@Kathylp I’m not sure if a tubal ligation would affect incontinence. I know a lack of estrogen contributes to incontinence and OAB, so if you’ve been through men-o-pause, then your estrogen vanished, there is likely a correlation.
I find it so strange how for most of us, particularly in modern times, as girls growing up most of us get well prepared by our family members and at school for what will happen when we’re about 10 to 12 and begin menstruating, and how careful we have to be once we can get pregnant. Yet not one person in my life - not one mentor, not one coworker, not one teacher, not one family member, not one friend, not one magazine article - educated me about how horrible, complex, and profound menopause is. Nobody explained to me that a “hot flash” is called a hot flash, not because it comes and goes in a flash, but rather because it comes in a flash, but stays around for hourssss, broiling you from the inside out. The only solution would be to stick your head in the freezer for an hour to cool down. Lately, I’ve been thinking I might take all the food out of my freezer so that when I get the next hot flash, I can literally open the doors in front of it without being worried that food will spoil. My menopause was worse than my mom’s or aunt’s because mine happened immediately thanks to surgery, rather than naturally over ten years. Nobody told me that menopause can give you a totally different personality and can make you more dumb. It did have a bad effect on my aunt in that way; she had been a successful lawyer with her own practice until the year she went through menopause pretty late in her life. Then, she suddenly couldn’t keep things from piling up on her desk, she couldn’t seem to get around to renewing her drivers license, all things that were totally not in line with her personality. So weird.
Menopause is a huge change, and I’ve worked hard to share that information with my friends my age before they also go through it. No longer having estrogen in the body has significant consequences for any woman. I was lucky to have an OB/GYN who told me how much important it is for me to go on hormone replacement therapy because it happened to me prematurely. But it doesn’t work the way having one’s own hormones naturally works. It’s very expensive and the applications are gross and increase the risk of more cancer.
Anyway, Kathy, if you have been through menopause, I think it would be worth your time to ask both your OB/GYN and Urologist if supplementing estrogen might help your incontinence, or even be the root cause of it.