Youth Incorporated Magazine

The weakening of the pelvic floor muscles is one of the significant anatomical changes that occur with menopause in women. This may result in pelvic organ prolapse, discomfort, and urine incontinence. 

As per Frontiers, research indicates that pelvic organ prolapse is a common issue among women who are over 40 years old today. This condition tends to be particularly prevalent among elderly women and those who have gone through menopause recently. Estimates suggest that between 41% and 50% of women in these age groups experience symptoms of pelvic organ prolapse.

However, it’s possible to improve pelvic floor health through specific exercises and lifestyle adjustments. Strengthening these muscles helps prevent these issues while boosting overall fitness and improving core stability and posture. In this guide, we will explore effective ways to strengthen your pelvic floor and enhance your overall fitness post-menopause.

Pelvic Floor Muscle Health Post-Menopause

The tissues and muscles that make up the pelvic floor provide a supportive cushion at the base of the pelvis. These muscles regulate bladder and bowel motions and maintain your reproductive organs. 

WHO notes that the majority of women naturally experience menopause as part of the aging process between the ages of 45 and 55. However, menopause can also result from certain surgical or medical procedures. Essentially, it happens due to the loss of ovarian follicular function and a drop in estrogen levels in the bloodstream.

After menopause, hormonal changes, especially the drop in estrogen, can cause these muscles to weaken. This leads to issues like urinary incontinence, pelvic organ prolapse, and reduced core strength. 

Strengthening your pelvic floor helps counteract these challenges. Not only does it improve bladder control, but it also stabilizes your spine, supports internal organs, and enhances your overall fitness. A strong pelvic floor also aids in improving balance, posture, and reproductive health, which are critical as we age.

Transvaginal Mesh for Pelvic Floor Problems

In more severe cases of pelvic organ prolapse, when physical therapy and exercises are insufficient, medical interventions such as transvaginal mesh may be considered. This mesh is used to provide structural support to the pelvic organs and prevent further prolapse, helping to relieve discomfort and restore function. However, it is important to consult with a healthcare professional, as mesh implantation carries risks and potential complications. 

Some women experience severe complications, including chronic pain, infections, mesh erosion into surrounding tissues, and damage to nearby organs. In many cases, these side effects can lead to further surgeries or long-term discomfort, significantly impacting quality of life.

According to TorHoerman Law, many women have pursued transvaginal mesh lawsuits against manufacturers who produced the mesh products in response to these serious risks. These lawsuits allege that producers did not guarantee the long-term safety of the drugs and neglected to alert patients to potential dangers. Settlements from these lawsuits have resulted in millions of dollars in compensation for affected women, but legal proceedings can be lengthy and emotionally taxing. 

Drugwatch states that around 95% of transvaginal mesh cases had been settled or decided by juries as of October 2024. Manufacturers have resolved these lingering lawsuit difficulties by paying more than $8 billion in settlements and verdicts. This highlights the significant transvaginal mesh settlement amounts that continue to emerge.

What should women know before considering transvaginal mesh?

Before considering transvaginal mesh, women should understand the potential risks, including complications like pain and erosion. It’s crucial to have a detailed discussion with a healthcare provider about all available options, including non-surgical alternatives. Researching the manufacturer’s history and patient reviews can also provide valuable insights.

Lifestyle Adjustments to Support Pelvic Health

Beyond exercise, certain lifestyle changes can greatly improve your pelvic health post-menopause. Maintaining a healthy weight is critical, as excess weight can place additional pressure on the pelvic floor. This can lead to further muscle strain and even worsening incontinence or prolapse. Eating a fiber-rich diet and staying hydrated will also help prevent constipation, which can cause straining during bowel movements and impact your pelvic muscles.

NIH emphasizes the importance of being cautious with activities that can exert pressure on the pelvic floor, like heavy lifting and intense abdominal exercises. Theoretically, both long-distance running and heavy weightlifting could negatively affect the pelvic floor. The repeated impact from ground reaction forces during running can take a toll on these muscles. Similarly, heavy lifting increases intra-abdominal pressure (IAP), which may also contribute to pelvic floor issues.

Opting for gentler, low-impact activities like walking, swimming, or cycling can support pelvic health without straining the muscles. 

Additionally, good posture and body mechanics play a crucial role in maintaining pelvic strength. Maintain good posture by standing tall, keeping your shoulders back, and engaging your core to reduce unnecessary stress on the pelvic floor area. Taking time to relax and practice stress management techniques can also have a positive impact, as stress can contribute to muscle tension and discomfort.

How can sleep quality affect pelvic health?

Sleep quality plays a vital role in pelvic health, as poor sleep can lead to increased stress and muscle tension. Ensuring adequate rest helps regulate hormones and supports recovery, promoting better muscle function. A regular sleep schedule may greatly improve pelvic health and well-being in general.

When to Seek Professional Help for Pelvic Floor Issues

Professional help is sometimes required, even though lifestyle modifications and strengthening exercises are often beneficial. If you notice persistent pelvic pain, difficulty controlling urination, or symptoms of prolapse, it’s important to consult a healthcare provider. 

A pelvic floor specialist or physical therapist can offer targeted exercises and treatments tailored to your specific needs, helping you regain control and comfort. In some cases, advanced medical treatments, such as biofeedback, electrical stimulation, or even surgery, may be recommended. 

For women with severe symptoms like prolapse or incontinence, early professional guidance can prevent complications and support an active, healthy lifestyle.

How can emotional health impact pelvic floor problems?

Emotional wellness may have a substantial influence on pelvic floor difficulties since stress and worry can cause muscular tension and pain. If you are feeling overwhelmed or concerned about your pelvic symptoms, consulting a mental health expert can help. Addressing emotional issues can enhance pelvic health and comfort.

Strengthening your pelvic floor following menopause is critical to your overall health and well-being. While exercise and lifestyle modifications might help, it’s critical to visit a healthcare practitioner for personalized guidance.

In more severe situations, transvaginal mesh may be a solution, but the risks and benefits should always be considered first. Focusing on your pelvic health allows you to improve your quality of life, keep your freedom, and thoroughly enjoy this chapter of life. Remember, it’s never too late to take proactive steps toward a stronger pelvic floor and better overall fitness.