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Menopause: Supporting Your Health Through Physiotherapy

By Liana McMorrow



Menopause, marked by the cessation of menstruation, typically occurs around the age of 51 in Australian women. However, the journey towards menopause begins much earlier, even up to 10-15 years prior with the onset of peri-menopause. This phase can last for several years leading up to the final menstrual period. Once a woman has gone 12 months without a period, she is considered post-menopausal. In Australia, approximately 18% of the female population is over the age of 65, meaning nearly 1 in 5 women are navigating menopause or its aftermath (2022, ABS).

Menopause can happen naturally or be surgically induced, for example, through a radial hysterectomy or certain cancer treatments that target the ovaries. Regardless of the cause, the result is a significant shift in hormone levels, particularly a decrease in estrogen. This hormonal change can have a profound effect on various aspects of health, including pelvic health, muscle and bone strength.

Some of the common issues women may experience include:

  • Increased urinary incontinence

  • Higher risk of urinary tract infections (UTIs)

  • Exacerbation of prolapse symptoms

  • Vaginal dryness and discomfort during intercourse

  • Increased risk of bone fractures

While these symptoms may seem daunting, what's even more concerning is that many women do not seek medical help, particularly with pelvic health function. Whether due to embarrassment, the belief that these issues are simply a part of life, or the misconception that they are alone in experiencing them, many women suffer in silence. The truth is, pelvic health dysfunction is common, but it doesn’t have to be something you endure on your own.

One of the most effective first-line treatments for pelvic health concerns—such as urinary or fecal incontinence, pelvic pain, or prolapse—is physiotherapy. A physiotherapist with specialized training in pelvic health can assess the root causes of your symptoms and guide you through tailored exercises and strategies to manage and alleviate them.


Simple Steps to Take Charge of Your Health


  1. Annual Pelvic Health Review Consider scheduling an annual pelvic health review starting at the age of 40. This can be done with your general practitioner or a local pelvic health physiotherapist. 

  2. Maintain Healthy Bowel Function Keep your bowel movements regular and easy to pass. Constipation or straining during bowel movements can add unnecessary pressure on your pelvic tissues and exacerbate symptoms.


  1. Invest in Lubricant for Sexual Health Vaginal dryness is a common concern during menopause, and using a high-quality lubricant can significantly improve comfort during intercourse. Look for a lubricant that is pH-balanced and has optimal osmolality -  If you're unsure where to start, don’t hesitate to reach out!


  2. Exercise

Plays a crucial role in improving bone strength and mineral density. Weightlifting, resistance training, and activities that introduce impact can help maintain bone health and combat the increased risk of fracture.


If you’re ready to take control of your pelvic health, our team of expert physiotherapists is here to help. We offer specialized services to address a wide range of concerns related to women and pelvic health. Get in touch with us today to find out more!




 
 
 

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