Liz is hot on the heels of presenting at a very successful information night about menopause and is feeling motivated to share how a pelvic health physiotherapist can support you during one of the most universal life events for people with a uterus. Physio’s work alongside GPs, gynecologists, dieticians, psychologists, and many other health professionals during this often-overwhelming time.
How can pelvic health physio help you manage some of the symptoms of menopause?
Vaginal dryness and atrophy – reduced oestrogen levels are one of the main reasons your vagina may feel dry and irritated, and why you may experience pain during intercourse.
My tips for this?
Be nice to your vulva
Wear cotton undies, avoid highly perfumed soaps and only wash this area with warm water.
Try a vaginal moisturiser. I recommend Olive and Bee intimate cream, or your GP might suggest vaginal oestrogen.
Use a water-based lubricant. Such as Sliquid or good ol’ K Y Jelly.
Enjoy sex and intimacy. On your own or with a partner. Sex and masturbation increase sensation, blood flow and natural lubrication of the vagina. They are also great for your mood and to promote relaxation.
Urinary urgency, frequency, and incontinence – the sudden, sometimes uncontrollable urge to go to the toilet can increase during menopause. This might have you racing to the toilet more often and can sometimes be accompanied by urinary leakage. Again, reduced oestrogen levels are partly to blame, but your bladder habits and pelvic floor muscle strength and control also contribute.
My tips for this?
Urgency – the way you respond to urgency can dictate whether it worsens or improves. Simple steps to ease urgency include trying to identify triggers (eg. running water, caffeine), remaining calm, breathing deeply, and trying to distract attention away from the bladder.
Frequency – often resolves once urgency has eased, but strengthening weak pelvic floor muscles is also highly beneficial.
Incontinence –pelvic floor exercises can make a big difference, but other things like maintaining a healthy body weight, quitting smoking, and keeping bowels regular are also things to consider.
Should you see a pelvic floor physio?
If you are bothered by any of the symptoms outlined above, or you are concerned about other bladder or bowel changes, then a visit with a pelvic floor physio would be useful. The advantage of a personalised assessment is a personalised treatment plan. Your physio will consider your symptoms, your lifestyle, and your goals to develop a program that is uniquely yours.
To learn more about pelvic health physiotherapy, click here.
To meet Liz, click here. To make a booking, call or book online.
1 Disclaimer: the information in this blog is for informational or educational purposes only and does not
substitute professional medical advice or consultations with healthcare professionals.
2 The vulva includes the labia, clitoris, urethra, vagina, and perineum.