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What causes pelvic pain after menopause?

Written by John Smyth - January 11, 2023

What Causes Pelvic Pain After Menopause?

Pelvic pain after menopause can be caused by a variety of factors. Musculoskeletal changes, hormonal imbalances, and even depression can all be contributing factors.

Musculoskeletal Changes

The end of menstruation marks the start of menopause. During this time, women often experience a decrease in their estrogen levels and an increase in their body mass index (BMI). Both of these physical changes can lead to pelvic pain due to increased tension in the muscles and tissues surrounding the pelvis. Over time, this tension can cause chronic pain that may not be relieved by traditional therapies.

Hormonal Imbalance

Hormone imbalance is another factor that could contribute to pelvic pain after menopause. Women's hormone levels naturally fluctuate throughout life but during menopause, these fluctuations become extreme. Estrogen plays a huge role in regulating a woman’s menstrual cycle but also affects her overall health. As estrogen levels drop, many women experience extreme discomfort due to thinning of their uterine walls and other symptoms associated with decreased estrogen production such as hot flashes, night sweats, and irritability.


In addition to the physical causes of pelvic pain experienced during menopause, some research shows that psychological factors such as depression could also play a role in exacerbating this issue. Studies have shown that when a woman suffers from major depression or another mental health condition she may also experience increased pelvic pain post-menopausal than those who do not suffer from mental health issues. This combination could be further aggravated if her mental health disorder goes untreated or unrecognized by medical professionals. To help reduce her risk for pelvic pain after menopausal, it’s important for women to seek treatment for any underlying mental health concerns they may have at this stage in life.

Treatment Options

Fortunately there are several treatments available for managing pelvic pain after menopause:

  • Maintaining healthy diet habits
  • Regular exercise regimen
  • Stress management techniques like yoga/meditation practice
  • Hormone replacement therapy (HRT), especially for those who are experiencing hormonal imbalances due to natural aging process

For severe cases where the above methods do not provide relief or cannot be done due to other contraindications, surgical interventions such as nerve ablation or radiofrequency ablation may be recommended by your doctor. At HGH Treatment clinic we specialize in providing customized HRT plans tailored specifically to each woman's individual needs so you can find relief from your pelvic pain quickly and safely without compromising on quality care

No matter what treatment option is best for you there is no one-size-fits-all solution when it comes to finding relief from post-menopausal pelvic pains so it's important for women to always consult with their healthcare provider before starting any course of treatment

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