Pelvic floor dysfunction is a condition that affects many people, particularly during menopause. This stage of life is characterized by significant hormonal changes, which can weaken pelvic floor muscles. Initial symptoms may include urine leakage when coughing or laughing, a feeling of pressure and pelvic pain, or discomfort during sexual intercourse (such as vaginismus). Identifying these signs early allows timely intervention and helps prevent more serious complication^(1,5,8). 

As you’ll see, addressing this topic is essential. Doing so can help you improve your quality of life and overall well-being during this transition.  

The impact of hormonal changes on the female body 

During menopause, hormonal levels decrease. This means that certain conditions, such as uterine fibroids, usually improve during this period ⁽²⁾. Similarly, changes in breast tissue, such as fibrocystic breast disease, may become more noticeable. 

However, a reduction in oestrogen brings other consequences. It can lead to a greater predisposition to problems like vaginal dryness. It’s important to distinguish this from conditions such as endometrial hyperplasia, which, in contrast, occurs due to an excess of oestrogen ⁽³⁾.  

It’s also common for women to experience physical changes. For instance, some may develop varicose veins in the legs, which may occur independently. 

Understanding pelvic floor dysfunction: symptoms and causes  

Menopause can trigger or worsen pelvic floor weakness due to declining oestrogens levels, which affect muscle tone and the integrity of connective tissues ^(4,5). 

Identifying the symptoms and understanding the causes of this condition are essential for a proper diagnosis. In this process, analysis like pelvic ultrasound can help assess organ positioning and dismiss other conditions. Although evaluating pelvic floor muscles often requires a physical examination, and, in some cases, more specialized studies ^(1,5,8). 

Risk factors that potentiate pelvic weakening 

Several factors increase the risk of pelvic floor dysfunction. These include pregnancy, vaginal birth, being overweight, chronic constipation, and menopause. These circumstances may weaken the muscles and supportive tissues ⁽¹⁾.  

How pelvic floor dysfunction affects daily life 

Pelvic floor problems can have several consequences for those who experience it. It may limit physical activity, affect self-esteem and intimacy, and contribute to stress and anxiety ^(1,6). 

Another common symptom is urinary incontinence. This may present as leaks during physical effort or a frequent and urgent need to urinate. These symptoms can greatly affect confidence and overall quality of life ⁽⁶⁾.  

Solutions for pelvic floor dysfunction during menopause 

Pelvic floor issues don’t have to be disheartening. There are several effective ways to manage it: 

While considering these solutions, it’s important to remember that a professional should always evaluate any new or concerning gynaecological symptom, such as postmenopausal bleeding ⁽³⁾.  

Issviva: comprehensive support for well-being during menopause 

At Issviva, our aim is to support you throughout this life stage. That’s why, to help you find well-being, we offer a variety of tools and resources.  

Our products are designed to promote intimate health during menopause. Additionally, here you can find a supportive community and reliable information. Through educational content and personalised guidance, we’re here to walk with you every step of the way. 

Embracing menopause with strength and confidence 

Menopause brings many changes, but it doesn’t have to be an obstacle. It’s also an opportunity to reconnect with yourself in a new way. Preventing pelvic floor dysfunction has never been more accessible. Learn more about our solutions for your well-being at Essity.  

References