Menopause and perimenopause pelvic care
Midlife pelvic changes are common, but they are treatable.
Pelvic and whole-body physical therapy for perimenopause and menopause symptoms that affect comfort, control, intimacy, movement, and confidence.
What this can help with
- Urinary urgency or frequency
- Leaking with coughing, walking, exercise, or lifting
- Pelvic heaviness or pressure
- Discomfort with intimacy
- Vaginal, vulvar, or pelvic pain
- Hip, low back, or SI joint stiffness
- Constipation or bowel changes
- A sense that your old exercise plan no longer works
The goal is not to accept less. The goal is to understand what changed.
Boon looks at pelvic floor function, hip and back mobility, connective tissue, loading tolerance, breath, and daily habits so care is specific to the symptoms you are actually experiencing.
Perimenopause and menopause can change pelvic tissues, bladder habits, strength, recovery, and comfort with intimacy. Many people are told these changes are simply part of aging, when a careful pelvic and movement assessment can often reveal useful next steps.
Progress may look like fewer urgent bathroom trips, more confidence exercising, less pelvic pressure, more comfort with intimacy, and a body that feels more capable again.
Questions patients ask
Is leaking just part of aging?
Leaking is common, but it should not be dismissed. Pelvic physical therapy can assess strength, coordination, tissue sensitivity, pressure, and habits that may be contributing.
Can physical therapy help with pain during intimacy?
It may help when pelvic floor tension, tissue sensitivity, scar mobility, hip mobility, or nervous system guarding are part of the pattern. Care is always consent-led.
Do you coordinate with hormone or medical care?
With your permission, Boon can coordinate with your medical providers when symptoms may need both physical therapy and medical management.