As estrogen levels drop during and after menopause, the risk of developing health problems may trend upwards. Estrogen helps protect the heart, bones, tissues and muscles of the body--including those in and around the bladder that help to hold or release urine. But menopause may not be the only reason for bladder control problems. Infections, previous pregnancies, residual effects from strokes or diabetes, and medicines including water pills and tranquilizers can play a role. Excess weight, smoking, drinking alcohol, or ingesting caffeine are other potential culprits. While bladder control problems are common, treatment options are available. Keeping a voiding diary to track your urinary symptoms and the situations in which they occur can help you and your doctor develop an effective treatment plan. Record what, how much, and when you drink; how often you go to the bathroom; the number of accidents you have and why they occur. Consuming at least 25 grams of fiber every day and avoiding known bladder Irritants (see box below) may significantly Improve the problem.