Menopause is a natural phase of life that marks the end of menstruation. However, for many women, the hormonal changes associated with menopause can begin during perimenopause and bring about a variety of physical symptoms. Among these are genitourinary symptoms, which can significantly impact daily life and overall well-being. Fortunately, pelvic floor physical therapy offers effective, non-invasive solutions to address these concerns and help women regain comfort and confidence.
What Are Genitourinary Symptoms of Menopause?
Starting in perimenopause estrogen levels decline, leading to changes in the genitourinary system. These changes are part of a condition known as genitourinary syndrome of menopause (GSM). Common symptoms include:
- Vaginal dryness and irritation: Reduced estrogen can thin the vaginal walls and decrease natural lubrication, causing discomfort during daily activities or sexual intercourse.
- Urinary incontinence: Weakening of the pelvic floor muscles can lead to stress incontinence (leakage with coughing, sneezing, or laughing) or urge incontinence (a sudden, intense need to urinate).
- Frequent urinary tract infections (UTIs): Changes in vaginal pH and decreased estrogen can make the urinary tract more susceptible to infections.
- Pelvic pain or pressure: Hormonal changes and pelvic floor dysfunction may cause ongoing discomfort in the pelvic region.
- Changes in sexual function: Many women experience pain during intercourse, reduced arousal, or difficulty achieving orgasm.
These symptoms can affect physical health, emotional well-being, and quality of life. While they are common, they do not have to be endured and there is a lot you can do about them.
How Can Pelvic Floor Physical Therapy Help?
Pelvic floor physical therapy is a specialized form of physical therapy focused on assessing and treating conditions related to the pelvic floor muscles and surrounding structures. Here’s how it can help women experiencing genitourinary symptoms of menopause:
1. Improving Pelvic Floor Muscle Strength and Coordination
Weak or uncoordinated pelvic floor muscles often contribute to urinary incontinence or worsening prolapse symptoms. A pelvic floor physical therapist can:
- Teach targeted exercises, to improve muscle tone which can improve your symptoms and provide support to your pelvic organs.
- Provide biofeedback to help women better understand and control their pelvic floor muscles.
2. Restoring Flexibility and Reducing Pain
Tightness or tension in the pelvic floor muscles can cause pain and discomfort. Therapists use manual techniques, myofascial release, and relaxation exercises to:
- Improve muscle flexibility.
- Relieve pelvic pain or feelings of pressure.
3. Enhancing Vaginal and Urethral Health
Therapists may recommend strategies to:
- Improve tissue health through gentle stretching, use of vaginal dilators, or education on safe lubricants and moisturizers.
- Promote better blood flow to the pelvic area, which can enhance healing and tissue resilience.
4. Addressing Bladder and Bowel Habits
Urinary urgency, frequency, or leakage can often be managed through:
- Bladder retraining programs to increase the time between voids.
- Education on dietary factors, such as avoiding bladder irritants like caffeine or alcohol.
- Teaching you techniques to have an effective bowel movement.
Take the Next Step Toward Comfort and Confidence
If you are experiencing genitourinary symptoms of menopause, know that you are not alone and that effective help is available. Pelvic floor physical therapy offers personalized care designed to address your unique needs, helping you feel more comfortable and in control of your body.
Contact our clinic today to schedule an evaluation with one of our specialized pelvic floor physical therapists. Let’s work together to restore your health, confidence, and quality of life.
