02/13/2026
Hot flashes improved. Sleep improved. Brain fog improved.
But you’re still leaking, dry, or uncomfortable…
Because HRT restores tissue health.
But pelvic floor therapy restores function.
Estrogen receptors exist in your bladder, urethra, vaginal tissue, and pelvic floor muscles. When estrogen declines, tissues become thinner, weaker, and less resilient. This is Genitourinary Syndrome of Menopause, and it affects up to 50% of women.
HRT helps rebuild the tissue.
But it doesn’t automatically retrain the muscles.
It doesn’t restore coordination.
It doesn’t improve load tolerance.
It doesn’t fix pressure management when you run, lift, or jump.
That’s where pelvic floor therapy comes in.
Research consistently shows pelvic floor muscle training is first-line treatment for urinary incontinence. And, when combined with estrogen therapy, outcomes improve even more.
This isn’t either/or. It’s both.
Hormones support the hardware.
Rehab restores the software.
Leaking is not your new normal.
Pain is not your new normal.
Avoiding impact is not your new normal.
Menopause is not the end of performance. It’s a new phase of it, with the right support.
We’re launching a training program specific for women in perimenopause and menopause in March. Small cohort, expert-led coaching by doctors. Comment STRONG if you’re ready to stop managing symptoms and start restoring function.
