Menopause & Perimenopause

Menopause is a natural transition in a woman’s life. While physical changes do occur, there are ways to address the challenges you may experience so that you can thrive.

If you experience difficulties with sex or other symptoms associated with menopause, know that you’re not alone, and there are effective treatments that can help.

During menopause and perimenopause, the production of estrogen and progesterone, hormones vital for collagen production and building muscle mass, decreases over time.

Aging combined with these hormonal changes can weaken the pelvic floor, leading to pelvic floor conditions such as urinary leakage, urinary urgency, urinary frequency, and pelvic organ prolapse. Painful sex or dyspareunia can also occur due to vaginal dryness, a side effect of estrogen deficiency. Pelvic floor physiotherapy can help.

  • Urinary leakage

  • Urinary frequency

  • Urinary urgency 

  • Pelvic organ prolapse

  • Pain with sex

  • Pelvic pain

  • Strength training

Common Treatment Areas

Pelvic floor physiotherapy can treat many of the symptoms associated with menopause. 

After a thorough assessment to identify the underlying cause of your symptoms, together we’ll co-create a treatment plan that works toward your unique needs and goals.

Individualised treatment may include:

  • Education.

  • Manual therapy of the pelvic floor.

  • Specific exercises to optimise the function of your pelvic floor muscles.

  • Full-body strengthening to build and maintain strength and lower your risk of osteoporosis.

  • Recommendations on pessary use to support your pelvic organs, vulvovaginal lubricants, and moisturisers.

  • Lifestyle recommendations.

Learn what to expect from your first visit in our FAQs here.