Perimenopause is the time leading up to Menopause.

Menopause is diagnosed when there has not been a period for 12 consecutive months. Once this time has been reached, you are now considered postmenopausal.

Most people become menopausal naturally between the ages of 45 and 55 years. However, you can reach menopause earlier due to genetics, surgery or other health conditions.

Some of the more commonly spoken about symptoms include; Irregular periods, changes in flow (heaviness and duration), hot flushes, night sweats, aches & paints, fatigue or irritability & sore breasts

However, hormonal changes (such as the reduction in estrogen) affects skin, connective tissue and muscle structure which may cause:

• painful intercourse

• vaginal dryness & irritation

• bladder urgency or frequency

• increased risk of urinary tract infection

• bladder incontinence

• bowel changes

• decline in muscle mass and strength - including Pelvic Floor Muscle strength

• increased risk of pelvic organ prolapse

• reduced bone density

Physiotherapy can address the multitude of symptoms that may arise from perimenopause and menopause.

Evaluation of your posture, movement and pelvic health can reduce the risks associated with this stage of life.

Treatment may include:

• Education to support your sexual health

• Pelvic floor strengthening

• Improving pelvic floor flexibility

• Management for painful intercourse

• Exercise guidance to build or maintain strength and to lower the risk of osteoporosis

• Pessary for pelvic organ support