Navigating Menopause: A Woman's Health Journey

Menopause: It's not just a single day, but a natural transition marking the end of a woman's reproductive years. This shift typically happens between 45 and 55, and while it's a normal part of life, it can bring hormonal changes that impact various aspects of health, including the pelvic floor.

As a women's health physiotherapist, I'm here to guide you through how menopause affects the pelvic floor and how specialised care can improve your quality of life during this time.

Estrogen: The Multitasking Marvel

Think of estrogen as a conductor in the body's orchestra. It influences many systems, including cardiovascular health, bone density, and even muscle mass. But guess what? The pelvic floor and bladder have estrogen receptors too!

Menopause and the Pelvic Floor: What to Expect

With less estrogen around, the bladder can become less flexible, leading to more frequent urination and a sudden urge to go. The urethra, the pathway for urine, might also be affected. It could lose some of its strength and leak more easily.

Menopause can also alter the vaginal pH, making you more susceptible to urinary tract infections. On top of that, vaginal dryness and pelvic floor changes can affect sexual function and intimacy.

Taking Charge of Your Health

There are ways to manage these changes! Talk to your doctor about vaginal estrogen – it can be a great option for some women. Even if you're already using hormone replacement therapy (HRT), vaginal estrogen can be particularly helpful for urinary issues and painful sex.

Pelvic floor training can also be a game-changer. These exercises strengthen the muscles, which can improve bladder control and potentially even address lubrication issues by enhancing blood flow to the area.

Don't Go Through This Alone

If you're experiencing pelvic floor symptoms during perimenopause or post-menopause, a pelvic health physiotherapist is your friend! We understand the hormonal changes you're going through and can provide the support and guidance you need to navigate this transition smoothly.