Perimenopause + Menopause

Many women experience pelvic floor concerns later in life or related to the onset of perimenopause or menopause.

Perimenopause is the transition phase that leads to menopause. This typically begins in a woman’s late 40’s and can last several years. This transitional phase brings fluctuating hormone levels and irregular cycles. It can also create a new onset of urinary leakage, urinary urgency and/or frequency, increased pelvic pressure, painful intercourse, or constipation.

Why does this happen? During this transitional life phase, estrogen levels decrease. Estrogen helps to keep the pelvic muscles and tissues elastic, thick, and with good blood supply. With a decrease in your body’s estrogen, combined with the natural aging of muscles, we can see an onset of new bladder, bowel, and sexual dysfunctions.

Treating these conditions often requires a multidisciplinary team approach which may include your gynecologist or primary care doctor in addition to your pelvic floor physical therapist.

While not all pelvic floor symptoms surrounding perimenopause and menopause are rooted in pelvic floor muscle dysfunction, many are and respond well to an individualized treatment plan.

A female in menopause, perimenopause with pelvic floor changes. An aging female needing pelvic floor physical therapy.
A female in menopause, perimenopause with pelvic floor changes. An aging female needing pelvic floor physical therapy.
A female in menopause, perimenopause with pelvic floor changes. An aging female needing pelvic floor physical therapy.

Menopause + Pelvic Floor Reset Package

We offer a 4 visit package tailored to women in perimenopause and/or menopause that is focused on education + individualized treatment + home program.

What’s included:

One, 60 minute in-person initial evaluation

Three, 60 minute in-person treatment sessions

Total: $585 (this package is discounted at 10% for each session!)

  • "As a woman in her mid 60s, I am extremely grateful for Kathy’s professionalism and care. She has helped me through a number of issues, some related to pelvic health and others due to injury. I recently suffered two pelvic fractures, due to a fall. Kathy assisted me in using crutches and managing self care during the time the fractures were healing. She later prescribed a plan for rebuilding strength and resuming normal activities. I am happy to say that I have fully recovered! Kathy is knowledgeable, professional and supportive. She provides personalized care in a relaxing environment. I am especially grateful for her expertise in treating “mature” women"

    —Karen R