Your body is changing. Your care should keep up.
Perimenopause and menopause bring real shifts in the pelvic floor — and the symptoms that come with them are common, but they are not something you simply have to accept.
You might be experiencing
- New or worsening leaking with a sneeze, laugh, or workout
- A sudden, hard-to-control urge to go
- Pelvic heaviness or pressure
- Discomfort or pain during intimacy
- Pelvic floor tension or aching
- Feeling like your core just isn't the same
Recognize any of this? You have options — request an appointment or call us.
Why this happens
As estrogen levels shift during perimenopause and menopause, the tissues and muscles of the pelvic floor change too — becoming less elastic, sometimes weaker, sometimes tighter. Those changes can bring on leaking, urgency, pressure, and discomfort that may feel new or unfamiliar. It's a real, physical change, not something in your head, and it responds to real, physical care.
How we treat it
We start with a full evaluation to understand exactly what's changed for you, then build a plan around it — pelvic floor strengthening or release, coordination and pressure-management strategies, and hands-on manual therapy where it helps. The goal is to keep you strong, comfortable, and active for the decades ahead, not to slow down.
I am amazed at how much a pelvic floor dysfunction can affect your daily life — and I never had children, so it isn't just a pregnancy issue. Jill goes the extra mile to be thorough in evaluation and treatment, always making sure your comfort level is not pushed.
— Heidi H., She PT patient