You’ve been told it’s your hormones to blame for every leak, ache, or uncomfortable moment you’re experiencing right now. But that story’s incomplete when you’re dealing with pelvic floor problems during perimenopause. The truth is, hormonal changes matter, but they’re not the full picture.
Because the real issue for so many women in midlife isn’t just estrogen decline, it’s disconnection.
Disconnection between your breath and your movement. Between your core and your pelvic floor. Between what you’ve been told to expect and what your body actually needs.
What We’re Told About Perimenopause
Yes, estrogen levels drop. That affects tissue elasticity, muscle tone, and the way your pelvic floor behaves. But according to menopause specialists, declining estrogen is only part of the story. The bigger question is: how are we supporting women through that change?
Hormone Replacement Therapy (HRT) can play a decisive role for many women. It can reduce symptoms, protect long-term health, and dramatically improve quality of life. However, HRT isn’t a complete solution for everyone. And even when it helps, it doesn’t replace functional rehabilitation.
Regardless of hormonal fluctuations, your body still needs to function well. And most women were never taught how to do that. Not after childbirth. Not in our 30s or 40s. Certainly not when our bodies start changing again.
What Disconnection Looks Like
Disconnection might show up as:
- Leaking when you sneeze or run
- Low back pain by the afternoon
- A dragging or heavy sensation
- Sex that feels tight, uncomfortable, or painful
- Trouble with core engagement or posture
- A general feeling of your body being “out of sync”
These aren’t separate problems. They’re symptoms of the same issue: a deep system of support that isn’t functioning correctly.
Often, those missing pieces trace back to the postpartum rehab you never got. You might have had a 6-week check-up, maybe were told to do some Kegels, and that was it. Now, years (or decades) later, those gaps are catching up — and perimenopause is magnifying them.
Kegels Don’t Solve Pelvic Floor Problems During Perimenopause
You’ve probably been told to do more kegels. But if your pelvic floor is already tense, disconnected from your breath, or poorly coordinated with your core, then squeezing harder won’t fix the issue. In fact, it could make things worse.
Pelvic floor dysfunction isn’t always about weakness. It’s often about lack of responsiveness — a system that’s not firing in sync.
This is where many traditional fitness and medical approaches often fall short. You don’t just need to “get stronger” — you need to get reconnected.
Overactivity vs Underactivity
In fact, some women with symptoms like leaking or pain have overactive pelvic floor muscles that are already gripping too tightly. In that case, kegels can exacerbate the issue.
What’s missing is coordination. Your body needs to relearn how to relax, contract, and respond. Like any complex system, it requires retraining, not brute force.
Reconnection: What That Means
Reconnection starts with:
- Breathwork: Learning to breathe with your diaphragm so your core and pelvic floor respond naturally.
- Alignment: Finding a posture that lets pressure flow through your system instead of down on your pelvic floor.
- Function-first movement: Exercises that link core, breath, and pelvic floor into one responsive system.
This is about restoring coordination. About teaching your system to respond automatically — not something you have to manually cue with every sneeze or lift.
Think of it this way: You don’t consciously engage your pelvic floor every time you laugh. Or jump. Or bend. You want reflexive control, and that’s what functional rehab provides.
Why This Matters in Midlife
Hormones matter. Estrogen loss affects tissue integrity and muscle responsiveness. But it doesn’t mean we’re destined to feel broken ior stuck with pelvic floor problems during perimenopause.
Instead, what we see in perimenopause is a revealing of issues that were already there. A system that has been compensating for years starts to struggle, and the symptoms become more pronounced.
This is why midlife can feel like a tipping point. But it’s also an opportunity to build back smarter. Not harder.
Real Life: What Women Report
Here’s what we hear from women who go through MUTU:
- “I thought leaking was just my new normal. Now I feel in control again.”
- “I didn’t even realise how disconnected I was. Now I can feel my core working.”
- “I stopped bracing. I started breathing. Everything changed.”
These aren’t athletes. They’re teachers, nurses, mums, and grandmothers – women who were told just to manage pelvic floor problems during perimenopause. Who found out they could do more than that 🙂
MUTU: More Than a Workout
At MUTU, we don’t guess. We don’t tell you to clench. We show you how to:
- Build awareness of what’s going on in your body
- Breathe in ways that support your system
- Move in ways that build real, responsive strength
MUTU is clinically proven, medically endorsed, and trusted by NHS providers and pelvic health physios.
This is whole-body rehab — for function, not just fitness.
Ready to Reconnect?
If you’re:
- Tired of being told it’s “just your hormones”
- Leaking despite doing the work
- Dealing with a body that doesn’t feel like yours anymore
Then it’s time for new instructions. MUTU gives you the tools your body has needed all along. Evidence-based, clinically proven, and designed for women at every stage.
You’re not weak, or too late. Instead, you’re ready to reconnect 😊
