As a pelvic health physical therapist, we specialize in helping women navigate menopause with confidence, control, and strength. If you're experiencing any combination of vaginal dryness, urinary urgency, discomfort during intimacy, or core instability, pelvic floor physical therapy may be the missing link in your care.

During menopause, estrogen levels decline—and that decline affects more than just your mood or periods. Estrogen keeps your vaginal tissue supple, your bladder lining strong, and your pelvic floor responsive. Without it, you may notice:

- Urinary incontinence (leaking when you sneeze, laugh, run, or when rushing to bathroom)

- Pelvic organ prolapse (heaviness or bulging in the vaginal area)

- Painful sex due to vaginal dryness or muscle tightness

- Constipation or bowel changes

- Core weakness or back pain

These are incredibly common, but they are not normal—and they are certainly not untreatable.

Pelvic floor physical therapy offers a holistic, evidence-based approach to managing genitourinary symptoms of menopause (GSM) and helping women feel more connected to their bodies.

Here’s how a pelvic health PT plan typically supports women in midlife:

1. Evaluation and Education

Every client begins with a full assessment, including an internal pelvic floor exam (with consent), posture and movement screening, bladder and bowel habits, and sexual health history. We then explain how hormonal changes affect tissue and how therapy can restore function and alleviate discomfort.

Education alone is empowering. Many women tell me, “I had no idea this was treatable without surgery or medication.”

2. Bladder and Bowel Retraining

Leaking, urgency, or constipation can stem from poor pelvic floor coordination or muscle overactivity. We work to improve muscle timing, breathing, and pressure management so you can regain control and predictability in your daily life.

3. Vaginal Tissue Support and Pain Management

If you’re experiencing pain with intercourse or using tampons, or if your GYN has diagnosed vaginal atrophy, we gently introduce tools like vaginal dilators, lubricants, and pelvic floor release techniques to help reduce pain and reintroduce comfort and function.

4. Strength and Stability

Menopause often brings changes to balance, posture, and core strength. Our treatment includes safe and progressive strengthening of the pelvic floor, hips, glutes, and deep core muscles, restoring your ability to lift, carry, and move without worry.

5. Sexual Wellness and Intimacy Support

Pain with intimacy is more common than most people realize during menopause. Physical therapy can help reduce tension, restore blood flow, and improve confidence in your body—so you can enjoy connection without fear or discomfort.

Real Women, Real Results

Clients often tell me their GYNs said, “This is just part of aging.” But once they complete therapy, they feel like themselves again—stronger, more confident, and more in control.

Whether you’re newly in perimenopause or postmenopausal for years, it’s never too late to address these issues. One of my favorite clients recently said, “I thought my body was just falling apart. Now I know I just needed the right kind of help.”

Our approach includes:

4, 8 or 12-week individualized care plan

Use of real-time biofeedback (when appropriate)

Home exercises for core and pelvic floor

Tools like dilators, vaginal moisturizers, and bladder diaries

We’ll address your most personal concerns in a compassionate, private, and professional setting.

Frequently Asked Questions

Is this covered by insurance?

In some cases, pelvic floor PT can be covered by insurance. Our team can help you determine your benefits. Our 4, 8 or 12 week wellness program is not covered by insurance but applicable under HSA and FSA.

I’ve had menopause symptoms for years—is it too late?

Absolutely not. We treat women from perimenopause into their 70s and 80s. The body is always capable of positive change.

Is an internal exam required?

An internal pelvic floor exam can be beneficial, but it is always optional. We tailor your plan based on your goals and comfort level.

If you're tired of feeling like your body is working against you—if you're ready to stop tiptoeing around bladder leaks, pain, or loss of strength—it’s time to take action.

Pelvic floor physical therapy for menopause is not a luxury. It's essential care.

✅ Restore bladder control

✅ Reclaim your sexual health

✅ Rebuild your strength

✅ Renew your confidence

Ready to Get Started?