Can hormonal changes cause prolapse?
Yes, hormonal changes—especially the drop in oestrogen during menopause—are a significant factor in pelvic organ prolapse. Oestrogen keeps pelvic tissues strong and elastic; loss of oestrogen weakens these supports over time.
Detailed Medical Explanation
Throughout life, hormonal shifts (e.g. pregnancy, childbirth, menopause) affect pelvic support. After menopause, oestrogen decline leads to loss of elasticity and strength in vaginal and pelvic tissues. This makes prolapse more likely or can worsen existing prolapse. Hormone replacement therapy and pelvic floor exercises may help. (NHS: Pelvic organ prolapse)
Clinical Context
Discuss hormonal changes, HRT, and prevention with your GP, especially at menopause. Early support helps preserve pelvic health.
Evidence-Based Approaches
NHS and NICE confirm the link between oestrogen loss and prolapse risk after menopause.