{"id":8032,"date":"2025-06-19T14:06:49","date_gmt":"2025-06-19T14:06:49","guid":{"rendered":"https:\/\/mutusystem.com\/en-us\/?p=8032"},"modified":"2025-07-31T15:12:32","modified_gmt":"2025-07-31T15:12:32","slug":"pelvic-floor-problems-perimenopause","status":"publish","type":"post","link":"https:\/\/mutusystem.com\/en-us\/perimenopause\/pelvic-floor-problems-perimenopause\/","title":{"rendered":"Pelvic Floor Problems During Perimenopause"},"content":{"rendered":"\n<p>You\u2019ve been told it\u2019s your hormones to blame for every leak, ache, or uncomfortable moment you\u2019re experiencing right now. But that story\u2019s incomplete when you&#8217;re dealing with pelvic floor problems during perimenopause. The truth is, hormonal changes matter, but they\u2019re not the full picture.<\/p>\n\n\n\n<p>Because the real issue for so many women in midlife isn\u2019t just estrogen decline, it\u2019s disconnection.<\/p>\n\n\n\n<p>Disconnection between your breath and your movement. Between your core and your pelvic floor. Between what you\u2019ve been told to expect and what your body actually needs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What We\u2019re Told About Perimenopause<\/h2>\n\n\n\n<p>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 <em>part<\/em> of the story. The bigger question is: how are we supporting women <em>through<\/em> that change?<\/p>\n\n\n\n<p>Hormone Replacement Therapy (HRT) can absolutely play a powerful role for many women. It can reduce symptoms, protect long-term health, and dramatically improve quality of life. However, HRT isn\u2019t a complete solution for everyone. And even when it helps, it doesn\u2019t replace functional rehabilitation.<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Disconnection Really Looks Like<\/h2>\n\n\n\n<p>Disconnection might show up as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Leaking when you sneeze or run<\/li>\n\n\n\n<li>Low back pain by the afternoon<\/li>\n\n\n\n<li>A dragging or heavy sensation<\/li>\n\n\n\n<li>Sex that feels tight, uncomfortable, or painful<\/li>\n\n\n\n<li>Trouble with core engagement or posture<\/li>\n\n\n\n<li>A general feeling of your body being \u201cout of sync\u201d<\/li>\n<\/ul>\n\n\n\n<p>These aren\u2019t separate problems. They\u2019re symptoms of the same issue: a deep system of support that isn\u2019t functioning properly.<\/p>\n\n\n\n<p>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 \u2014 and perimenopause is magnifying them.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Kegels Don\u2019t Solve Pelvic Floor Problems During Perimenopause<\/h2>\n\n\n\n<p>You\u2019ve 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\u2019t fix the issue. In fact, it could make things worse.<\/p>\n\n\n\n<p><a href=\"https:\/\/mutusystem.com\/en-us\/pelvic-floor\/the-effect-of-perimenopause-on-pelvic-floor-health\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pelvic floor dysfunction<\/a> isn\u2019t always about weakness. It\u2019s often about lack of responsiveness \u2014 a system that\u2019s not firing in sync.<\/p>\n\n\n\n<p>This is where many traditional fitness and medical approaches often fall short. You don\u2019t just need to \u201cget stronger\u201d \u2014 you need to get reconnected.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Why Kegels Might Not Be Working Your Pelvic Floor in Perimenopause\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/yaKda8VWrdA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Overactivity vs Underactivity<\/h3>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>What\u2019s missing is coordination. Your body needs to relearn how to relax, contract, and respond. Like any complex system, it requires retraining, not brute force.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Reconnection: What That Actually Means<\/h2>\n\n\n\n<p>Reconnection starts with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Breathwork<\/strong>: Learning to breathe with your diaphragm so your core and pelvic floor respond naturally.<\/li>\n\n\n\n<li><strong>Alignment<\/strong>: Finding a posture that lets pressure flow through your system instead of down on your pelvic floor.<\/li>\n\n\n\n<li><strong>Function-first movement<\/strong>: Exercises that link core, breath, and pelvic floor into one responsive system.