28/03/2026
After menopause, the body produces less estrogen, a hormone that plays a key role in maintaining muscle tone and tissue elasticity. As estrogen levels drop, pelvic floor muscles gradually lose strength, endurance, and flexibility—often by 20–30%.
These muscles support the bladder, uterus, and bowel, so when they weaken, it can lead to symptoms like urine leakage, urgency, reduced control, pelvic heaviness, and even lower back or core weakness.
However, this decline is not irreversible. Regular pelvic floor exercises (like Kegels), strength training, proper hydration, and guidance from a physiotherapist can significantly improve muscle function, restore control, and enhance overall quality of life.