Your Guide to Pelvic Floor Therapy in Perimenopause and Beyond
The transition into perimenopause and menopause brings many changes—some expected, others not so much. While hot flashes and mood swings tend to steal the spotlight, one crucial area that often flies under the radar is pelvic floor health.
Pelvic floor physical therapy (PFPT) can be a game-changer during this time. For many women—especially moms who’ve spent years prioritizing their families—this phase of life offers a long-overdue opportunity to turn the focus back on their own well-being.
Symptoms that are common but NOT normal
The pelvic floor is a group of muscles that support the bladder, uterus, and rectum. As estrogen levels decline during perimenopause and menopause, these muscles can weaken or become less coordinated. This may lead to:
- Urinary incontinence (leakage when coughing, sneezing, or exercising)
- Increased urgency or frequency
- Pelvic organ prolapse
- Pain with intimacy
- Constipation or difficulty with bowel movements
And for moms who’ve experienced pregnancy and childbirth, pelvic floor changes may already be present—menopause can amplify them. That’s where PFPT can make a real difference.
How Pelvic Floor Physical Therapy Helps
Pelvic floor PT is a specialized form of physical therapy that addresses the muscles, ligaments, and connective tissue of the pelvic region. At your first visit, a pelvic health therapist will assess your unique needs and create a customized treatment plan.
Your care may include:
- Exercises to improve strength and control
- Manual therapy to release tension and pain
- Bladder and bowel retraining strategies
- Postural education and core coordination
- Supportive guidance around intimacy and body changes
Moms, This Is Your Moment
Whether you’re a new mom or your “babies” are fully grown, chances are you’ve spent years putting others first. Many women we see at Crew Physical Therapy say the same thing: “I wish I’d done this sooner.”
Now is your time—to move with confidence, laugh without leaking, enjoy intimacy without pain, and feel strong in your body again.
Is Pelvic Floor Physical Therapy Right For You?
If you’re in perimenopause or menopause and experiencing:
- Urine leakage or urgency
- Pelvic pressure or heaviness
- Discomfort with intimacy
- General changes “down there” you can’t quite explain
…then pelvic floor PT may be the solution you didn’t know you needed.
At Crew Physical Therapy, we help moms and midlife women take back control of their bodies. Whether you’re dealing with symptoms or just want to be proactive, we’re here to support you every step of the way.
