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pelvic health

How to Build and Maintain a Healthy Pelvic Floor for Women 40+

Rachel Larson · December 14, 2025 ·

If you’re a woman in your 40s, 50s, 60s—or beyond—and you’ve noticed changes in your core strength, bladder control, or overall stability, you’re not alone. For many women, midlife brings physical shifts that can feel confusing or even frustrating. The good news? There is so much you can do to support your core and pelvic floor through these years—and you don’t have to blame yourself or push harder to see results.

Let’s break down what’s happening in the body and how to respond in a way that’s smart, sustainable, and empowering.


1. Hormonal Changes Matter—And This Is Not Your Fault

As estrogen begins to decline during perimenopause and menopause, tissues throughout the body are affected—including the pelvic floor. Estrogen helps maintain muscle tone, tissue elasticity, and circulation. When levels drop, the pelvic floor can become less responsive or weaker, which may lead to occasional urinary leakage during activities like sneezing, coughing, running, or jumping.

This does not mean you’re doing anything wrong. It means your body is changing.

Many women benefit from discussing options such as vaginal estrogen or other hormone therapies with their healthcare provider. These treatments can help support pelvic tissue health and function and are often underutilized simply because women assume symptoms are “just part of aging.” You deserve informed care and options.


2. Midlife Strength Requires a Smarter Strategy—Not Less Fuel

Another major shift that happens as estrogen declines is a reduced ability to build and maintain muscle and bone density. This is exactly why traditional advice like “eat less and exercise more” can backfire during this stage of life.

Instead, this season calls for:

  • Lifting heavier weights (appropriately and progressively)
  • Prioritizing strength training to protect muscle and bone
  • Increasing protein intake to support muscle repair and growth

This is not the time to under-fuel your body. It’s the time to fuel wisely and train intentionally. Strength is protective—it supports posture, balance, metabolism, and yes, pelvic floor health too.


3. Kegels Still Matter—But They’re Only Part of the Picture

Daily Kegels can be a powerful tool for improving pelvic floor strength and awareness. Practicing them consistently helps you reconnect to these often-ignored muscles and improves coordination and control.

For best results:

  • Practice daily Kegels (short, focused sets)
  • Integrate pelvic floor engagement into functional movement and workouts
  • Learn how to fully relax and lengthen the pelvic floor as well as strengthen it

The pelvic floor isn’t meant to be clenched all day. It’s meant to respond dynamically to movement, breath, and load. Combining isolated work and integrated movement creates the biggest gains.


4. How Flostate Supports Your Pelvic Floor—From All Angles

At Flostate, we believe optimal pelvic floor health comes from a balanced approach. That’s why our Pelvic Floor Restore On-Demand Collection is designed to:

  • Activate under-recruited muscles
  • Strengthen for support and confidence
  • Lengthen and release tension for full function

These workouts are intentional, approachable, and grounded in how the body actually works during midlife and beyond. Repetition and consistency matter most. You can do these workouts on their own or layer them onto your existing strength, cardio, or yoga routine for added support.

Small, consistent efforts add up to meaningful change. Explore our Pelvic Floor Restore collection in our On Demand Library. https://theflostate.com/on-demand/


You Are Not Broken—You Are Adapting

Your body isn’t failing you—it’s asking for a new kind of care. With the right education, strength training, fueling, and targeted pelvic floor work, you can feel strong, stable, and confident at every stage of life. This is about working with your body, not against it—and Flostate is here to support you every step of the way.

Pelvic Health Workshop and Yoga Flow

Alice Halvorson · May 10, 2024 ·

Join our Pelvic Health Workshop & Yoga Flow Session hosted by Flostate Fitness and Resilient PT & Performance! This event is aimed at anyone interested in improving their pelvic health & wellness. Prenatal, postnatal, peri and post menopausal!

SIGN UP HERE FOR IN PERSON WORKSHOP

SIGN UP HERE FOR VIRTUAL OPTION VIA ZOOM

Cost: $20
Date: Thursday, May 30th
Time: 6-7 PM
Location: Resilient PT and Performance, 257 Rivertown Drive, Woodbury, MN 55125

SIGN UP HERE FOR IN PERSON WORKSHOP

SIGN UP HERE FOR VIRTUAL OPTION VIA ZOOM

At the workshop, you’ll learn about the anatomy & function of the pelvic floor, common pelvic health issues including leakage & prolapse, & ways to prevent & manage them. The session will be interactive & informative, with plenty of time for questions & answers.

After the workshop, we’ll move into a full body, 30-minute yoga flow with an emphasis on pelvic floor health, strength & core function. You’ll learn exercises & yoga poses to do at home, & this will be a great opportunity to put into practice what you’ve learned in the workshop!

The yoga session will be suitable for all levels, from beginners to advanced yogis! Be sure to bring your own yoga mat.

So, mark your calendars & spread the word. This is an event you won’t want to miss!

Questions? Email us at info@theflostate.com.

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The Flostate | PO Box 251155, Woodbury, MN 55125 | info@theflostate.com | 651-412-1778

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