Why Everyone In Menopause Deserves Pelvic Floor PT

In Menopause, pelvic floor physical therapy, Pelvic Health by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles

Our muscles are hormonally sensitive structures and weaken over time as we experience hormonal decline. In addition, the prevalence of pelvic floor dysfunction rises and the combination of these two scenarios can cause people a fair amount of grief.

A recent study showed 95.3% of people with lumbopelvic pain also had either pelvic floor pain or pelvic organ prolapse upon digital examination! Some people had pain, some people had weakness, some people had both.

“Just do Kegels” was the solution in the 80s, thankfully we know much more now and we know pelvic floor contractions alone are not the solution. An evaluation with a skilled pelvic floor physical therapist will help people identify musculoskeletal impairments and a treatment plan for home and in the clinic to address them.

Even though people may experience the exact same symptoms the underlying causes of them are often different. There is no one-size-fits-all approach to pelvic health!

Understanding the Impact of Menopause on Pelvic Health

Menopause can significantly impact pelvic health, leading to conditions such as urinary incontinence, pelvic organ prolapse, and sexual dysfunction. The reduction in estrogen levels can cause the pelvic floor muscles to lose elasticity and strength, making them less supportive of the organs they cradle.


The Role of Pelvic Floor PT

Pelvic floor PT is a specialized form of physical therapy that focuses on strengthening the pelvic floor muscles and relieving associated symptoms. It involves exercises designed to improve muscle function, flexibility, and endurance. The therapy also includes education about lifestyle modifications that can support pelvic health.


The Benefits of Pelvic Floor PT in Menopause

  1. Improved Bladder Control: Pelvic floor PT can help manage urinary incontinence, a common issue in menopause, by strengthening the muscles that control urination.

  2. Reduced Pelvic Pain: Regular pelvic floor exercises (as prescribed by your pelvic floor pt) can alleviate discomfort caused by pelvic organ prolapse or sexual dysfunction.

  3. Enhanced Sexual Function: A functional pelvic floor can improve sexual satisfaction by increasing sensation and reducing pain during intercourse.

  4. Prevention of Future Issues: Even if you’re not currently experiencing pelvic floor issues, PT can be a proactive measure to prevent potential future problems.


Every one going through menopause deserves to live their life to the fullest, unburdened by pelvic health issues. Pelvic floor PT can be a powerful tool in managing the changes that come with menopause. It’s never too late to start – your pelvic health is worth it.

Remember, everyone’s journey through menopause is different, and so are their pelvic health needs.


Want to read the study we referenced?


We are excited to announce our physical therapist, Molly, is now located in our 11th location in Columbus, OH. Now scheduling new patients- call (510) 922-9836 to book!

Are you unable to come see us in person in the Bay Area, Southern California or New England?  We offer virtual physical therapy appointments too!

Virtual sessions are available with PHRC pelvic floor physical therapists via our video platform, Zoom, or via phone. For more information and to schedule, please visit our digital healthcare page.

Melissa Patrick is a certified yoga instructor and meditation teacher and is also available virtually to help, for more information please visit our therapeutic yoga page.

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