According to the Office on Women’s Health (OWH), multiple treatments are available for OAB, such as:

What is the link between perimenopause and an overactive bladder?

Hormone replacement therapy (HRT) can treat symptoms of perimenopause and may help with OAB and urinary incontinence.

According to a small 2020 study involving 27 females aged 55 and over, participants undergoing estrogen therapy experienced modest improvements in OAB symptoms. Estrogen replaces the hormones that a person’s body stops producing and therefore counteracts the side effects of low hormone levels.

The Food and Drug Administration (FDA) has not directly approved HRT to treat OAB, and there are certain risks associated with HRT. Before prescribing it, a healthcare professional will consider a person’s medical history, family health history, and various other factors.

Low dose estrogen applied directly into the vagina is FDA-approved for genitourinary symptoms related to menopause, such as: