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Strengthening Your Pelvic Floor in Perimenopause: Why It Matters


Why is pelvic floor strength so important during perimenopause? Well, hormonal shifts, particularly the decline in estrogen, can affect the muscles that support your pelvic organs. This can lead to common symptoms like bladder leakage, pelvic organ prolapse, and even painful intercourse.


But here's the good news: it's not something you just have to "live with."

Pelvic floor exercises, which include strengthening, relaxation, and stretching, can be a game-changer. You don’t need to become a yoga expert or spend hours a day on these exercises. Just a few minutes a day can make a significant difference in how you feel.


Here’s why focusing on pelvic floor health during perimenopause is so crucial:


  1. Combat Incontinence

    If you're experiencing bladder leaks when you cough, sneeze, or laugh, you're not alone. Stress incontinence is common during perimenopause, but strengthening your pelvic floor muscles can help control these leaks. Kegel exercises (contracting and releasing the pelvic muscles) can help, but it’s essential to do them correctly to avoid straining.

  2. Prevent or Manage Pelvic Organ Prolapse

    As estrogen decreases, your pelvic organs may shift out of place, causing pelvic organ prolapse. Strengthening the pelvic floor muscles provides added support to the organs and can help prevent or manage prolapse symptoms.

  3. Improve Sexual Health

    Vaginal dryness and pelvic floor tension are common during perimenopause, which can lead to discomfort during sex. Strengthening your pelvic muscles and learning relaxation techniques can help reduce tension and improve intimacy.

  4. Support Overall Health

    A strong pelvic floor plays a crucial role in supporting your posture and core muscles, which can reduce lower back pain and improve your overall well-being.


How to Get Started with Pelvic Floor Exercises

It's never too late to start strengthening your pelvic floor. If you're unsure where to begin, consider working with a pelvic floor physical therapist who can tailor exercises to your needs. However, here are a few simple exercises to try:

  • Pelvic Tilts: Lie on your back with your knees bent. Tighten your stomach and pelvic muscles as you tilt your pelvis upward. Hold for a few seconds, then relax.

  • Bridge Pose: Lie on your back, knees bent, and feet flat. Slowly lift your hips off the floor while squeezing your glutes and pelvic floor muscles. Hold for a few seconds, then lower back down.

  • Squats: Stand with your feet shoulder-width apart and lower your body as if you’re sitting into a chair. Engage your pelvic muscles as you squat, keeping your knees behind your toes. Stand back up and repeat.

  • Yoga Poses: Try poses like child’s pose or cat-cow stretch to release pelvic tension and promote relaxation.


Remember: If you experience any pain or discomfort while doing these exercises, stop immediately and consult a healthcare provider. Pelvic floor exercises should never cause strain or pain.

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About Michelle

Michelle is a Doctor of Physical Therapy at Webb Physical Therapy, located in Lawrence, Kansas.  She's worked in PT for close to 10 years, and believes each patient should be treated with a holistic, whole person approach to healing.

She is devoted to helping her patients develop individualized treatment plans to help them achieve their specific goals.

Call (785) 813-1338 for a free 15 minute phone consultation, or email WebbPelvicHealth@gmail.com

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