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5 Things Your Pelvic Floor Wants You to Know After Menopause

Menopause brings big changes — not just to your hormones but also to your pelvic floor. Many women are surprised to learn how menopause affects bladder control, vaginal health, and pelvic muscle strength. The good news? You don’t have to live with discomfort or embarrassing symptoms.


Older woman doing yoga for post menopause pelvic pain
Many changes occur after menopause - PT can help

Here are 5 important things your pelvic floor wishes you knew after menopause — and what you can do about them.


1️⃣ Vaginal Dryness Is Extremely Common

Estrogen decline leads to thinner, less elastic vaginal tissues and less natural lubrication. This can cause discomfort with intercourse, itching, and even bladder irritation.


What helps:

  • Vaginal moisturizers and lubricants

  • Pelvic PT techniques to improve blood flow and tissue health

  • Gentle stretching and relaxation exercises



2️⃣ Bladder Leaks Are Not “Just a Part of Aging”

Up to 50% of postmenopausal women experience urinary leakage — but that doesn’t mean you have to accept it.

What helps:

  • Pelvic floor muscle retraining (often NOT just Kegels)

  • Bladder retraining techniques

  • Lifestyle adjustments like avoiding bladder irritants



3️⃣ Pelvic Organ Prolapse Becomes More Likely

With reduced muscle tone and tissue support, pelvic organs (like the bladder, uterus, or rectum) may shift downward.

What helps:

  • Postural adjustments and core strengthening

  • Pelvic floor physical therapy for muscle balance

  • Learning supportive movement habits



4️⃣ You Might Experience New Pelvic Pain

Hormonal shifts and muscle tightness can lead to pelvic discomfort, especially with intimacy or prolonged sitting.

What helps:

  • Gentle pelvic floor relaxation techniques

  • Manual therapy from a pelvic PT

  • Stress management and breathing exercises



5️⃣ Pelvic Physical Therapy Can Help at Any Age

You’re never too old to benefit from pelvic PT. Many of my postmenopausal clients experience huge improvements in comfort, bladder control, and confidence after starting care.


Pelvic PT can help with:

  • Bladder leakage

  • Painful intimacy

  • Prolapse management

  • Pelvic discomfort

  • Postural alignment and core strength



📞 You Don’t Have to Live With These Symptoms

Menopause changes your body — but you have options. Pelvic floor physical therapy offers safe, effective, and natural ways to feel better and stay active at every stage of life.


➡️ Schedule a free consultation with Healing Space PT today and let’s talk about your options.

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