Menopause can affect your pelvic health in ways you may not expect. Understanding what’s happening is the first step toward feeling better.
Menopause is more than the end of your menstrual cycle. As estrogen and progesterone levels change, they can affect tissues, muscles, and systems throughout the body, including your bladder, pelvic health, bones, sleep, and sexual health.
These changes can look different at every stage of the menopause journey. Understanding what’s happening in your body can help you recognize when a symptom is something you can address, rather than something you simply have to accept.
Menopause can affect much more than your menstrual cycle. Changes in hormone levels can influence your bladder, pelvic health, sexual health, sleep, muscles, joints, and overall quality of life.
You may be experiencing:
Leaks, urgency, frequency, or difficulty making it to the bathroom in time.
Pressure, heaviness, tension, or discomfort in the pelvic area.
Vaginal dryness, discomfort, or pain with sex.
Constipation, difficulty emptying, or changes in bowel habits.
Sleep disruption, fatigue, or changes in how your body feels during the day.
Joint discomfort, reduced strength, or changes in how comfortable you feel exercising.
Your pelvic health can change throughout the menopause transition, but symptoms are not something you simply have to accept.
Pelvic health physical therapy can help address the muscles, connective tissue, movement patterns, and habits that may be contributing to your symptoms.
Pelvic symptoms can affect exercise, intimacy, work, sleep, relationships, and everyday activities.
Learn strategies to improve bladder control, manage urgency, and support healthy bowel habits.
Treatment can address pelvic muscle tension, tissue sensitivity, and other factors that may contribute to discomfort.
A personalized exercise program can support strength, mobility, bone health, and confidence in movement.
Your treatment should be based on your body, your symptoms, and your goals.
Personalized Evaluation
We take the time to understand your symptoms, medical history, lifestyle, and goals.
Pelvic Health Treatment
Treatment may address pelvic muscle strength, coordination, tension, mobility, and relaxation.
Bladder & Bowel Strategies
Learn practical techniques to better manage urgency, leakage, constipation, and other symptoms.
Exercise & Movement
Receive individualized guidance to support strength, mobility, bone health, and physical function.
Pain Management
Address contributing factors behind pelvic pain, discomfort with intimacy, and other symptoms.
Education & Support
Understand what is happening in your body and what you can do to support your health through menopause.
We are a leading pelvic health physical therapy clinic, with locations in Palm Beach Gardens, Boca Raton, Stuart, Pembroke Pines and Maryland. Our team is known for compassionate, trauma-informed care that integrates clinical expertise with individualized care for long lasting results.
We treat all genders and life stages, including bladder and bowel dysfunction, intimacy-related pain, pre and postpartum changes, menopause, post surgical recovery, trauma, or chronic pelvic pain.
My experience with Pelvic Health Solutions has been life changing.
I am so happy to say after years of weekly sessions and home exercises and stretching on my end I am finally able to manage my pain and lead a significantly better quality of life.
I am able to have sex pain free 99% of the time which is something I never thought I would be able to say!
I was referred to PHS having been diagnosed with vaginismus, leaving me with severe pelvic floor dysfunction. I was incontinent, suffered with depression and anxiety and fear! Thanks to my therapist’s vast knowledge of this disease process, and the many years experience she had, i am on my way to a complete recovery. has truly helped restore quality life, for which eternally grateful!
— Michelle M.
“I am so thankful that I found Pelvic Health Solutions. The care they provided helped me overcome all of my pelvic floor issues, including painful sex and bladder problems. The combination of physical therapy with the home exercise programs gave a complete overhaul on my pelvic floor health. On top of the excellent healthcare, the staff is incredibly friendly and genuinely cares about you as a whole. I recommend Pelvic Health Solutions to all of my friends!”
Your symptoms may be more connected to menopause than you realize.
Our free guide breaks down the three stages of menopause, common symptoms, what happens as hormone levels change, and how pelvic health physical therapy can help.
Specialized pelvic care now available in Maryland.
Many patients come to us after feeling rushed, overlooked, or given a one-size-fits-all plan elsewhere. Exceptional pelvic health care requires time, expertise, and individualized attention—conditions that traditional insurance models simply don’t allow.
