Dr Orla Conlon

You're leaking, you know, and it's so, so, so difficult to deal with.

And it's not just for the normal life.

Like I would see a lot of women, say, for example, you know, when their daughters or sons getting married.

I had one lady a few years ago and she was in tears and she said, look, please fix me because I've got this beautiful outfit, mother of the bride.

You know, I'm worried that by the time I get from the bottom of the steps of the chapel to the top of the steps, I'm going to be soaked.

Absolutely.

So, for example, even just simple things.

First of all, vaginal estrogen.

I mean, at any age, particularly even postnatal women, even if you're breastfeeding.

you do lack oestrogen in the vagina.

So there's no real contraindications.

You know, it doesn't mean if you have a history of breast cancer that you can't use it.

It's a little pastry or cream or a gel that we put into the vagina.

Now, I say to patients, it's like putting the jigsaw puzzle together.

That in itself is not going to solve anything.

But actually, one of my ladies yesterday in surgery, she said, you know what, since I started my HRT, I'm not getting up at night to go to the toilet.

So even systemic HRT can be even better for the bladder.

So just the lining of the bladder is also very similar to the lining of the vagina and it has lost of oestrogen receptors.

So HRT is fantastic.

Even that's one part of the jigsaw.