<\/li>\n<\/ul>\n\n\n\n<p>This is about restoring coordination. About teaching your system to respond automatically \u2014 not something you have to manually cue with every sneeze or lift.<\/p>\n\n\n\n<p>Think of it this way: You don\u2019t consciously engage your pelvic floor every time you laugh. Or jump. Or bend. You want reflexive control, and that\u2019s what functional rehab provides.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why This Matters in Midlife<\/h2>\n\n\n\n<p>Hormones matter. Estrogen loss affects tissue integrity and muscle responsiveness. But it doesn\u2019t mean we\u2019re destined to feel broken ior stuck with pelvic floor problems during perimenopause.<\/p>\n\n\n\n<p>Instead, what we see in perimenopause is a revealing of <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/182572\" target=\"_blank\" rel=\"noreferrer noopener\">issues that were already there.<\/a> A system that has been compensating for years starts to struggle, and the symptoms become more pronounced.<\/p>\n\n\n\n<p>This is why midlife can feel like a tipping point. But it\u2019s also an opportunity to build back smarter. Not harder.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Real Life: What Women Report<\/h2>\n\n\n\n<p>Here\u2019s what we hear from women who go through MUTU:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201cI thought leaking was just my new normal. Now I feel in control again.\u201d<\/li>\n\n\n\n<li>\u201cI didn\u2019t even realise how disconnected I was. Now I can <em>feel<\/em> my core working.\u201d<\/li>\n\n\n\n<li>\u201cI stopped bracing. I started breathing. Everything changed.\u201d<\/li>\n<\/ul>\n\n\n\n<p>These aren\u2019t athletes. They\u2019re teachers, nurses, mums, and grandmothers &#8211; women who were told just to manage pelvic floor problems during perimenopause. Who found out they could do more than that \ud83d\ude42<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">MUTU: More Than a Workout<\/h2>\n\n\n\n<p>At MUTU, we don\u2019t guess. We don\u2019t tell you to clench. We show you how to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Build awareness of what\u2019s going on in your body<\/li>\n\n\n\n<li>Breathe in ways that support your system<\/li>\n\n\n\n<li>Move in ways that build real, responsive strength<\/li>\n<\/ul>\n\n\n\n<p>MUTU is clinically proven, medically endorsed, and trusted by NHS providers and pelvic health physios.<\/p>\n\n\n\n<p>This is whole-body rehab \u2014 for function, not just fitness.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ready to Reconnect?<\/h2>\n\n\n\n<p>If you\u2019re:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tired of being told it\u2019s &#8220;just your hormones&#8221;<\/li>\n\n\n\n<li>Leaking despite doing the work<\/li>\n\n\n\n<li>Dealing with a body that doesn\u2019t feel like yours anymore<\/li>\n<\/ul>\n\n\n\n<p>Then it\u2019s 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.<\/p>\n\n\n\n<p>You\u2019re not weak, or too late. Instead, you\u2019re ready to reconnect \ud83d\ude0a<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a href=\"https:\/\/mutusystem.com\/en-us\/join\/\">Start your 10-day free trial of MUTU System now<\/a><\/h2>\n","protected":false},"excerpt":{"rendered":"<p>You\u2019ve been told it\u2019s your hormones to blame for every leak, ache, or uncomfortable moment you\u2019re experiencing right now. But that story\u2019s incomplete when you&#8217;re dealing with pelvic floor problems during perimenopause. The truth is, hormonal changes matter, but they\u2019re not the full picture. Because the real issue for so many women in midlife isn\u2019t [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":7956,"comment_status":"open","ping_status":"open","sticky":false,"template":"blog-single.php","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[67],"tags":[],"class_list":["post-8032","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-perimenopause"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pelvic Floor Problems During Perimenopause<\/title>\n<meta name=\"description\" content=\"Leaks, pain, pressure or pelvic floor problems in perimenopause? 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