From Conservative Measures to Hormone Education…

 for a clear mind, better mood, hot flashesincreased energy, libido, joint pain, bladder leaks,  improve energy, mood, anxiety, joint pain, sex, hot flashes and sleepLeaking Urine is Never Normal!

Leakage of urine is associated with life occurrences such as pregnancy, postpartum, peri-menopause and menopause. It is isolating, may lead to depression, may make you feel tired, older and can lead to increased weight due to lack of exercise, absenteeism, embarrassment, infection and/or skin breakdown. It is the number reason for admission to Long Term Care Facilities.

There are 37 symptoms of Menopause:

• Hot Flashes
• Night Sweats

Recurrent Urinary Tract Infection

A urinary tract infection (UTI) is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. However most infections involve the lower urinary tract — the bladder and the urethra.

Women are at greater risk of developing a UTI because the urethra is smaller and due to hormones. Infection limited to your bladder may lead you to leak urine, have painful voiding known as dysuria. There is a risk of injury to your kidney if a UTI is not treated effectively.

Doctors typically treat urinary tract infections with antibiotics. But there are many steps to reduce your chances of getting a UTI in the first place.

• Drink adequate amounts of water & reduce bladder irritants
• Wipe from front to back after voiding for women
• Hormones
• Cranberry Supplement

Now you can test your urine at home.

Types of Urinary Incontinence

Stress Urinary incontinence — Common in women, especially if you’ve given birth vaginally

Urge incontinence —  Characterized by increased urinary urgency and losing larger amounts of urine

Overflow incontinence — Frequent urination and an inability to completely empty the bladder. Urine dribbles

Functional incontinence — Associated with mobility issues or cognitive function

Mixed incontinence — A combination of the symptoms described above.

There are a number of Conservative and Lifestyle Strategies Available!

I am a Nurse Continence Advisor. Here’s what Cleopatra can do for you:

• Bladder Assessment
• Ascertain Contributing Factors
• Diagnose
• Make Recommendations to put and end to your urinary incontinence

Here’s The Good News

You can take a number of steps yourself to remedy your bladder leaks. Cleopatra can discuss the many approaches that work!

Here are some of the common medical treatments.

Behavioural modification therapy such as fluid management and bladder irritants

Kegel exercises —  (may or may not work)
Electromagnotherapy —
Medications —
Bulking agents—
Botox —
Minimally Invasive Procedures —

Cleopatra can help you…

• get the correct diagnosis for your leakage of urine
• provide you with the right treatment options
• You choose!

If you’re coping with urinary incontinence, take heart, there’s help. You don’t need to live this way. I am here to help.

Vaginal Health

Vaginal health is important for women at many stages of their life. Vaginal dryness is very common and affects 70% of women who are:

• Peri-menopausal (the years leading up to menopause
• Post Menopause
• Beyond Menopause

Estrogen is the hormone regulator of the uro-gental tract. It is important that vaginal dryness is treated as it may lead to recurrent urinary tract infections.

Vaginal dryness may also lead to painful sex which can lead to low sexual desire and may impact your relationship.

There is a condition called Genitourinary Syndrome of Menopause or GSM. It used to be called Vaginal Atrophy. GSM better reflects the condition as it involves the bladder, urethra and vagina and labia. The signs and symptoms of GSM are as follows.

• • Vaginal dryness (hallmark symptom)
  • Vaginal Burning
  • Vaginal Itching
  • Thin watery discharge
  • Genital itching
  • Burning with urination
  • Urgency with urination
  • Frequent urination
  • Recurrent urinary tract infections
  • Getting up at night >2 times

Vaginal health is important for all women whether they are sexually active or not.

Women who don’t treat vaginal dryness are at risk of a pelvic organ prolapse

Women over the age of 65 who experience bladder infections are at risk of an overwhelming infection

I can help you to determine what is the right treatment for you.

Sexual Health

Did You Know…

Women’s libido may plummet at menopause for a number of reasons.  Much like individuals engage in sexual activity for a variety of reasons. They may find another person attractive because of their brain or appearance or they may desire physical pleasure, affection, love, romance, or intimacy. Women are more likely to have the following emotional motivations:

• experience/enhance emotional intimacy
• increase their sense of well-being
• confirm their desirability
• please a partner

Sexual Dysfunction is very common in women of all ages but is very common at menopause.

About 30 to 50% of women have sexual problems at some time during their life but mainly at menopause.

Sexual dysfunction includes;

• painful sex
• painful contraction
• Low sexual desire
• Lack of arousal
• Lubrication issues
• Anorgasmia or orgasms that cause distress.

There are a number of reasons for sexual dysfunction and may include any one of the number of symptoms that occur at menopause from depression to anxiety, fatigue, sleep issues, brain fog, body image, vaginal dryness, medications, substance use, unresolved conflict from those mood changes!!!

A sexual health assessment is important to diagnosis and treatment.

Education about sexual function and the female sexual response cycle is critical to treatment.

Supplements, products, lubricants, The Get Cleopatra Nutrition Plan, certain supplements, hormone therapy or a combo may help.

Normal Sexual Function

The brain is the largest sex organ. Desire is often triggered by thoughts, words, sights, scents, or touch. Desire may come at the beginning or may be in response to arousal.

The body is also important to sexual function and that includes the nervous, circulatory, and endocrine systems.

Arousal has a subjective ele element and a physical element. It’s about thoughts, feelings and blood flow to the genitalia.

Orgasm is the climax of sexual excitement. Plateau occurs prior to orgasma as there is muscle tension throughout the entire body.  Women may experience several orgasms.

Resolution occurs after orgasm and is described as a sense of relaxation and well being. That said, resolution may occur slowly after highly arousing sexual activity without orgasm.

When women have been in a relationship for an extended period of time, they often have little or no desire for sex before sexual activity but desire can develop once sexual activity and/or stimulation begins.

Having a new partner can increase sexual desire in women. But you don’t have to risk your relationship in order for your sexual desire to increase.

That’s where I come in. I can help you to navigate your relationship, help with sexual dysfunction, any issues you are having. This will help you to increase your sexual desire and sexual satisfaction.

“Maureen has proven to be a valuable adjunct in my health care during menopause. I have been with her for the past 5 years. She is very detail oriented, explaining things thoroughly in layman’s language without being dismissive about questions or concerns. I have never reached out to her and not received an answer within 24 hours. She is compassionate and well known within the medical community and can suggest solutions and possible referrals to other Health Care Professionals. I am very pleased with Maureen and would not hesitate to recommend her to anyone.” Barbara Graydon

“Maureen is fantastic, with a great sense of humour, very helpful, knowledgeable, top smile and extremely patient. I didn’t understand my treatment options at first. Maureen took the time to explain it two or three times very clearly. She is saved me money by getting me out of diapers! She has made some very helpful suggestions and I am no longer getting up at night or leaking urine!” MM