Declining levels of oestrogen can lead to a weakening of the pelvic floor muscles, which support your bladder, uterus, and bowel. This natural hormonal shift can reduce muscle tone and elasticity, increasing the risk of incontinence, prolapse, or bladder urgency. The good news? With the right care and exercises, these issues can be managed effectively.

Yes, absolutely. Pelvic floor (or Kegel) exercises strengthen the muscles that control your bladder and support pelvic organs. Many women notice improvements in leakage, urgency, and overall control within just a few weeks of consistent practice. We can guide you on how to do them correctly and integrate them into your daily routine.

Early signs include occasional leaking when you laugh, cough or sneeze, a feeling of vaginal heaviness, increased trips to the toilet, or difficulty fully emptying your bladder. If you notice any of these changes, it’s a good idea to speak to a menopause-aware clinician sooner rather than later.

Yes, it can be. As oestrogen levels fall, the tissues in the vaginal and urinary tract can become thinner and more sensitive. This can lead to discomfort, urinary urgency, and more frequent urinary tract infections (UTIs). Local oestrogen therapy and simple daily changes can make a big difference.

Not always – but for some women, especially those with moderate to severe symptoms or prolapse concerns, pelvic health physiotherapy can be incredibly helpful. We work closely with trusted professionals in West London and can refer you for expert assessment and treatment if needed.