Menopause is a natural process that marks the end of a female’s menstruation.

This usually occurs between the ages of 45 and 55 – which means most women can expect some 30 years of post-menopausal life. For some this is even longer as early menopause occurs in approx. 5% of women before age 40. In some instances it may be surgically or pharmacologically induced if you are undergoing treatment due to cancer or other gynaecological concerns.

Peri-menopause describes the state that precedes menopause and is often a great source of stress and anxiety as your hormones start to fluctuate. This is the time you realise that menopause may be on the horizon as you may start to notice:

  • Changes in menstruation patterns including volume, duration and timing.
  • Hot flashes
  • Insomnia and depressed mood
  • Physical aches and pains
  • Reduction in bone density
  • Changes to your strength and balance
  • Weight gain
  • Changes to the pelvic floor

Genitourinary Syndrome of Menopause (GSM) affects around 60% of post-menopausal women and describes a subset of symptoms pertaining to the pelvic floor and includes:

  • Vaginal dryness, itching, burning or discomfort
  • Pelvic floor muscle weakness
  • Urinary and faecal incontinence
  • Waking at night more often to urinate
  • Pelvic organ prolapse
  • Painful intercourse

Research shows a positive impact on the signs and symptoms of GSM from physiotherapist led pelvic floor exercise programs. By improving the strength and effective relaxation of the pelvis floor muscles, it improves vulvovaginal blood flow/vascularity, tissue elasticity, and muscle function.

  • Don’t put up with it!
  • Practice good vulval hygiene: avoiding chemicals (e.g. soaps, vaginal washes, fragranced toilet paper)
  • Wear loosely fitting cotton underwear and avoid tight pants
  • If tolerated, more sex to improve blood flow to the tissues
  • Book an appointment with a Women’s and Pelvic Health Physiotherapist!

What Can Embrace Physiotherapy Do for You?

  • Work alongside your doctor to help identify the best course of treatment
  • Make recommendations for appropriate vaginal moisturisers and lubrication
  • Design a personalised pelvic floor muscle program with appropriate stretches
  • Introduce graded touch and tissue desensitisation techniques
  • Recommend a dilator program, using vaginal trainers
  • Discuss approaches to a fulfilling intimate relationship
  • Refer to a sexual counsellor or psychologist to address changes in body image, sexuality, fear, anxiety, and coping
  • Support your emotional and physical health
  • Help you embrace life!
5 Star Google Reviews
At Embrace, we commit to the highest standards to create purposeful journeys with our patients.

I saw Preet for a few months with my concerns. She is highly knowledgeable in her field and has incredible bedside manner. Her guidance through my journey has been gentle and she addressed my concerns with a very holistic approach. Every consultation has given me great insight about my issues and I felt heard every step of the way. The clinic also feels warm, cozy and welcoming and makes me look forward to my appointments. Reception is always very friendly and it's a breeze to schedule appointments. Communication has always been easy and fast. Highly recommend Preet and her team!

Jo Lee Avatar Jo Lee
April 26, 2024

Brenda was the healthcare practitioner in charge of my case and she was so patient and thorough. I loved how she was very goal oriented and guided me through the whole process while marking me feel comfortable and safe. I would definitely recommend embrace physiotherapy to my friends and family!

Natcatalyst Avatar Natcatalyst
December 2, 2022

My experience with embrace from start to finish was nothing short of professional, warm and understanding. After my third pregnancy, I had lots of dull, heavy tugging pain low in my abdomen. I had also been suffering for years with urinary hesitancy. Went to so many different doctors and specialists to find out what was causing it, with no luck. It was only when I chanced upon embrace’s blog did I get some insight (or even awareness at all) into women’s pelvic health. I wrote in to enquire, and my worries were met with assurance and suggestions, at no cost. Preet is friendly, approachable and made me feel comfortable throughout what could have been an embarrassing therapy. It was so comforting to finally be heard, understood and not dismissed as “this is normal” the way all the doctors had. No amount of reading up compares to having real time feedback with kegels by a trained professional. 6 months in and I feel a world of difference! If anyone out there feels any less about her body after pregnancy or feels pain or discomfort in any way, or resorted to accepting “this is my new normal”, trust me you’re not alone. If you’re living in the east, I’d recommend embrace physiotherapy. They don’t pressure you to commit to regular sessions at all. No harm giving it a shot!

ayshaalkaff Avatar ayshaalkaff
June 27, 2022

Embrace life with physiotherapy today.

Physiotherapy may be able to help you with how you’re feeling. Whenever you’re ready, our physiotherapists will be here to empower you in your journey.