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Published on: April 17, 2019
Anal incontinence and menopause
Ipek Betul Ozcivit Erkan1, Gabriele Naldini2, Tommaso Simoncini3
1Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Department of Obstetrics and Gynecology, Istanbul, Türkiye; Istanbul University-Cerrahpasa, Institute of Graduate Studies, Department of Anatomy, Istanbul, Türkiye.
Maturitas
|July 24, 2026
Summary
Anal incontinence affects 2-21% of women, particularly post-menopause and with age. This review details its causes, diagnosis, and management to aid physicians in treating this underrecognized condition.
Area of Science:
- Gynecology and Obstetrics
- Gastroenterology
- Geriatrics
Background:
- Anal incontinence is a multifactorial condition with underestimated prevalence, affecting 2-21% of women.
- Prevalence increases with age and after menopause due to hypoestrogenism impacting pelvic floor and sphincter function.
- Contributing factors include aging, lifestyle, comorbidities, and iatrogenic causes.
Purpose of the Study:
- To review current evidence on anal incontinence pathophysiology, risk factors, diagnosis, and management.
- To support menopause physicians in identifying and managing this condition.
- To address the underreporting and underrecognition of anal incontinence.
Main Methods:
- Literature review synthesizing current evidence.
- Focus on pathophysiology, risk factors, diagnostic approach, assessment tools, and management strategies.
- Targeted towards physicians caring for menopausal women.
Main Results:
- Anal incontinence is multifactorial, influenced by hormonal changes, aging, and other factors.
- Prevalence is significant, particularly in postmenopausal women.
- Effective identification and management strategies exist but require broader physician awareness.
Conclusions:
- Anal incontinence is a common yet underrecognized condition in menopausal women.
- A comprehensive understanding of its pathophysiology and risk factors is crucial for effective management.
- Physicians need enhanced knowledge for early identification and optimal treatment of anal incontinence.
Keywords:
Anal incontinenceFecal incontinenceMenopausal hormone therapyMenopausePelvic floor disordersPostmenopausal womenMore Related Videos
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