Hormones and the pelvic floor
The pelvic floor is filled by muscles that stretch over the pelvic bone.
The role of these muscles is to support your pelvic organs like the uterus, ovaries, bowel, and bladder.
The pelvic floor changes dramatically during the menstrual cycle, pregnancy, perimenopause, and menopause.
Hormones, especially estrogen, are partially responsible for these changes.
When estrogen reduces, pelvic floor tissues may become atrophied
After menopause, estrogen reduces. These tissues may become atrophied. Vaginal atrophy causes dryness and painful sex. Bladder atrophy causes leaky bladder (urinary incontinence). The pelvic floor muscle atrophy causes prolapse of the bladder and/or uterus.
When bladder prolapse happens, your bladder can slip down lower than usual and bulge into your vagina (anterior prolapse) as shown in the image below:
Painful sex and leaky bladder are obvious, but how do you know if you have a prolapsed bladder?
Seven warning signs of a prolapsed bladder
1) Pelvic pain
A prolapsed bladder causes pressure on the vaginal wall. This can cause pain, especially when you are lifting, coughing, or straining.
Pain can be sharp, sudden, dull, or continuous.
You may have a consistent, heavy feeling in the pelvis. The pain may intensify during walking or standing.
You may feel like there is an obstruction in the area or may even feel the bladder bulging inside the vaginal tract.
2) Difficulty urinating
You may have difficulty starting a urine stream, have pain during urination, or feel you need to urinate more frequently.
When the difficulty increases, you may not be able to urinate at all.
This can become a medical emergency. Doctors can determine if the cause is bladder prolapse.
3) Stress incontinence
Stress incontinence is the involuntary urine leak, often during physical activity, like running, jumping, heavy lifting, or when sneezing and coughing.
The leakage may only happen when the bladder is full.
Stress incontinence may occur when pelvic floor muscles or the urinary sphincter are weakened.
A prolapsed bladder can increase pressure on these structures, leading to the urine leak. Incontinence can cause embarrassment and reduced physical activities.
4) Urinary retention
The urinary bladder has two jobs. It stores urine and drains it.
There are two circular muscles that surround and enclose the urethra. These are called sphincters.
To empty the bladder, the sphincter muscles and the bladder muscles need to work together. First the sphincter muscles open and then the bladder contracts to empty the urine.
When the bladder is healthy and functioning properly, the urinary bladder empties completely.
A healthy nervous system controls proper bladder functioning.
The brain sends the signal to urinate through the nervous system. These signals allow the sphincter and bladder muscles to open and close.
A prolapsed bladder may press down on the tissue and nerves, making it difficult to completely empty the bladder.
Due to incomplete emptying, you may urinate more than once to empty your bladder. This may require repeated trips to the bathroom. You may feel that you have not emptied completely, even after a full urination. The cause may be a prolapsed bladder.
Additionally, due to the position of prolapsed bladder, a portion of the urine in the bladder falls below the opening of the urethra and cannot be drained. The retained urine may cause bacteria to grow in the bladder, resulting in smelly urine and frequent UTIs.
5) Frequent bladder infections
When you experience frequent bladder infections, it may be an indication of a prolapsed bladder.
A bladder infection occurs when bacteria are introduced to the urethra and makes its way up the urinary tract into the bladder.
Once in the bladder, bacteria multiply and colonize, causing infection.
When the bladder is healthy, bacteria that travel into the urethra are washed out by urine.
But when you have a prolapsed bladder, you may have difficulty to empty the bladder, resulting in urinary retention.
This means some urine stays inside of the bladder continuously. When old urine stays in the bladder, bacteria can grow and multiply without being flushed out.
Thus, a prolapsed bladder may result in frequent bladder infections.
6) Lower back pain
A prolapsed bladder may cause persistent lower back pain.
The bladder is suspended in the pelvis by multiple ligaments and muscles.
A prolapsed bladder can fall into the vaginal tract. This can cause the woman to have pain or discomfort in the lower back, pelvis, groin, vagina, and lower abdomen.
You may feel the pain as a continuous aching or pulling sensation.
