Menopause

Menopause

During menopause, hormonal changes can lead to problems such as urinary incontinence, vaginal dryness, pelvic pain and low sexual desire. Don’t let these changes weaken your connection with your body. Pelvic floor physiotherapy helps your muscles regain their function and improves your quality of life. Step into this new phase with strength through exercise, breathing and body awareness. Your body may change, but you stay in control!
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Tuğçe Atalay

Menopause: Not an End, but a Transformation

Changes That Come with Menopause

As estrogen levels fall during menopause, complaints such as urinary incontinence, vaginal dryness, pelvic pain and low sexual desire become common. These physiological changes can affect both your daily quality of life and your self-confidence.

The Role of the Pelvic Floor Muscles

The pelvic floor muscles help support organs such as the bladder, uterus and bowel. With menopause, these muscles lose some of their function, which can lead to problems with urination, bowel movements and sexual function.

Ease This Transition with Physiotherapy

Pelvic floor physiotherapy helps your muscles become functional again, builds awareness and reduces symptoms. With exercise, breathing work and body awareness techniques, you can go through this phase more comfortably.

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Common and Treatable

After menopause, approximately 30–50% of women experience urinary incontinence, 15–20% pelvic pain and 40–60% sexual dysfunction.

"I leak before I can make it to the toilet."
"I wake up at night needing to pee."
"Sex hurts."
Mercier J, Dumoulin C, Carrier-Noreau G. Pelvic floor muscle rehabilitation for genitourinary syndrome of menopause: why, how and when? Climacteric. 2023 Aug;26(4):302-308. doi: 10.1080/13697137.2023.2194527. Epub 2023 Apr 5. PMID: 37019140.

Menopause FAQ

No. Although it is common, it is not considered "normal." The underlying muscle dysfunction can be treated.

With menopause, estrogen levels drop, which weakens the tissues around the bladder and urethra. When the support from the pelvic floor muscles decreases, urinary incontinence can develop.

Yes. The hormonal changes of menopause can slow down bowel movements. Weakened pelvic floor muscles can also make emptying the bowels more difficult.

It increases awareness of the pelvic floor muscles and makes them functional again. This brings relief from urinary incontinence, pelvic pain and sexual dysfunction.

The best time to seek help is as soon as symptoms begin. Getting support without delay speeds up treatment and improves your quality of life sooner. You can also seek preventive support at the start of menopause, before any symptoms appear.

Yes. Exercises that increase blood flow to the pelvic area and manual techniques for the tissues support the health of the vaginal tissues. Awareness work also has a positive effect on your sex life.

Absolutely not. These are solvable health problems that many women experience. Physiotherapy is provided with complete confidentiality and professionalism.

Lasting results are possible with regular exercise and the right habits. For long-term well-being, however, lifestyle changes also matter.

Yes. Painful intercourse (dyspareunia) is one of the key areas of pelvic floor physiotherapy. Treatment works on muscle spasms and gaps in body awareness.

Related Content
Sexual Problems After Menopause
Urinary Incontinence and Constipation After Menopause
Urinary Incontinence
Tuğçe Atalay

Author: , Specialist Physiotherapist

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The information on this page is for general information only and does not replace diagnosis or treatment. Please consult your doctor and physiotherapist about your symptoms.

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