Pilates, Pelvic Floor and Perimenopause & Menopause
- duftyc
- Nov 11, 2025
- 2 min read
Many people think the pelvic floor only matters after having a baby…
But during perimenopause and menopause, it plays a huge role in how your body feels and functions; in and out of Pilates class.
Changes that affect the pelvic floor during perimenopause/menopause
As estrogen levels shift, the muscles and tissues that support your bladder, core, and organs can lose some tone and elasticity. That’s why things like bladder leaks, pelvic pressure, difficulties/pain during intercourse, and/or changes in core strength can show up, even if you’re active and strong.

What can you do to help the pelvic floor during this time?
There's good news!
You can train your pelvic floor just like any other muscle group.
When it’s working well, it helps with:
• Bladder and bowel control
• Core stability and posture
• Pelvic organ support
• Movement efficiency and control
Learning how to connect to these deep muscles, and when to let them relax, can make your Pilates practice (and everyday life) feel stronger, lighter, and more supported.
Having trouble connecting to your pelvic floor muscles?
If you’ve noticed changes in your bladder, core, hips, or lower back, or just want to better understand your body during this stage of life, pelvic floor physical therapy can help you learn what’s normal, what’s not, and how to build lasting strength from the inside out.
Want to learn more?
Come and join Dr Johanna and myself for our upcoming Pelvic Floor and Pilates workshop! Click on the link below to sign up!
If you would like to join one of our group mat classes or private pilates session to help you gain strength during perimenopause and menopause click the link below to book!
Thank you to Dr Johanna at The Hope Doctors for contributing to this blog post.





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