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Wonder Woman’s Vagina: A Superhero's Guide to Resolving Incontinence
03/03/2021

We know what you’re thinking, Wonder Woman obviously doesn’t get incontinence! But do you know why? Because she obviously uses a comprehensive program of low dose estriol cream and a shitload (that’s the scientific term) of Kegels. Obviously.

Now, you’re Wonder Woman in your own life, so you may as well have Wonder Woman’s vagina. So, here’s how it’s done.

Let’s start at the beginning.... It all starts around Menopause. Menopause is a major transition phase in a woman’s life where estrogen and progesterone hormone levels will drop. Declining estrogen levels have a significant impact on skin structure - especially in the vagina. As if that’s not enough - loss of strength and tone in the vaginal muscles can result in both incontinence (urine leakage) and vaginal dryness. Women are twice more likely to suffer from urinary incontinence than men, and an estimated one in three women over the age of sixty are likely to have some degree of bladder control problems.

Now, Wonder Woman is 800 years old, so...y’know. For many women, these issues start to occur with perimenopause, although changes in weight and pelvic surgeries can also contribute to incontinence problems. The pelvic floor is a collection of many small muscles woven together like a basket that supports the bladder and uterus. As women age, gain weight, have children, or have a hysterectomy, it is common for this “basket” to drop as a result of decreased muscle strength. When this happens, incontinence and decreased vaginal sensation may be an issue.

Kegel exercises for the pelvic floor can be done with or without vaginal weights and, when performed consistently, can help prevent and/or treat decreased vaginal tone and the issues that may accompany it, including incontinence – specifically stress incontinence.

Stress incontinence you ask? Yes, this delight occurs during physical stress. When you laugh. When you sneeze. When you roundhouse kick a bad guy. When you cough. When you try not to spit out your wine watching a presidential debate…

Stress incontinence tends to increase with age and is a particularly common complaint in postmenopausal years. While toning exercises can be very effective, estrogen is essential for maintaining the tone of the vaginal tissues and muscles. A recent article in the Journal of Women's Health* concluded that “very low-dose estradiol vaginal cream (0.003%) dosed twice weekly is an effective and well-tolerated treatment for vaginal symptoms and dryness associated with menopause”. An equally safe alternative is Estriol, which may be preferred as it is the least potent of the estrogens.

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