The Unexpected Link Between Hot Flashes and Bladder Leaks
Why Are You Having Bladder Leaks During Menopause?

Menopause brings many changes, some expected, like hot flashes, and others that catch women off guard, like bladder leaks. The connection between menopause and bladder leaks lies in the hormonal shifts happening in your body. As estrogen levels decline, the pelvic floor muscles weaken, and the urethral lining thins, making it harder to control your bladder. However, while common, leaks are not normal and can be treated.
The Science of Menopause and Bladder Leaks

Hormonal fluctuations during menopause don’t just cause hot flashes; they also affect your pelvic floor health. Here’s how:
- Pelvic Floor Weakness – Estrogen supports strong pelvic floor muscles, and its decline can lead to stress urinary incontinence (SUI), where activities like coughing, laughing, or exercising cause leaks.
- Thinning Urethral Lining – Less estrogen means a weaker urethral seal, increasing leak risks. The urethra connects the bladder to the outside of the body, so you can empty your bladder.
- Menopausal Dehydration – Night sweats and hot flashes can contribute to dehydration, irritating the bladder and leading to overactive bladder (OAB) symptoms like urgency and frequency.
The Nighttime Disruptors

Night sweats can cause excessive fluid loss, leading to dehydration and irritation of the bladder. This often results in an increased sense of urgency, making nighttime bathroom trips more frequent and disruptive to sleep.
If you’re waking up drenched in sweat and running to the bathroom multiple times a night, you’re not alone. Night sweats and urgency often go hand-in-hand, making restful sleep a challenge. These disruptions not only affect your comfort but also your overall health.
Why Bladder Leaks Occur During Menopause

Estrogen plays a key role in keeping pelvic muscles strong and tissues supple. As estrogen declines, the pelvic floor muscles that support your bladder and urethra weaken, which can lead to urinary incontinence.
Beyond hormones, there are more factors that can contribute to bladder leaks during menopause.
- Collagen: Collagen loss also impacts connective tissue strength, making it harder for your pelvic structures to hold everything in place.
- Aging: Aging can come with muscle loss, nerve changes, and slower healing.
- Childbirth history: Previous vaginal and cesarean deliveries can further weaken pelvic floor and connective tissue, compounding the effects of menopause.
All of this can result in different types of incontinence, each with its own set of triggers and treatment approaches:
- Stress Incontinence – Occurs when physical activities like sneezing, laughing, coughing, jumping, or lifting put increased pressure on the bladder and pelvic floor, leading to leaks.
- Urge Incontinence – Characterized by a sudden, intense urge to urinate, resulting in leakage before reaching the bathroom.
- Mixed Incontinence – A combination of both stress incontinence and urge incontinence symptoms.
- Overactive Bladder (OAB) – Sudden, urgent, and frequent need to empty your bladder, even just a little bit. Often characterized by going to the bathroom more than 9x in a 24-hour period. Can be associated with or without urge incontinence.
For a deeper dive into these types of urinary incontinence, check out these blogs:
Does Menopause Cause Urinary Incontinence?
How to Treat Stress Incontinence During and After Menopause
THE MENOPAUSE – INCONTINENCE LINK: MYTH OR FACT?
What Are the Solutions for Bladder Leaks During Menopause?
While menopause itself isn’t something you can stop, there are effective ways to manage its symptoms—including bladder leaks.
Treatment Options
- Flyte for Urinary Incontinence – A clinically proven, at-home treatment that strengthens and tones the pelvic floor and provides surgical-level results without the need for surgery. Read more about the Flyte treatment.
- Hormone Replacement Therapy (HRT) – Can help alleviate some menopausal symptoms but may not be suitable for everyone. Talk to your healthcare provider.
- Non-Hormonal Treatments – Pelvic floor therapy, hydration strategies, and lifestyle changes can be beneficial.
- Pelvic Floor Exercises – Strengthening these muscles through targeted exercises (like Kegels) can improve bladder control. Pelvic floor exercises can be taught in pelvic floor therapy. Read our blog to learn How to do Kegels correctly and enhance results. Flyte was shown in research to be 39x more effective than pelvic floor exercise alone.
- Diet and Hydration Adjustments – Avoiding bladder irritants like caffeine, alcohol, and spicy foods can help reduce leaks. Check out our blog for more information to Sip smarter by learning to manage these 4 bladder irritants.
- Medications – Certain prescription medications can help manage overactive bladder symptoms if lifestyle changes alone are not enough. Talk to your healthcare provider for more information.
How Flyte Can Help Urinary Incontinence

Flyte is a game-changing, at-home pelvic floor muscle treatment designed to treat urinary incontinence easily and effectively. Flyte offers clinically proven results, helping women strengthen and tone their pelvic floor muscles and regain control over bladder leaks—all in just 5 minutes a day for 6 weeks. Flyte is FDA-cleared and offers surgical-level results in a safe, first-line, non-invasive treatment solution with long-lasting benefits. Stop living with pads and start treating now.
When to Consult Your Doctor About Bladder Leaks and Menopause

If bladder leaks are impacting your daily life, it’s time to talk to your doctor. Signs that indicate a bigger issue include:
- Frequent, urgent need to urinate more than 9x in 24 hours
- Bladder pain or burning sensation
- Leaks interfering with sleep or daily activities
- Blood in urine
- Recurring urinary tract infections (UTIs)
How to Talk to Your Doctor
Be open and honest about your symptoms. Ask questions like:
- What type of incontinence do I have?
- What are all of my treatment options?
- Could my medications be making it worse?
- Is Flyte a good option for me?
Take Control of Your Bladder Health

Menopause can be challenging, but bladder leaks don’t have to take over your life. There are real solutions available, and Flyte is here to help.
By recognizing the symptoms early and seeking appropriate treatment, you can maintain a high quality of life throughout menopause and beyond. Don’t let bladder leaks define this phase of your life—take action today!
References
https://www.healthline.com/health/menopause/urinary-incontinence? https://nafc.org/bhealth-blog/does-menopause-cause-urinary-incontinence