“The Menopause Manifesto”

In my latest read, “The Menopause Manifesto” has me thinking a lot about the information we have in our youth shapes our persecution in adulthood. Menopause information is often only wheat our friends or family tell us. Not the healthcare system. This leads to confusion, misinformation, or silence. Whether you’re approaching menopause, in the midst of it, or supporting someone who is, understanding what’s happening in the body can help you navigate this stage with more confidence and control.

What Is Menopause? Menopause marks the end of a woman’s menstrual cycles. It’s officially diagnosed after 12 consecutive months without a period and usually occurs between ages 45 and 55. However, the transition can begin several years before—the phase known as perimenopause—when hormone levels start to fluctuate.

Common Symptoms: While menopause is a normal part of aging, the symptoms can vary widely from one woman to another. Some experience only mild changes, while others may find the transition significantly disruptive.

• Hot flashes and night sweats

• Mood swings or anxiety

• Sleep disturbances

• Vaginal dryness

• Decreased libido

• Weight gain or changes in body composition

• Brain fog or memory lapses

• Urinary changes, including increased urgency or leakage

These changes are largely due to declining levels of estrogen and progesterone, hormones that regulate many aspects of a woman’s physical and emotional well-being.

Long-Term Health Considerations

Lower estrogen levels can also affect long-term health. After menopause, women are at a higher risk for:

• Osteoporosis (bone thinning)

• Heart disease

• Pelvic floor dysfunction, including urinary incontinence and prolapse

Managing Menopause: What You Can Do

• Exercise regularly, including weight-bearing and pelvic floor exercises

• Prioritize sleep and stress management

There are options out there to address more severe side effects. These options do not have to be a forever routine.

• Hormone Replacement Therapy (HRT) can be effective for many women, but it’s not for everyone. Talk to your provider about the risks and benefits.

• Non-hormonal medications and natural supplements may also help with certain symptoms.

Why Pelvic Floor Physical Therapy?

Changes in estrogen levels can weaken the pelvic floor, leading to bladder leaks, discomfort during intimacy, or a sensation of heaviness. A pelvic floor therapist can help restore strength, function, and confidence through specialized exercises and education.