Lower back pain may become worse during sex or menstrual period.
The prolapsed bladder may push the neighboring tissues, compressing their nerves and resulting in pain in the lower back and pelvis.
When the bladder is full, the weight of urine makes the bladder pushing harder against neighboring tissues, causing the muscles in the lower back to become fatigued and sore.
In addition, urinary tract infections caused by a prolapsed bladder can also cause pain in the lower back.
7) No relief after voiding the bladder
When you feel no relief after voiding the bladder, you may have a prolapsed bladder.
When the bladder prolapses, the malfunction causes part of the bladder to sag to an elevation underneath where the urethra meets the bladder.
This bulge can be referred to as a cystocele.
Due to gravity and dislocation of the bladder, you cannot effectively fully empty the entire bladder. The reason is that urine trapped in the cystocele, the bladder that sags underneath the point where the urethra meets the bladder.
When a healthy bladder is full of urine, the nerves in the bladder send a signal to the brain. The brain then signals the sphincter to expel the urine. After you pee, the brain turns off urge you feel to urinate.
However, when the bladder is prolapsed, the brain will continue sending signals to the nerves around the bladder that cause these sensations because urine is still present in the bladder.
Medications for painful sex, leaky bladder, and bladder prolapse
Because estrogen reduction causes painful sex, leaky bladder, and bladder prolapse, the hormone replacement therapy has been used to treat all these 3 conditions.
Estrogen can be administered orally as a pill or topically as a patch or cream.
Because ingesting estrogen pills increases the risks of breast, ovary, and uterine cancers, and other deadly diseases like stroke, heart attack, and pulmonary embolism, many women receive estrogen topically.
Vaginal estrogen preparations like cream, ring, or insert are used by 16% of women receiving postmenopausal estrogen replacement.
Over two million prescriptions for vaginal estrogen are filled each year in the United States.
Previously, vaginal estrogens were thought to have only local effects. However, studies showed that estrogen delivered vaginally as cream, tablet, ring, or inserts are quickly absorbed into the blood and exert significant systemic effects. In some cases, vaginal absorbed estrogen can be higher than oral ingested one because it avoids the first-pass metabolism encountered by oral ingestion.
Therefore, neither orally nor vaginally delivered estrogen is safe especially used at a high dose for a long-term. They both have an increased risk for cancer and cardiovascular diseases.
The cost of estrogen replacement therapy is also high. The typical cost averages $325 per month and can range between $100 and $550 per month depending on the type and dose used.
Additionally, estrogen increases the risk of breast, ovarian, and uterine cancers, uterine fibroids, pulmonary embolism (clotting disorder), stroke, and heart attack. Many women, especially breast cancer survivors, cannot use estrogen.
Treatments with pessary and surgery
To correct the prolapsed bladder, two methods are often used: pessary and surgery.
Pessary is a device placed in the vagina to hold the bladder in place. But wearing a pessary may cause problem like pain and bleeding. Some may even have difficulty urinating.
Surgery can move the bladder back to its normal position. But its cost may be too high for many patients.
A bladder prolapse surgery may cost at least $9,000. Robotic-assisted abdominal surgery is more expensive at around $15,000. This can be a major expense if you do not have medical insurance, or your insurance does not cover all the expenses.
In addition to the high cost, surgery may cause trauma and side effects. The bladder prolapse surgery has potential complications, including incision bleeding, pain, or infection.
The bladder prolapse repairing surgery has a very high failure rate ranging from 25 to 60 percent. Many patients and doctors find this high failure rate unacceptable. Successfully repairing bladder prolapse or cystocele is one of the most challenging surgeries in the field of medicine.
A pelvic mesh is often used in the surgery to fix the the bladder prolapse. When the surgery fails, and it frequently does with a very high rate, the mesh has to be removed by several follow up surgical procedures. As a result, the patient will have to suffer many times of the unfortunate consequences.
