Most Australian women transition through menopause between the ages of 45 and 55, with the average age being around 51. This natural stage of life can bring a wide range of symptoms, from hot flushes and night sweats to fatigue, irritability, and general aches and pains.
While these effects are commonly recognised, there’s another important aspect of health that is often overlooked during menopause: your pelvic floor.
The Role of Oestrogen in Pelvic Health
Oestrogen plays a vital role in maintaining the strength, elasticity, and overall health of the tissues in the vulva, vagina, bladder, and pelvic floor muscles. When oestrogen levels drop during menopause, these tissues can become thinner, weaker, and more prone to dysfunction. As a result, many women begin to experience symptoms that can impact their quality of life.
Kelly Chilvers, our Continence and Pelvic Health Physiotherapist at Soleil Health Medical Centre, explains:
“The term is genitourinary symptoms of menopause. The drop in oestrogen can worsen or cause urinary incontinence, prolapse and even painful intercourse. Whilst common, many of these concerns can be effectively addressed with the help of a women’s health physiotherapist.”
Understanding Genitourinary Symptoms of Menopause (GSM)
GSM refers to a range of pelvic symptoms that can arise due to the hormonal changes of menopause. These include:
Vaginal and Vulval Symptoms
- Vaginal dryness
- Burning or itching
- Vaginal shortening and narrowing
Bladder Symptoms
- Increased urinary urgency
- Urinary incontinence
- Recurrent bladder or urinary tract infections
- Stress urinary incontinence (leakage with coughing, sneezing, or exercise)
- Pain or discomfort when urinating (dysuria)
Sexual Symptoms
- Pain or discomfort with intercourse (dyspareunia)
- Decreased libido
Heaviness or Pressure
- Pelvic organ prolapse (a feeling of heaviness or bulging in the vagina)
Bowel Symptoms
With menopause, some women may also experience bowel-related issues such as:
- Inability to control wind
- Faecal incontinence
How a Continence and Pelvic Health Physiotherapist Can Help
Although these symptoms are common, they are not something you have to live with. Many can be significantly improved with the help of a qualified women’s health physiotherapist.
At Soleil Health Medical Centre, Kelly Chilvers offers individualised, evidence-based care for women at all stages of menopause. Through pelvic floor therapy, bladder and bowel retraining, and practical education, Kelly works closely with each patient to help restore comfort, control, and confidence.
Book an Appointment with Kelly Chilvers
If you’re experiencing changes in your pelvic health during or after menopause, you’re not alone, and you don’t have to suffer in silence.
Book an appointment with kelly today to receive personalised, compassionate care and support through every stage of menopause.
References
Alvisi S, Gava G, Orsili I, Giacomelli G, Baldassarre M, Seracchioli R, Meriggiola MC. Vaginal Health in Menopausal Women. Medicina (Kaunas). 2019 Sep 20;55(10):615. doi: 10.3390/medicina55100615. PMID: 31547180; PMCID: PMC6843679.
Grainger, S. (n.d.). Genitourinary Syndrome of Menopause – Australasian Menopause Society. https://www.menopause.org.au/hp/information-sheets/genitourinary-syndrome-of-menopause
