Perimenopause can affect more than your period, sleep, and mood—it can change your pelvic floor, too. Learn why urinary urgency, leaking, painful sex, vaginal dryness, constipation, pelvic pressure, and changes in strength may appear during perimenopause, plus what you can do to improve symptoms. Discover how pelvic floor physical therapy can help you stay strong, active, and confident through menopause and beyond.