The main risk factors for pelvic floor muscle dysfunction are pregnancy, vaginal delivery, birth trauma, and presumably systemic connective tissue dysplasia. The noninvasive diagnosis of the status of the microcirculatory bed, especially laser Doppler flowmetry (LDF), assumes particular relevance in modern clinical practice. Objective — to assess the pelvic floor microcirculatory bed by laser Doppler flowmetry in reproductive-aged women. Subject and methods. All patients were divided into 3 groups: 1) 33 women after vaginal delivery, including 18 women who had undergone an episiotomy and 15 who had not; 2) 31 patients who had delivered their babies via cesarean section. A control group (Group 3) consisted of women who had no previous pregnancies. Laser Doppler flowmetry was performed once during 30 seconds at 2 points of the anterior and posterior vaginal walls. Results. In all the groups, the readings of laser Doppler flowmetry of the posterior vaginal wall tended to be higher than those of the anterior wall. The laser Doppler flowmetry readings were significantly lower in the vaginal delivery group than in the control group. These readings tended to be lower in the episiotomy subgroup than in the non- episiotomy group, which may assume that the microcirculation is reduced in the tissues of the pelvic floor in this group of women due to perineal trauma during childbirth. The cesarean section group also showed a significant decrease in blood flow compared to the control group; however, the laser Doppler flowmetry readings in Group 2 were slightly higher than those in the vaginal delivery group. In this group, other mechanisms of microcirculatory disorders unassociated with the labor process are obvious to be of importance. Conclusion. Laser Doppler flowmetry is noninvasive and can be used to diagnose pelvic floor microcirculatory disorders. The findings necessitate further studies of the mechanisms of pelvic floor microcirculatory disorders in women.