Many complications are associated with the vaginal mesh. Common complications reported by the FDA include:
- Erosion of the mesh through the vagina
- Pelvic pain
- Serious infection
- Pain during sex
- Perforation of the organ
- Urinary problems
Erosion of the vaginal mesh can be devastating. It may require several follow-up corrective surgical procedures to repair the damage. In addition, patients may have recurrent prolapse, neuromuscular problems, vaginal scars / narrowing, and develop emotional problems. Not only are these complications painful, but they also require additional surgery and hospitalization.
Due to so many complaints about pelvic mesh side effects, the FDA has recently ordered mesh manufacturers to stop selling devices for transvaginal repair of pelvic organ prolapse.
Therefore, a safer, more effective, and more economical treatment without estrogen, pessary, or surgery with a pelvic mesh would be beneficial.
Heal vaginal atrophy, leaky bladder, bladder prolapse, and/or menopause-related chronic UTIs safely and naturally with NeuEve
NeuEve was designed for relieving vaginal dryness, atrophy and painful sex and has achieved remarkable success. To date, over 100,000 women with the most severe vaginal atrophy that estrogen had failed or unsuitable have found complete relief after using NeuEve.
Some of these women also had leaky bladder, bladder prolapse, and/or chronic UTIs. They also found relief these symptoms after using NeuEve. Thus, NeuEve can help relieve not only vaginal atrophy, but also leaky bladder, bladder prolapse, and menopause-related UTIs naturally and safely.
NeuEve is all-natural and hormone free. It relieves vaginal atrophy by topical nutritional supplement like calcium and vitamin D for bones.
After you use NeuEve for a few months, topical tissue nourishment will reverse your vaginal atrophy and strengthen your weakened vaginal wall and muscles in the pelvic floor.
A stronger vaginal wall will gradually push back your prolapsed bladder to its original upright position in the pelvis. This will allow you empty your bladder completely without urine retention. As a result, you will regain high urine pressure to flush out bad bacteria growing in the bladder.
The topically delivered nutrients are absorbed by the bladder. The atrophied bladder is also strengthened, reducing the frequency of bladder leak.
As a result, you may achieve natural recovery from vaginal atrophy, leaky bladder, bladder prolapse, and recurrent UTIs safely and naturally without using pessary, estrogen, surgery, and/or antibiotics.
Which product to start?
For relieving vaginal atrophy, women can start with Silver suppository if under 50 or Silk suppository if over 50, in combination with the NeuEve balm cream. Depending on the severity, healing effect may be noticed shortly or a few months after using NeuEve.
For leaky bladder and/or bladder prolapse relief, the combination of the NeuEve suppository and the balm cream is important. The suppository can strengthen the vaginal wall, and the balm cream can be absorbed by the vulva tissue around the urethra, which leads to the bladder.
To get a head start in recovery, you can double-dose the suppositories (using two packs) for the first month. After the first month, you can switch to the maintenance mode, using one pack of the suppositories per month.
After 3-4 months on NeuEve Silk or Silver suppositories, you may move up a phase to the stronger NeuEve Silver or Gold formula to gain more health benefits and more rapid recovery.
After you move up to the Silver or Gold phase, you may continue using the NeuEve vulva balm cream daily. You only need to apply a tiny little bit of the cream each time, so one jar may last 3-4 months.
When you find relief, please leave a product review and send us feedback to email@example.com.
Your product review and feedback will help others with bladder prolapse also find relief naturally and safely without using pessary, estrogen, and/or surgery.
Can NeuEve help relieve uterine prolapse?
Yes. Theoretically, it can relieve uterine prolapse equally well as bladder prolapse.
If you have passed the reproductive age (>45), you will no longer need your uterus. You can have it removed by hysterectomy to solve this issue once for all. It may not worth the effort to treat uterine prolapse if a simple surgical procedure can fix it.
However, you will always need your bladder. You cannot have it removed. Therefore, you must protect it with the best available method.
Can vaginal atrophy, leaky bladder, and bladder prolapse be prevented?
The answer is "Yes."
The most noticeable aging effect is wrinkles. After wrinkles are formed. It is not easy to smooth them. You can use Botox, but it is costly and has some toxic side effects. The best way to stop wrinkles is putting cream on the face before wrinkles showing up.
