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You've likely noticed some of the drawbacks of aging—wrinkles, a decreased metabolism, and memory loss, to name a few—but your vagina doesn't deal too well with old age, either.

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In fact, there are a whole host of changes that occur down there, starting in your 40s. While most of the aging-related differences you'll notice in your lady parts like an increase in dryness and yeast infections are just simply annoying, others can be serious. One age-related condition that can occur down below is prolapse a. For women with mild prolapse, Kegel exercises can be helpful. As far as treatments go, that depends on the health of the patient—but one option is having a supportive pessary a removable device inserted into the vagina to keep things in place.

Another option is surgery, including cystocele repair tucking up the bladderrectocele tucking up the rectumand hysterectomy removal of the uterus and possibly the cervixsays Alyssa DweckM. In response to dropping estrogen levels, the uterus can actually change size.

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Makes sense since you're no longer in your childbearing years. Similarly, the vaginal entrance can narrow with age. According to a report from Harvard Medical Schoolthis narrowing can lead to irritation, dryness, and sometimes, inflammation of the vaginal wall—a condition called atrophic vaginitis.

Left untreated, atrophic vaginitis can cause bleeding and painful sex and pelvic exams. That being said, maintaining a certain level of sexual activity can offset some narrowing—although there isn't any kind of externally mandated level of how often you should be getting busy. Estrogen treatments can also help.

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As time goes on, musculature and ligaments supporting the pelvic floor start to relax. In some cases, the urethra may actually move in relation to the bladder, which can cause leaking.

For stress-related incontinence—when you pee a little after coughing or sneezing—surgical treatment may be required. But other, non-surgical remedies like Kegels and biofeedback a monitor actually shows when your pelvic floor muscles contract can do some good.

Blanchard also recommends considering a pessary, which can be placed in the vagina to support the bladder neck.

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This can actually cause behavioral changes, such as confusion. Small micro-abrasions can also occur and lead to bladder infection.

What helps? Cranberry juice or a vaginal probiotic like RepHresh Pro-B and vaginal estrogen can be preventative. Meanwhile, Blanchard says that women may experience UTI symptoms irritation, increased frequency of urination, burning with urination simply due to decreased hormone levels and inelasticity without having an actual infection.

In that case, estrogen therapy is an option. Weight Loss.

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