Does menopause increase prolapse risk?
Yes, the risk of pelvic organ prolapse increases after menopause. This is mainly due to decreased oestrogen levels, which cause weakening of the pelvic floor muscles and vaginal tissues.
Detailed Medical Explanation
Oestrogen helps keep pelvic tissues strong and elastic. After menopause, oestrogen levels drop, resulting in weaker vaginal walls and pelvic floor muscles. This increases the chance of prolapse and makes existing prolapse more noticeable. Hormone replacement therapy (HRT) and pelvic floor exercises may help reduce risk and symptoms. (NHS: Pelvic organ prolapse)
Clinical Context
Women after menopause should monitor for symptoms and continue regular pelvic floor exercises. Discuss HRT and prevention with your GP if concerned.
Evidence-Based Approaches
NHS and NICE confirm that postmenopausal decline in oestrogen is a significant risk factor for prolapse.