Our out-of-network structure is intentional. It allows us to deliver the level of care you deserve.
Patients often find that investing in specialized, expert-led care leads to faster, more meaningful improvement—and ultimately reduces the time, cost, and frustration spent on ineffective or fragmented treatments.
At Pelvic Health Solutions, you receive care designed around you: private, precise, and rooted in clinical excellence.
Pelvic health physical therapy is a specialized area of physical therapy that focuses on assessing and treating conditions related to the pelvic floor muscles, ligaments, and connective tissues. The pelvic floor plays a crucial role in supporting the pelvic organs, controlling bladder and bowel function, and contributing to sexual health.
Pelvic floor physical therapy applies to individuals with a range of symptoms. Some of the most common ones we see are:
Pelvic Pain: Chronic pelvic pain, pain during intercourse (dyspareunia), tailbone pain, or pain in the pelvic region with movement, sitting, or pressure.
Urinary Symptoms: Urinary incontinence (leakage of urine), urinary urgency or frequency, difficulty emptying the bladder, or nocturia (excessive nighttime urination).
Bowel Symptoms: Fecal incontinence (involuntary leakage of stool or gas), constipation, rectal pain/spasms, or difficulty with bowel movements.
Pregnancy and Postpartum: Pelvic floor physical therapy can help prepare the pelvic floor for childbirth and address postpartum issues such as pelvic organ prolapse, perineal pain, or diastasis recti.
Pelvic Organ Prolapse: Descending or bulging of pelvic organs (such as the bladder, uterus, or rectum) into the vaginal canal.
Male Pelvic Conditions: Chronic pelvic pain in men, chronic prostatitis, and post-prostatectomy
If you’re considering scheduling your first visit, here’s what you can expect during the initial evaluation:
A comprehensive and respectful conversation
We begin by listening. All appointments are one-on-one with a dedicated pelvic floor physical therapist, in a private treatment room, for a full hour.
In your first session, your therapist will conduct a detailed medical and lifestyle history to better understand your symptoms, goals, and day-to-day function. Topics may include bladder, bowel, and sexual health—always discussed with care, professionalism, and respect for your comfort.
Clinical education tailored to you
You’ll receive clear, expert guidance on how the pelvic floor works, what may be contributing to your symptoms, and how physical therapy can help. Research shows that patients who understand their conditions have better outcomes. We prioritize education, and not just exercises, in your care so that you understand the why and how of your symptoms.
A thorough assessment
We assess posture, movement patterns, core stability, hip strength, breathing, and pelvic alignment. With your consent, we may offer an external and internal pelvic floor exam to assess strength, tone, and coordination. This is always optional and based on your comfort.
A personalized treatment plan
Before the session ends, your therapist will walk you through their findings and recommend a tailored and individualized plan for therapy — outlining what care may look like in the weeks ahead.
Our care model is centered around one-on-one treatment, clinical excellence, and compassionate support. We’re referred by over 100 doctors and have helped more than 5000 patients restore function, reduce symptoms, and feel confident in their bodies again.
Don’t struggle with your symptoms alone. Reach out to speak with one of our pelvic floor physical therapists.
Just like other therapies, it takes time and consistency to notice improvement. Healing time varies for each person. Some people might start feeling better after a few sessions, while others might need more time. It depends on how severe your symptoms are and how well you stick to your treatment plan.
Typically, we see our patients 1-2 times per week in order to make the most optimal recovery. Your therapist will work with you to create a plan that fits your needs and that helps you feel better as soon as possible!
My experience with Pelvic Health Solutions has been life changing. I started coming to the clinic about 4 years ago after I had surgery for extensive endometriosis. I have been experiencing chronic pain from my endo for well over a decade.
I am so happy to say after years of weekly sessions and home exercises and stretching on my end I am finally able to manage my pain and lead a significantly better quality of life. I am able to have sex pain free 99% of the time which is something I never thought I would be able to say!
I still have sessions every 2-4 weeks now and struggle some days, but my body is better able to recover now and I have been able to learn tricks and techniques from Gail over the years to get out of major pain flares. If you’re dealing with chronic pelvic pain I would highly recommend consulting with one of the PTs from this practice!
— LK