The reduced levels of estrogen that occur during menopause can thin the walls of the urethra causing
incontinence. There are two types of incontinence that may occur. Urinary incontinence occurs when the internal
muscles of the pelvic floor fail to work effectively, causing urinary leakage when laughing, sneezing, coughing or
engaging in rigorous activity. This is often a result of weak pelvic floor muscles that occur with age, childbirth and
surgery. Overflow incontinence is the absence of the sensation of a full bladder. Accidental urination occurs
because the brain and body fail to communicate that the bladder is full

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