Menopause and the Pelvic Floor – Find Your Power

Is menopause leaving you with some not-so-welcome feelings? 

For many of us, the time before and after menopause can be accompanied by some unexpected experiences. Hormonal changes can affect your vaginal tissues, leaving you more prone to tissue irritability, urinary incontinence, and painful sex. 

Perhaps weight gain is what you have been struggling with. These changes, in addition to life stressors, may contribute to insomnia, brain fog, and irritability. 

Pelvic organ prolapse can also occur as a result of menopause. This can happen when an organ (your bladder, for example) sits lower in your body, creating a sensation of pressure or heaviness in your pelvis.  This may happen because of a hormonally-driven softening of the tissues holding up your organs, especially if your pelvic floor is also out of balance.    

Your pelvic health physiotherapist can help to make this time of your life a more positive experience. They can help you to learn how to relieve symptoms that you may already be experiencing, and they can help you to take action now to maximize your health in the future. 

Together you can develop a plan to help you move towards optimal bone health, pelvic health, weight management, sleep, and mental health.  

Here’s how:

Understand what is happening to create these changes.
See the interconnectedness of all of these experiences: working on one area of your health will help to resolve what is happening in other areas.

Balance the pelvic floor muscles to enhance urinary continence and to support the weight of your organs.

Integrate your pelvic floor muscles into the rest of your inner core to enable you to exercise safely and without pain.

Soften your pelvic floor and your nervous system to help reduce pelvic pain, to create an appropriate stress response in your body, and to help your pelvic floor muscles function optimally as a coordinated group.

Contribute to weight management and bone health through specific forms of exercise and simple dietary habits.

Help to prevent/minimize pelvic organ prolapse by creating a strong pelvic floor that activates when it needs to be active, and that is able to relax when appropriate.

Soothe and heal irritated vaginal tissues with moisturizers and other evidence-based topical formulations.

Sleep more soundly by decreasing your need to get up at night to urinate, by decreasing pain that you may be experiencing, and by developing helpful sleep hygiene habits.

Interested in learning more? Contact Michelle at

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