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Writer's pictureRachel Jean Hermogenes

Preventing Pelvic Floor Issues as You Age: Tips for Women Over 40

Focus on how women can maintain pelvic floor health as they enter menopause and beyond.

As we age, our bodies go through a myriad of changes, and one area that often gets overlooked is the pelvic floor. For women over 40, maintaining pelvic health is crucial not only for physical wellbeing but also for overall quality of life. Thankfully, there are effective strategies to prevent pelvic floor issues, ensuring you stay active and comfortable as you navigate this new chapter.


Understanding the Pelvic Floor

The pelvic floor is a group of muscles and ligaments that support the bladder, uterus, and rectum. Over time, factors such as hormonal changes, childbirth, and the natural aging process can weaken these muscles, leading to problems such as incontinence, pelvic organ prolapse, and discomfort during intimate activities.


1. Embrace Pelvic Floor Exercises

One of the most effective ways to strengthen your pelvic floor is through targeted exercises, commonly known as Kegels. These involve contracting and relaxing the pelvic floor muscles, helping to improve muscle tone and function. Aim to do these exercises daily, gradually increasing the number of repetitions as you get stronger. It’s advisable to consult a healthcare professional to ensure you’re performing them correctly.

2. Maintain a Healthy Weight

Excess weight can put additional pressure on your pelvic floor, increasing the risk of dysfunction. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help manage weight and promote overall health. Regular physical activity—whether it’s walking, swimming, or yoga—can also play a significant role in maintaining a healthy weight and strengthening core muscles.

3. Stay Hydrated

Drinking plenty of water is essential, not only for general health but also for pelvic floor function. Proper hydration helps maintain healthy bladder function and can prevent urinary tract infections, which can exacerbate pelvic floor issues. However, it’s also important to avoid excessive caffeine and alcohol, as these can irritate the bladder.

4. Prioritise Posture

Poor posture can contribute to pelvic floor dysfunction. Be mindful of your body alignment when sitting, standing, or exercising. Engaging your core muscles and maintaining a neutral spine can help support your pelvic floor. Consider activities like Pilates or yoga, which emphasise proper alignment and strengthen the core and pelvic floor muscles.

5. Be Cautious with Heavy Lifting

If your lifestyle involves heavy lifting—whether at work or during workouts—be mindful of how it affects your pelvic floor. When lifting, use your legs rather than straining your back, and avoid holding your breath, as this can increase intra-abdominal pressure and put stress on your pelvic floor.

6. Manage Chronic Coughing and Constipation

Conditions that lead to chronic coughing or constipation can significantly impact pelvic floor health. If you have a persistent cough, it’s essential to address the underlying cause, whether it’s allergies or a respiratory issue. Similarly, ensure you’re consuming enough fibre and staying hydrated to prevent constipation. If needed, consult a healthcare professional for advice on managing these conditions effectively.

7. Stay Informed and Seek Professional Help

Education is key to maintaining pelvic health. Stay informed about changes in your body and don’t hesitate to seek help from a pelvic health specialist or physiotherapist if you experience symptoms. Early intervention can make a significant difference in preventing more serious issues down the line.


As women age, it’s crucial to prioritise pelvic floor health. By incorporating these tips into your daily routine, you can help prevent pelvic floor issues and enjoy a more active, fulfilling life. Remember, it’s never too late to start caring for your body. With a bit of awareness and proactive measures, you can navigate this stage of life with confidence and vitality.




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