Pelvic Floor Symptoms Across Menopausel Stages

The menopausal transition is associated with substantial hormonal alterations that may adversely affect lower urinary tract function, bowel function, and sexual health. Although these symptoms are common, few studies have comprehensively evaluated all three pelvic floor compartments across different menopausal stages. The aim of this study is to compare lower urinary tract symptoms, bowel symptoms, and female sexual function among women in the perimenopausal, early postmenopausal, and late postmenopausal stages. In addition, the relationship between menopausal stage and symptom severity will be investigated.

Inclusion Criteria: * Female * Age 40-65 years * Intact uterus and at least one ovary * Perimenopause or postmenopause according to STRAW+10 criteria * Able to read and understand Turkish Exclusion Criteria: * Hormone replacement therapy within the previous 6 months * Oral contraceptive use * Antipsychotic medication use * Previous pelvic surgery * Neurological or systemic diseases affecting bladder or bowel function * Active urinary tract or vaginal infection * Pelvic radiotherapy or chemotherapy history * Active gynecological or urological malignancy * Alcohol or substance abuse during the previous year