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Pelvic floor in detail

Menopause and the pelvic floor: urinary and intimate changes

Vaginal and urinary changes can occur during perimenopause and after menopause. The pelvic floor is part of the assessment, but it does not explain every symptom or replace care for hormonal and tissue changes.

PelviCR editorial team

Illustration of a middle-aged woman walking in a garden. AI-generated image.

Changes you can talk about

Vaginal dryness, discomfort during sex and urinary symptoms can affect everyday life. The NHS lists these among possible menopause symptoms. Not every woman experiences them, and their impact varies.

Noting what changed and when it began can help you prepare for a consultation without first finding the exact medical term.

Strengthening does not address every discomfort

If the main issue is dryness or pain, adding contractions does not necessarily address the cause. Depending on the assessment, care may involve local treatments, physiotherapy or medical options. The goal is to understand what each tissue and function needs.

Read why a tight pelvic floor needs a different approach.

The possible role of PelviX

PelviX training may be considered when there is a compatible muscular goal and contraindications have been reviewed. It does not replace hormones, reverse menopause or treat vaginal dryness.

Rather than starting with a package of sessions, define what you hope to achieve: better awareness, support for an assessed limitation or exploration of complementary options.

Preparing for your next conversation

You can bring simple questions: does the symptom appear to be muscular, vaginal or urinary? Do I need a gynaecological assessment? What change would we monitor with the chosen plan?

Age alone does not determine suitability. The general suitability guide explains the review before starting.

Frequently asked questions

Does PelviX increase oestrogen?

It should not be presented as a way to increase or replace oestrogen.

Is all intimate discomfort related to the pelvic floor?

No. Hormonal, skin-related, infectious or other causes may need assessment.

Keep reading

Kirani Eugster, PelviCR

Let’s talk about your goal

Tell us what you would like to improve. We can explain the scope of the service and the review before starting.

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Sources and scope

Equipment information: PonteMed Academy training shared for this series. The clinical links below explain general conditions and care; they do not establish specific PelviX outcomes.

NHS · Menopause and perimenopause