of cystitis in menopause are the thinning of the mucous membrane, the disruption of urine flow caused by the detrusor dysfunction, the rapid upward spread of infection from the vagina and urethra due to the weakening of the fascial-muscular structures. Normally, the removal of microorganisms from the bladder contributes to desquamation of the epithelium. With atrophy of the epithelial membrane, this process slows down. Due to the presence of pathogenicity factors, bacteria that linger in the cavity of the body due to functional disorders of urination, more quickly fixed to the epithelial cells.
The process is aggravated by the involutive reduction of the antiadhesive effect of the urothelia mucopolysaccharide layer. Active reproduction of microorganisms, their release of endo- and exotoxins provokes the occurrence of a local catarrhal reaction with intensive secretion of inflammatory mediators, tissue edema, and impaired microcirculation. Thinning of the mucous and submucous layer contributes to a deeper spread of the inflammatory process in the interstitium of the bladder, stimulation of numerous receptors of the muscular layer, the appearance of pronounced pain syndrome, the development of sclerotic processes. Inflammation quickly becomes chronic.
With a long course of the disease increases the risk of interstitial inflammation, in which there are irreversible cicatricial changes in the wall of the body, a wrinkled bladder is formed. When menopause, cystitis is often complicated by pyelonephritis, the occurrence of which contributes to the upward spread of pathogenic microorganisms in the renal cup-pelvis system. In rare cases, there is a gangrenous form of the disease with necrotic changes in the bladder. Involutionary cystitis is one of the trigger factors for the development of urogenital post-menopausal disorder with detrusor hyperfunction and urinary incontinence.
Prognosis and prevention
With early diagnosis and prescription of complex therapy, recovery occurs in the majority of patients. It should be borne in mind that, without the use of hormonal drugs, the use of antibiotics usually has only a temporary effect. The prognosis for menopausal cystitis is favorable. An important element in the prevention of cystitis in menopause is the prescription of hormone replacement therapy for all women in menopause, which helps prevent atrophic changes in the urinary tract mucosa. Also, to prevent the development of the disease, it is necessary to monitor the timeliness of the emptying of the bladder, avoid hypothermia, follow the rules of personal hygiene, and eliminate excessively spicy food from the diet.
Symptoms of cystitis in women
Major changes occur in the urogenital system of women. The walls of the bladder lose their elasticity due to the lack of estrogen production. And women already have frequent inflammations of the pelvic organs, and the number of urinations increases, while they are painful. Cutting, abdominal pain, weakness - all these are signs of cystitis that need to be treated on time, after doing urine tests and selecting the necessary drugs.
Sluggish disease and its exacerbations
Unfortunately, cystitis can also be secretive, often masking with less pronounced symptoms. But at the same time the woman has the urge to urinate and does not always pay due attention to the slightest change in the excretory system. Running process, severe inflammation and acute cystitis may require hospitalization. In most cases, the woman fever, and urination occurs with severe pain every 5-10 minutes. Such patients are usually examined for the presence of serious irregularities in the analysis of blood and urine. In any case, during hospitalization, antibiotics, antimicrobial therapy and drugs that enhance immunity will be prescribed.
When the amount of hormones changes, the woman's body also reacts to such a restructuring by changing the strength of the protective functions. Even a minor urogenital infection in this case can cause cystitis. The inflammatory process of the bladder occurs in about 30% of all women during menopause. The number of painful urination can be more than 30 per day. For any burning sensation, pain when going to the toilet, you should consult a doctor. You can go to the gynecologist, urologist or start a visit with a therapist.
In the period of menopause, it is also necessary to check the hormonal background and on the prescription of a doctor to use appropriate drugs to correct it. Why is it important? The fact is that a serious lack of hormones can worsen the situation with inflammatory diseases, since the immunity does not receive the necessary support and many systems fail. Even a small amount of bacterial flora in the body during menopause can result in an infection.
Menopause and Cystitis Against Estrogen Deficiency
Cystitis in menopause is divided into infectious, i.e. caused by an infectious disease of the urogenital sphere, its exacerbation (for example, ureaplasmosis, chlamydia, mycoplasmosis). They can give an unexpected exacerbation in the form of urination problems, a feeling of inflammation and modification of urine. With inflammation in the bladder, the color of the urine may darken, and its transparency may deteriorate. Sometimes, in the aggravation phase, urine takes on a brownish or greenish cloudy appearance.
