
10/21/2025
Hormonal changes can have a big impact on your pelvic floor function. There are a few circumstances when that is most relevant. During and after pregnancy there are definitely lots of changes in the hormones, which can effect the integrity of the pelvic floor. During menopause, the depletion of estrogen can cause a drying of the more external parts of the pelvic floor, resulting in pain and changes in the activation of the muscles. Also, the presence of endometriosis wreaks havoc on the pelvic floor muscles and tissues, which effect how they function. Lastly, a hysterectomy changes the levels of estrogen as well, resulting in many of the symptoms I listed previously. Do you have questions? I'd love to help! 253-649-4095.