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From Peri-Menopause to Post-Menopause

A journey with your pelvic floor

Many women during perimenopause through to post menopause experience changes in their pelvic floor function. This may include increased bladder leakage, bladder urgency, bowel leakage, pelvic pain, prolapse symptoms and many other pelvic floor changes.

The transition of menopause involves a decline in oestrogen levels. This can be a sudden or gradual decline. This drop in oestrogen often results with thinning and loss of elasticity of the tissues surrounding the vulva, vagina and urethra. These changes can cause the function of your pelvic floor to become less flexible, less coordinated, as well as weakening of the muscles. Women often feel more urgency or leakage of bladder or bowel, with specific movement or not movements at all.

Furthermore, the above hormonal changes causes a reduction in lubrication of the vagina. Vaginal dryness alongside pelvic floor changes, this can subsequently cause painful intercourse.

Structural support above the pelvic floor muscles also shift during this transition. This support includes the ligaments and fascia which are above the pelvic floor and help give further support to the bladder, uterus and bowel. Reduced support can lead to prolapse which is a descent of your bladder, uterus and/or bowel causing symptoms such as ‘heaviness, dragging, pressure, lump or bulge.’

At Bend + Mend we have a Women’s Health Physiotherapist who specialises in a range of menopause related pelvic floor changes. We strongly recommend having a pelvic floor assessment to better understand specific changes to your pelvic floor options for management.

Roshini Nadarajah

Roshini has over 10 years’ experience as a Physiotherapist following completion of a Bachelor of Physiotherapy and has further completed her Masters in Continence & Pelvic Health awarding her the title of APA Continence and Women’s Health Physiotherapist. She has worked across private and public maternity hospitals in Brisbane, Perth, and currently in Sydney alongside a variety of Medical Specialists and Obstetricians. Roshini is passionate about providing much needed women’s health services to help women feel they can function well in any area of their life activities. She is dedicated to treating women with bladder dysfunction, bowel dysfunction, prolapse, sexual dysfunction, pelvic pain, antenatal preparation for birth, post-natal recovery, as well as treating many other pelvic conditions that can occur in a woman’s lifespan.

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