Besides the symptoms mentioned above, these group of women suffer from a special group of symptoms which are different than other groups. These are mostly likely related to lack of hormones, mainly oestrogen, as the ovaries stop producing these hormones later in life. Hormones are required for the genital tract to maintain its health and well-being and also for the bladder and the vagina.
Women around 50 can have problems with urine, namely stress incontinence (when they cough, sneeze, laugh or run, they can leak urine). They may also suffer from frequency of urination (going to the toilet to pass urine more frequently). Women of this age group can can also find it difficult to pass urine because of prolapse of the bladder which is called cystocele. The exact cause of the symptoms must be ascertained by a gynaecologist.
A urine test can be carried out to exclude any infection. A thorough gynaecological examination should be carried out to exclude any prolapse and in cases of stress incontinence a urodynamic assessment should be performed. Treatments are widely available but it does depend upon the cause of the problem. Initially conservative treatment can be tried like pelvic floor exercises, cessation of smoking, lose weight and certain medication. If this is not successful, then a number of operations are available, many of which use a keyhole surgery technique and also support the bladder outlet.
Many women present after the age of menopause with a swollen abdomen, flatulence, bloating etc. Some women around the age of 50 even feel that they have felt some fetal movement inside the tummy, especially when they have stopped their periods and have experienced gradual enlargement of the abdomen. These three symptoms have led them to believe that they are pregnant. This could be a problem particularly in women who have never had children before and are very keen to obtain a pregnancy. Ultrasound examination can exclude a spurious pregnancy. These women should be examined carefully so that one does not miss a serious disease like an ovarian cancer or tumour. This can be found through an examination of the abdomen and vagina. If there is any doubt following this examination, a pelvic ultrasound scan can be carried out and in some cases an MRI or CT scan as well.