19/10/2026
If something is consistent in peri menopause, it’s change.
The hardest thing to do is to know what to listen to in your body but also around you.
Here are the top 3 changes I see in perimenpause and what it means for your pelvic health.
Skin- I’m not just talking on your face but in your V4gina! As hormonal change occur you can experience this as reduced fullness in the skin and tissue down below. So what? You skin becomes more sensitive, more irritable and this also applies to the tissues of your pelvic organs and muscles- Your best next steps- see your GP and get checked. Bleeding, overt soreness or irritation can feel easily justified but even if you feel ‘different’ s*x feels dull or uncomfortable or your pelvic floor doesn’t feel right go get checked.
Tendons, muscles and ligaments. I know, as if menopause didn’t impact enough now we need to think about these too. As we age our muscle tissues and connective tissues become less pliable and can start to struggle to tolerate load. This can mean you get more tweaks or injuries. Your best next steps- yes exercise but consistent exercise that builds up the strength and tolerance in your body. Get support from your pelvic health physio or specialist personal trainer to know how to do this well.
Microbiome. hormonal fluctuations and changes of the perimenopaalter your vaginal microbiome (yes, you have those up there too!). These shifts can lead to increased UTIs or thrush. This can be super clear but it also can be subtle and can go hand in hand with change no one that occurs in the tissues (aka vaginal atrophy). Symptoms can range from an itch to generalised disI know everything feels like it comes back to gut health and microbes, but with the comfort or increased sensitivity of prolapse or bladder leaks. Next steps- first see you GP and get a check up. Any changes like these need a review.
If we add up just these 3 impacts on your pelvic health, you can see why your pelvic health care needs more than just one practitioner- you may need a pelvic health physio, but you also may need your GP, a continence or menopause nurse too.
Make your pelvic health happier and share this with your peri-meno pals. Lets not