Women do not show wrinkles until they reach mid-age, like 40s. However, young girls begin to apply facial cream even before 10. Why so early? Because it is never too early to invest in beauty.
Likewise, it is never too early to invest in your health.
After vaginal atrophy, leaky bladder, bladder prolapse, and/or recurrent UTI has occurred, it is harder to reverse it. Thus, the best method is prevention, so that these things will not happen to you.
Other methods, like pessary, surgery, or estrogen cannot be used routinely for health maintenance to prevent vaginal atrophy, leaky bladder, bladder prolapse and/or recurrent UTIs. When you are healthy, you do not need to wear a device, have a surgery, or take a prescription drug.
However, NeuEve is not a drug but a natural product. You can use NeuEve early and often safely for health maintenance to stop vaginal atrophy, leaky bladder, bladder prolapse, and/or recurrent UTIs from happening, because it is safe without any side effects.
If you have experienced painful sex, leaky urine, and/or recurrent UTIs, these are signs of weakened vaginal wall, bladder, and pelvic muscles. The next thing that may happen is bladder prolapse. You can act now to stop it from happening.
If you are a breast cancer survivor and are taking estrogen blocking drugs like Tamoxifen and/or aromatase inhibitors, you are at a high risk of getting vaginal atrophy, leaky bladder, bladder prolapse and/or recurrent UTIs due to side effects of these drugs.
How to select appropriate products?
You can use NeuEve Silver suppositories if under 50 or Silk suppositories if over 50 in combination with the NeuEve balm cream for health maintenance. These products can help you stop vaginal atrophy, leaky bladder, and/or bladder prolapse by strengthening the weakened vaginal wall, atrophied bladder, and pelvic floor muscles.
After these tissues become stronger, you can avoid getting vaginal atrophy, leaky bladder, bladder prolapse, and/or recurrent UTIs. You will live through your golden years like a healthy young woman.
Disclaimer: This article is for information purposes only. It is about natural products, nutrients, and/or methods for managing discomforts associated with menopause or aging (not a true infection or disease). It is not medical advice for the treatment of any diseases.
Customer feedback on bladder prolapse or leaky bladder relief
IT REALLY WORKS, EVEN FOR BLADDER PROLAPSE!!!!
Excellent product! I can't say enough about this.
I was diagnosed 2.5 months ago with Bladder Prolapse. My Gynecologist recommended
Estrogen suppositories for 3 months to strengthen the area inside. He said that without that, surgery would surely fail.
Well, having had Breast Cancer 2.5 years ago, I wasn't too excited about using Estrogen.
I scouted online for a natural alternative and found NeuEve. I saw that people got quicker results doubling up on the monthly box so that's exactly what I did. 2 boxes of Silk per month + the Cream every other night.
I don't have insurance, and this was so much cheaper than Estrogen, not to mention healthier for me.
To my surprise and delight, I can honestly say that I am seeing a 50% - 60% improvement so far. I'm hoping that another 2 months on this product will cure this, and I will no longer require the surgery at all.
If you're reading this, TRY IT!!!!
NeuEve vulva balm cream
This product is unbelievable! It stopped my itching immediately and also my leaking!!
Terri Sides O'Regan
NeuEve vulva balm cream
Stopped my leaking too! Amazing!!!
I'm very pleased!
Customer reviews on chronic UTI relief
December 23, 2022
I had 8 UTIs in 8 months. My doctor wanted me to use estrogen cream. I did not. After researching I found NeuEve vulva balm cream which appeared to be all natural and same concept as estrogen.
I started using it. No UTIs since starting product.
I developed chronic dry, peeling skin around eyes and nothing worked. Although it isn’t an eye cream, I put this same cream around eyes and they are healed and actually appear to have reduced lines and my eyes look bright.
March 14, 2021
I have only been using this cream for a few months now. I cannot use hormone treatment because of breast cancer. Very happy with this product and being all-natural. It has helped with the vaginal atrophy and I have not had a urinary tract infection since I started using it. Has helped with the dryness also.
