Menopause and Pelvic Floor Problems: Why You Feel Weaker—And What You Can Do About It
Why am I suddenly leaking when I laugh?
Is pelvic pain normal during menopause?
I used to feel strong. Now everything feels... off.
If you've been secretly searching phrases like "pelvic floor weakness during menopause", "leaking urine after 50", or "menopause and bladder control problems", you're not alone—and you're not broken.
You’re just living in a body that’s changing. And it’s not just hormonal—it’s muscular, structural, and emotional, too.
Let’s talk about what’s really happening during this phase… and why pelvic floor therapy might be the missing link you’ve been searching for.
What Actually Happens to the Pelvic Floor During Menopause?
Basically, menopause is like a second puberty! And of course we can blame it on hormones. So when estrogen levels drop during perimenopause + menopause, every tissue in your pelvic area—muscles, ligaments, fascia, even the vaginal wall—begins to lose elasticity, hydration, and strength.
This means:
Your bladder gets irritated more easily. (a.k.a when I have to go, I have to GO)
Your urethra doesn’t close as tightly. (leakage or changes in sensations during s*x)
Your pelvic muscles get thinner (unless you know how to properly strengthen them)
Your core strength and posture start to shift in sneaky ways. (why does plain sitting feel so achey?)
The result? You may start noticing:
Leaking urine when you laugh, sneeze, or exercise
Pelvic pressure or a feeling of “heaviness” down there
Pain during or after s*x
Back or hip pain that seems random but isn’t
Constipation or incomplete bowel emptying
And maybe the most disorienting change of all?
You don’t feel at home in your own body.
But I already tried Kegels…
Here’s the truth: This isn’t about doing more Kegels.
It’s about doing the right things, in the right order, for your body.
Pelvic floor therapy isn’t a one-size-fits-all solution. It’s personalized movement, breathwork, body awareness, and hands-on support that helps your body adapt to this new season—not resist it.
We look at:
Your breathing patterns (yes, your diaphragm matters here)
Your posture and how it affects core pressure
How you move, lift, twist, and even sit throughout your day
Best ways for you to increase your muscle tone again
This isn’t just about stopping leaks. It’s about:
Strengthening changing pelvic floor muscles
Reltraining muscles that are tight or guarding
Improving blood flow, sensation, and tissue resilience
Teaching your brain to reconnect with your body in a way that feels empowering—not shameful
Is Pelvic Floor Therapy Worth It During Menopause?
Let’s ask a better question:
What would it be worth to feel like yourself again?
To walk confidently. Laugh freely. Say yes to intimacy. Move without fear.
To trust your body again—even as it changes.
Pelvic floor therapy isn't just useful during menopause—it’s essential care for your body that’s evolving.
You Don’t Need to Just Accept This
Leaking, prolapse, pelvic pain, and that “off” feeling after 50?
They’re common—but they’re not your life sentence.
And you don’t have to navigate it alone.
At Refine Physical Therapy, I specialize in working with women who feel like their bodies have quietly betrayed them.
I’ll help you understand what’s happening, how to rebuild your strength, and soon you’ll rediscover your power—from the inside out.
✨ Let’s Get You Started
If you’re ready to explore what pelvic floor therapy can do for your menopausal symptoms, here’s how:
👉 Download my free Menopause & Pelvic Floor Guide — a simple, compassionate roadmap to understanding your symptoms.
👉 Book a discovery call with me — let's talk through what you're experiencing and map out a personalized plan.
👉 Come in for a pelvic floor assessment — one session could change how you see your body forever.
This is your next rite of passage. Not into decline, but into strength.
You don't need to go backwards—you just need a new way forward. And I’ll be here when your’e ready.
