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Urinary Incontinence

This one is a common symptom of perimenopause you may not have heard much about: urinary incontinence. Some women may be too embarrassed to discuss their leaks, but it's not unusual to experience some bladder changes in perimenopause.

Just like it helps keep vaginal tissue in shape, estrogen is partly responsible for the health of the bladder. It also makes sure pelvic muscles are in good condition. So when estrogen is reduced, bladder control may weaken.

Whether it's a little pee escaping when you sneeze or the sudden urge to "go" when you're at the bank, talk to a doctor. Urinary incontinence is a problem for more people than you think, and there are exercises, medications and behavioral techniques that can retrain those weakened muscles. All of which are a better idea than staying home to avoid public embarrassment.

Next, a pain that's more physical than psychological.

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