Menopause - Navigating Change with Support and Care

Menopause marks a significant transition in a woman's life - the end of her reproductive years. This natural process, typically occurs between the ages of 45 and 55. It brings a variety of physical and emotional changes.

While some women navigate menopause with minimal discomfort, others may experience a range of symptoms that impact quality of life. One often-overlooked area is pelvic health.

Pelvic physical therapy (PT) offers a targeted approach to manage these changes and maintain pelvic health. Let’s explore the connection between menopause and pelvic PT, and how it can be beneficial during this transition.

Understanding Menopause

Menopause is the cessation of menstruation for twelve consecutive months, marking the end of menstrual cycles. It occurs due to a decline in ovarian function and the resultant drop in estrogen and progesterone levels. This hormonal shift can lead to a variety of symptoms, including:

●      hot flashes

●      night sweats

●      mood swings

●      sleep disturbances

●      vaginal dryness

●      decreased libido

●      urinary incontinence

●      pelvic organ prolapse

While most symptoms are widely discussed, issues related to pelvic health often remain underreported and undertreated.

The Impact of Menopause on Pelvic Health

The decrease in estrogen levels during menopause affects the tissues of the pelvic floor, which can lead to several problems:

·      Vaginal Dryness and Atrophy

Estrogen helps maintain the elasticity and moisture of vaginal tissues. Reduced estrogen levels can cause vaginal dryness, irritation, and thinning of the vaginal walls (atrophy), leading to discomfort during intercourse and increased risk of infection.

·      Urinary Incontinence

The pelvic floor muscles play a crucial role in supporting the bladder and maintaining continence. Hormonal changes and the natural aging process can weaken these muscles, resulting in stress urinary incontinence (leakage during activities like coughing, sneezing, or exercising) or urge incontinence (a sudden, intense need to urinate).

·      Pelvic Organ Prolapse

A weakening of the pelvic floor muscles and connective tissues can lead to pelvic organ prolapse - the bladder, uterus, or rectum descends into the vaginal canal. This condition can cause discomfort, pressure, and difficulties with urination or bowel movements.

How Pelvic Physical Therapy Can Help

Pelvic physical therapy is a specialty focused on evaluating and treating conditions related to the pelvic floor. Pelvic PT can provide significant relief and improve quality of life for women experiencing menopause-related, pelvic health issues through:

·      Comprehensive Assessment

Pelvic PT begins with a thorough assessment of the pelvic floor muscles, including strength, flexibility, and coordination. This evaluation helps the therapist identify specific issues and tailor a personalized treatment plan.

·      Pelvic Floor Muscle Training

One of the core components of pelvic PT is pelvic floor muscle training (PFMT), often referred to as Kegel exercises. These exercises aim to strengthen the pelvic floor muscles, improving support for the bladder, uterus, and rectum, and reducing symptoms of incontinence and prolapse.

·      Manual Therapy

Pelvic PT may include manual therapy techniques to address muscle tension, trigger points, and connective tissue restrictions. This hands-on approach can help alleviate pain and improve muscle function.

·      Biofeedback

Biofeedback is a tool used in pelvic PT to provide real-time information about muscle activity. It helps patients learn how to correctly perform pelvic floor exercises and gain better control over these muscles.

·      Education and Lifestyle Modifications

Pelvic PT also involves educating patients about bladder and bowel health, proper toileting techniques, and lifestyle modifications. This may include dietary changes, hydration strategies, and tips for maintaining a healthy weight to reduce pelvic floor strain. For optimal toileting posture, we recommend using a Squatty Potty.

·      Addressing Sexual Health

For women experiencing vaginal dryness and discomfort during intercourse, pelvic PT can provide strategies to improve sexual health. This may include the use of vaginal moisturizers, lubricants, and techniques to enhance intimacy without pain.

We recommend Via Vaginal Moisturizer for vaginal dryness.

The Holistic Approach

At Solstice Physiotherapy, we consider the connection between physical, emotional, and social factors in your pelvic health. We encourage women to take an active role in their care, empowering them to manage symptoms effectively and improve their overall well-being. If you’re experiencing pelvic health issues related to menopause, contact us and take the first step in this new chapter of life. Email us at info@solsticept.com or call (929) 269-2505 to schedule a free, 15-minute consultation.

With the right support and care, you can navigate these changes and continue to live a vibrant, fulfilling life.