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Embracing Change: The Role of Pelvic Floor Physiotherapy During Perimenopause



Perimenopause marks a period of transition towards menopause, signalling the end of a woman's reproductive years. This phase, often starting in a woman's 40s (but sometimes earlier), brings about numerous physiological changes, including fluctuations in hormone levels. These changes can have a significant impact on the pelvic floor muscles, leading to symptoms that affect a woman's quality of life. Here, we delve into how pelvic floor physiotherapy can be a game-changer during this transformative time.


Understanding the Pelvic Floor in Perimenopause

The pelvic floor is a complex network of muscles, ligaments, and tissues that support the pelvic organs (the bladder, uterus, and rectum). Estrogen, a key hormone that diminishes during perimenopause, helps maintain the strength and flexibility of these tissues. As estrogen levels fluctuate and ultimately decrease, women may experience weakening of the pelvic floor muscles, leading to a range of symptoms such as urinary incontinence, pelvic organ prolapse, and sexual dysfunction.


The Power of Pelvic Floor Physiotherapy

Pelvic floor physiotherapy is a specialized form of physical therapy that focuses on the pelvic floor muscles. By targeting these muscles through specific exercises and techniques, physiotherapy can alleviate perimenopausal symptoms related to pelvic floor dysfunction. Here's how it helps:


1. Strengthening the Pelvic Floor: Pelvic floor exercises are at the heart of physiotherapy. These exercises strengthen the muscles, improving support for the pelvic organs and reducing symptoms like incontinence and pelvic pain.

2. Improving Bladder Control: By strengthening the pelvic floor, physiotherapy can enhance bladder control, reducing the urgency and frequency of urination, and helping manage stress urinary incontinence (leakage when coughing, sneezing, or exercising).

3. Alleviating Pelvic Organ Prolapse Symptoms: Pelvic organ prolapse, where one or more of the pelvic organs drop from their normal position, can be managed through targeted exercises that provide better support for these organs.

4. Enhancing Sexual Function: A strong pelvic floor can lead to improvements in sexual sensation and orgasmic potential by increasing blood flow to the pelvic region and enhancing muscle tone.

5. Reducing Pain: For some women, perimenopause can increase the occurrence of pelvic pain. Pelvic floor physiotherapy can offer techniques for relaxing tense muscles, thereby reducing pain during sexual activity or in everyday life.


Getting Started with Pelvic Floor Physiotherapy

Seeking the expertise of a pelvic floor physiotherapist is the first step. These specialists can assess your pelvic floor function and tailor a treatment plan to your specific needs. Treatment may include:

  • Educational Sessions: Understanding how to correctly perform pelvic floor exercises is crucial, and a physiotherapist can provide this guidance.

  • Manual Therapy: Hands-on techniques to improve the mobility and function of pelvic floor muscles and tissues.

  • Biofeedback: Using sensors to monitor the pelvic floor muscles, helping you learn how to activate them effectively.


Embracing a Proactive Approach

Perimenopause is a time of significant change, but it also offers an opportunity to focus on your health and well-being. Incorporating pelvic floor physiotherapy into your routine can not only help manage and alleviate symptoms associated with the changing hormone levels but also improve your overall quality of life during this transitional period.


As we navigate the perimenopausal years, let's prioritize our pelvic health. If you're experiencing symptoms of pelvic floor dysfunction, consider consulting with a pelvic floor physiotherapist. Together, you can work towards a stronger, more resilient pelvic floor, ready to support you as you move into the next stage of life.


Ready to embark on a holistic journey to hormonal balance? Schedule a personalized consultation with me, Natalie Hennessey, Naturopathic Doctor, and let's navigate your perimenopause together. Take charge of your well-being – contact me today and step into a healthier, more vibrant you!

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