01/19/2026
Your pelvic floor does not exist in isolation.
And it does not stay the same across your lifetime.
During perimenopause, hormonal shifts (especially changes in estrogen) can affect the tissues of the pelvic floor, bladder, and vaginal walls. These tissues rely on estrogen for elasticity, blood flow, and resilience.
When those levels fluctuate, you might notice things like:
• Increased urgency or leaking
• A feeling of heaviness or pressure
• Changes in comfort during intimacy
• Symptoms that show up later in the day or after activity
For many people, these symptoms feel confusing, especially if they never had pelvic floor issues before.
This is not your body “failing.”
It is your body adapting.
Pelvic health physiotherapy during perimenopause focuses on understanding how hormonal changes, muscle coordination, breathing, and daily movement all interact.
It is not just about strengthening. Often, it is about restoring balance, support, and confidence in how your body functions.
Symptoms may be common during this stage of life.
But they are not something you have to push through or accept without support.
Your pelvic floor deserves care that reflects what your body is actually experiencing.