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Changes in estrogen levels can affect connective tissue elasticity, tissue support, and overall pelvic floor function, which may increase the likelihood of symptoms such as prolapse, leakage, or pelvic discomfort

doi: 10.1016/j.ajpath.2021.05.011 174 GonzlezCAlonsoAGruesoNAEstebanMMFernndezSPattersonAM