This scientific study is devoted to the clinical analysis, diagnostic approaches, and effective preventive measures of urinary incontinence in women during the perimenopausal period. The research was conducted in 2024–2025 at the Department of Obstetrics and Gynecology of Samarkand State Medical University, involving 62 perimenopausal women who underwent clinical, hormonal, and instrumental examinations. Among the patients, 39% had stress urinary incontinence, 34% had urgency urinary incontinence, and 27% presented with a mixed form. The main clinical symptoms included frequent urination urge (58%), involuntary leakage during coughing or sneezing (63%), nocturia (42%), and suprapubic pain (29%). Diagnostic evaluation involved transvaginal ultrasonography, urodynamic testing, assessment of hormonal status, and measurement of estrogen levels. The findings revealed that the key contributing factors to urinary incontinence were trophic changes in estrogen-dependent urogenital tissues, decreased pelvic floor muscle tone, and obesity. The preventive program included Kegel exercises, local estrogen therapy (based on estriol), physiotherapeutic electrical stimulation, and lifestyle modification. Following the intervention, 76% of patients showed symptomatic improvement, and 54% demonstrated stabilization of urinary control function. The clinical analysis confirmed that pelvic floor strengthening exercises, local hormonal therapy, and individualized preventive approaches allow early control of urinary incontinence. Moreover, the results highlight the importance of psychological support and a healthy lifestyle in maintaining the health and quality of life of perimenopausal women.

perimenopause, urinary incontinence, urination disorder, hormonal changes, estrogen deficiency, urodynamic testing, Kegel exercises, local therapy, physiotherapy, prevention, women’s health, clinical observation.

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