Hormonal nature of the urinary system inflammation
There is also a special type of cystitis, it is directly dependent on the lack of estrogen, reducing ovarian function. In this case, it should be considered as the onset of the disease is a hormonal rearrangement, leading to atrophy of the bladder. The doctor must conduct a series of studies to study, in addition to urinalysis, to study hormonal levels. According to the blood test for hormones, it is possible to obtain an expanded picture of the patient’s condition, the consequences of menopause. To confirm the diagnosis of cystitis from estrogen deficiency, it is also necessary to conduct a number of studies, such as:
- gynecological examination,
- x-ray of the urinary tract.
Note! With a complex clinical picture, the doctor may refer to the urinary system imaging.
The time during which the patient suffers from this disease allows the physician to conclude that it is chronic or one-time form.
Medications for the second stage of cystitis
In this case, the doctor also prescribes painkillers or antispasmodics for hormonal drugs:
They are necessary to relieve unpleasant symptoms and eliminate permanent discomfort. Also, in addition to analgesics, doctors prescribe medications that improve microcirculation in the vessels. Such drugs thin the blood, improve its flow to the organs, gradually restoring their function. The most effective drugs are:
Often, the interstitial stage of cystitis in menopause must be treated with anti-inflammatory drugs of plant origin:
When a disease is caused by a bacterial infection, the urologist prescribes antibiotics:
Unfortunately, this phase of inflammation of the bladder during menopause is considered the most serious and is not always amenable to therapy. This is due to the fact that during the years of illness, the walls of the organ have atrophied and are no longer restored with the help of drugs. Doctors continue to prescribe the patient hormones, analgesics, broad spectrum antibacterial agents.
All these medications relieve the patient's condition only temporarily, but they cannot cope with urinary incontinence. This is only possible by surgery.
Treatment of frequent urge to urination is based on the use of drugs from the group of alpha-blockers. They allow to reduce the frequency of emptying and save a woman from a false need. In cases where the patient's temperature rises during cystitis, she is prescribed antipyretics:
How to be treated without a doctor
Self-prescribing drugs to get rid of cystitis is not welcome. Before taking the pills, it is necessary to take tests, clarify the diagnosis by visiting a specialist, and only then begin treatment.
If the symptoms are unbearable and the woman cannot wait (for example, the attack happened on a day off or at night), a urinalysis should be collected in a sterile container. Urine should be stored in the refrigerator, and in the near future carried to the laboratory for research. After that, you can take Fosfomycin (Monural) and expect to see a doctor.
If it is impossible to get to the urologist, gynecologist or nephrologist, you should not “drown out” the disease with herbs and endure unpleasant symptoms. This is fraught with the transition of cystitis to a chronic form or infection in the kidneys.
It is not recommended to take antibacterial drugs without a prescription, but if there is no other way out, you can take 1 packet of Fosfomycin yourself or start taking Furagin. The bacteria that cause the disease are by far the most sensitive to these drugs.
When the disease returns
Even if the woman has disappeared after the treatment, all the signs and the inflammatory process has been eliminated, after some time, recurrence of cystitis may occur. This is due to the fact that during menopause, the physiological disorders in the woman’s body do not stop, but only pick up speed, adversely affecting the condition of the urogenital system.
To avoid bladder problems with menopause, a woman needs to:
- wear only natural underwear,
- avoid hypothermia,
- take hormonal drugs
- follow the rules of personal hygiene,
- timely to undergo preventive examinations at the gynecologist and urologist,
- avoid unprotected sex,
- eliminate uncontrolled medication,
- eat right and drink 2 liters. fluid a day
- Do not allow constipation.
5 tips on how to survive menopause
In addition to problems associated with inflammation of the bladder, women in menopause have other illnesses. To make it easier to transfer hormonal changes in the body, experts recommend:
- Eliminate fatty, spicy, spicy foods from your diet. Do not abuse alcoholic beverages. To eat several times a day in small portions. Include in the daily menu of poultry, rabbit, fish, vegetables and fruits.
- Use natural products that contain phytohormones. These include: fennel, sage, wheat germ and flax seeds, avocados, legumes.
- Give up bad habits (smoking).
- To live an active lifestyle.
- And most importantly - to change the attitude to menopause. Search only positive aspects in everything and remember: climax is not old age.
Changes in the body of a woman associated with the extinction of the ovarian health, affect not only the reproductive, but also urinary system. During menopause, cystitis often occurs, which is a natural result of hormonal disorders. To avoid serious health problems, the ailment should be treated at an early stage of development.