March 9, 2021
Over the past year I had been experiencing frequent urination and itching, as though I had an infection. I went to my gynecologist who advised me that I was experiencing severe vaginal dryness. I tried a few products that only helped for a few days before the problem returned. I searched the web for help and found NeuEve. The reviews were positive so I gave it a try. It'll take awhile as my case was severe, but I am finding relief and healing!
September 3, 2020
Yesterday I received my NeuEve Silk and I knew I had to try it at bedtime. I have been in menopause since I was 33 years old and I am 64 now. I had cancer and therefore was afraid to use estrogen cream vaginally which is what doctors have said for years that I need. I was afraid to use it, so I just did not listen.
Fast forward to now and I have been miserable. I have had a dull aching and it feels like when you feel like a UTI is coming on not to mention the awful dryness, so the doctor said I had no choice but to use the estrogen.
I was so miserable I started using it. Taking the instructions out and reading all the warnings freaked me out! So, I got on the internet and prayed there was something else out there to help me, there just had to be!
That is when I stumbled upon the info about NeuEve. I read everything I could find on it and felt like I had nothing to lose because the options were few and far between. I put my first suppository last night and it didn’t take long to melt, and my body absorbed it almost immediately that is just how dry I am “down there”! This is what I do not understand...how can the dull aching and the feeling of getting a UTI be gone?
One application and I feel this good? After suffering for years and sex being so painful?
I have hope now. My plans are to use all three stages of NeuEve. This is an absolute miracle and bless you Dr. Chang for creating a product like this that is going to help so many of us. Wait till I see my doctor and if things keep progressing like this, I will be stopping the estrogen cream and will stay on NeuEve for the rest of my life.
August 20, 2020
I ordered these for my mother-in-law and this is what she has to say:
"My urologist told me to get these! I was having constant UTI's for the past few years, I'm 58 and after being diagnosed with breast cancer at 49 and then being told to have my ovaries removed too. I had everything taken out except my vagina. After that, it was much too painful for any of that kind of fun!
I do believe in miracles and maybe your product will make it possible again!!! Your product has made me feel so much better! I do not have the horrible feeling of getting a UTI anymore or any dryness and not one UTI since I started!!! Which is huge!!! So, thank you for caring enough for women's health to make such a wonderful product!!!
This is such a hard subject to discuss no one talks about it and not something I normally would but I think I need to tell you it is working so far! The price is high, but I will just have to save somewhere else!!!
It's been about 6 weeks since I started and I can feel the walls of my vagina are starting to soften which had hardened ( I've even had surgery to clip scar tissue that was like rings actually closing my vagina) I didn't even know if I could get one of your suppositories in!!! But had no problems!!!
I felt I needed to write this because it is the first thing that has worked!!! I'm not sure I would have tried this because of the price if my doctor hadn't told me to. I think if you were to give some samples to doctors so more women could try them. More women would be using them even if they tried them once they could see how they could change their lives too!!!
Please know you really are helping women like me and I just have to say Thank you again!!!"
June 2, 2020
I will try not to go into a lot of detail, but at 61, I was beginning to wonder whether I should once again use an estrogen-based product for vaginal atrophy.
I first tried estrogen when my GYN. recommended it after post-menopause. I used it for about a year and it did work very well, but just did not like using estrogen - I especially do not like that it comes from horse urine. That was about 6 or 7 yrs. ago.
The conversation came up again after a stubborn UTI, then an antibiotic-induced yeast infection. There seems to be some literature suggesting that atrophy and UTI's are connected. But I just do not want to use estrogen - and literature is varied on the opinions - health benefits and risks. I thought I'd give NeuEve a try as I had used another brand of vaginal suppository before - but the other brand had a medicinal smell I didn't like, and it didn't do much to change the atrophy.
This product has impressed me. I also ordered the small jar of cream to put on daily. So far, so good. I have felt much more comfortable. The product is more than I would like to pay, but I ordered my second box. I started with Silk - their recommendation but ordered Silver the second time by accident --because I think the Silk formula was doing its job. But now I will be able to compare anyway. I recommended at least trying it.
April 10, 2018
My urologist recommends these suppositories. I found them to be most effective. Still use in conjunction with estrogen cream, so cannot say how effective they would be on their own. For now, they meet my immediate needs in the manner that I am using them.
January 8, 2018
When deciding whether to purchase this product I read through almost all the reviews. Most said either the product worked or did not and no other information is given, so I want to write a review that will hopefully be helpful to others.
I was widowed at a relatively young age and had not had sex for over 12 years. I recently met someone, and we wanted to be intimate. I talked to my doctor and she gave me a prescription for hormone cream. It did not work and having sex was a disaster! It was very painful, I had spotting due to vaginal atrophy, and got a flaming UTI. I did not want to give up so I went online looking for a product that would work for me.
I found the New Eve products and saw that they were available on Amazon, so I tried them. The next time we had sex, there was NO spotting at all which I was thrilled about. The 3rd time there was no spotting, no pain, and no UTI. The product worked for me and it was worth the price. I am not going to go looking for something cheaper because there is no guarantee it will work. I have something that works and I'm happy about that.
September 17, 2016
NewEve Exceeds Expectations
It has been 4-1/2 months since I started using NewEve, following the regimen with the cream, Silk, and Silver. Lesson learned: The more advanced the atrophy, the more time and patience it takes to reverse the condition. In fact, at age 76, the results are nothing short of miraculous.
NewEve has delivered on its promises - and more. I may move on to the Gold formula at some point, but in the meantime, life is great. That said, I have a clear recall of the misery I suffered before finding the solution - and I did not even have BV or UTIs! Still, I want to shout about this from the rooftops.
Every woman out there deserves to know about NewEve so she can make her own choices. Yeah, it is pricey, but it's worlds ahead of the alternatives. Thank you, Dr. Chang.
March 4, 2016
Helped my UTIs
I am a breast cancer survivor with chronic UTIs. I was told that they were caused by vaginal atrophy due to loss of estrogen, but I cannot use any estrogen due to the cancer diagnosis. I tried this product to see if it would help, and to my amazement, it did!
The atrophy was causing inflammation in my urinary tract, and the inflammation was attracting bacteria, generating an infection. I had one almost constantly for 3 years.
Literally the first time I used the product I could see and feel a difference. I have not had a UTI since starting this product. The rest of the benefits of no atrophy are great, but I am so grateful to have found this helpful product for my urinary tract. Hopefully, other sufferers will find the same result.
February 14, 2016
My BV causes UTI and this is the only thing that breaks the cycle for me.
July 14, 2015
I have been using the Silk formula for about five months. I had post-menopausal vaginal dryness which was contributing to repeated UTIs. The dry atmosphere promoted bacterial growth. In addition, I had extreme vulvar pain (vulvodynia) and every remedy I tried felt as though I was applying acid.
I was desperate after three rounds of antibiotics in four months and still had horrible burning pain. My doctor prescribed hormone cream but I was reluctant to use it since there is a history of breast cancer in my family.
While desperately searching online (sitting on a cold compress at the time) I came across NeuEve and ordered immediately, both the silk formula and the cream to start with. I experienced immediate relief, using the cream daily for about the first month and the suppositories twice weekly as directed. No more UTI's!
Immediate relief and freedom from the burning! I saw my GYN for the yearly checkup two weeks ago and he is very happy that the dryness has resolved. He thanked me for the information about NeuEve and said that he is pleased to have a safe alternative to the hormone cream to recommend to patients.
I am just about to try the Silver formula. I will never be without NeuEve! Dr. Chang is obviously very knowledgeable about this problem to have created such an effective treatment. I will be forever grateful that she did!
April 14, 2015
Thank you so much and I am sure you've heard it before, but this is such an answer to prayer!!!! Thank you.
I am just turning 50 this year but very healthy, young, and live very organic and holistically. I was devastated to start having painful sex issues thinking there was nothing all-natural to help.
To find your product was a little miracle for me! Also, I think it took care of the other little issue I had with small tiny but growing white bumps on the outside of the Urethra and the Urologist said it was an Estrogen problem. THANK YOU!!