Understanding Menopause: How a Pelvic Health Physiotherapist Can Help You Thrive Through the Change At Pelvic Health Melbourne, we know that menopause isn't just a stage of life—it’s a deeply personal transition that can impact your body, confidence, and quality of life in ways you may not expect. As pelvic health physiotherapists, we’re here to support and empower you with respectful, evidence-based care tailored to your needs. What Is Menopause and Perimenopause? Menopause marks the end of your menstrual cycle, officially diagnosed when you haven’t had a period for 12 consecutive months. The years leading up to this, known as perimenopause, are when many of the most noticeable symptoms begin normally from 40 years old During this time, fluctuating hormone levels—particularly a drop in oestrogen—can lead to a range of physical and emotional changes. Some are widely known, others less talked about, but all are valid and worthy of care. Common Symptoms of Perimenopause and Menopause Increased blood loss during periods Weight gain and bloating - especially new weight deposits around the stomach Low libido or sexual discomfort - our vagina shrinks both in length and width Bladder urgency, frequency, or leakage Vaginal dryness or pelvic discomfort - use silicon based lubes as water based just absorb in too easily Pelvic organ prolapse or heaviness Hot flushes and night sweats Mood swings, anxiety, and low mood Fatigue and disrupted sleep - waking for a few hours in middle of night then exhausted in morning Brain fog and memory changes These symptoms can feel overwhelming, but you are not alone—and you don’t need to suffer through them in silence. How Pelvic Health Physiotherapy Can Support You At Pelvic Health Melbourne, our experienced physiotherapists work with you holistically to address the physical changes of menopause that affect your pelvic floor, bladder, bowel, and sexual health. Here’s how we can help: 1. Pelvic Floor Rehabilitation We assess and treat pelvic floor muscle weakness, overactivity, or incoordination. This helps reduce urinary urgency, incontinence, heaviness, and discomfort. 2. Bladder & Bowel Retraining Menopause can alter bladder sensitivity and bowel regularity. We provide personalised strategies to restore control and confidence. 3. Sexual Wellness Support Painful intimacy or decreased sensation are common but treatable. We use gentle, respectful approaches including pelvic floor therapy, education, and support for vaginal tissue health including discussions about topical oestrogen therapy, vaginal dilation (if required), vibrators to assist blood supply and appropriate lubrication for stage of life. 4. Movement & Strength Programs Specific exercise program for you respecting non restorative sleep, need for more stretch and cardio allowing for adequate body recovery. 5. Education & Empowerment We take the time to explain what’s happening in your body, and why, so you feel more in control. Our goal is to help you make informed decisions about your health and wellbeing. Why Choose Pelvic Health Melbourne? At Pelvic Health Melbourne, we do more than treat symptoms—we care for the whole person. We offer: Longer, unrushed appointments Private, purpose-designed rooms Highly skilled and specialised clinicians An inclusive space and point of mond Care that respects your lived experience We believe every woman deserves dignity, support, and solutions—not dismissal or shame. Take the Next Step If you’re navigating perimenopause or menopause and feeling unsure where to turn, we invite you to start with us. Whether you’ve just started noticing changes or have been putting up with symptoms for years, now is the right time to seek support. Book an appointment with one of our experienced pelvic health physiotherapists today. Let’s work together to help you feel strong, supported, and at home in your body again.

Pelvic pain can be a distressing and often misunderstood condition, affecting both men and women. One lesser-known cause of chronic pelvic pain is pudendal neuralgia, a condition that occurs when the pudendal nerve, which supplies sensation and function to the pelvic area, becomes compressed or irritated. This can lead to debilitating symptoms that impact daily life, from sitting comfortably to engaging in intimate activities. Despite its significant impact, pudendal neuralgia is frequently underdiagnosed. In this blog, we’ll explore what pudendal neuralgia is, its symptoms, potential causes, and how pelvic health physiotherapy can play a crucial role in managing and alleviating symptoms. What is Pudendal Neuralgia? Pudendal neuralgia is a chronic pain condition that results from irritation, compression, or damage to the pudendal nerve. This nerve runs from the lower back through the pelvic floor and is responsible for sensation and function in the genitals, perineum, and anus. When compressed or irritated, it can lead to persistent and often severe pain. Common Symptoms of Pudendal Neuralgia Symptoms of pudendal neuralgia can vary from person to person, but common signs include: Burning, stabbing, or aching pain in the pelvic region Pain that worsens when sitting and improves when standing or lying down Numbness, tingling, or a “foreign object” sensation in the rectum or genitals Pain during or after sexual activity Bladder or bowel dysfunction , such as urgency, frequency, or difficulty emptying These symptoms can be frustrating and debilitating, often leading to emotional distress, anxiety, and a decreased quality of life. What Causes Pudendal Neuralgia? There are several potential causes of pudendal neuralgia, including: Prolonged sitting (especially on hard surfaces or during cycling) Pelvic trauma or surgery that affects the nerve Muscle tension or tightness in the pelvic floor Childbirth injuries Nerve entrapment or compression from scar tissue or inflammation Medical conditions such as endometriosis or interstitial cystitis Since pudendal neuralgia can have multiple contributing factors, proper diagnosis by a healthcare professional is essential for effective treatment. How Can Pelvic Health Physiotherapy Help? Pelvic health physiotherapy is a non-invasive and effective approach to managing pudendal neuralgia. A trained pelvic health physiotherapist can assess your symptoms and develop a personalized treatment plan that may include: Manual Therapy & Myofascial Release – Helps release muscle tension and improve blood flow to the affected area. Pelvic Floor Relaxation Techniques – Since tight pelvic muscles can contribute to nerve irritation, learning how to properly relax these muscles is key. Postural & Movement Retraining – Poor posture or movement patterns can put extra strain on the pudendal nerve. Physiotherapy can help correct these imbalances. Nerve Mobilization & Desensitization Exercises – These gentle techniques help the nerve glide freely and reduce pain. Lifestyle Modifications & Ergonomic Adjustments – Small changes like using a cushioned seat, avoiding prolonged sitting, and modifying certain activities can significantly reduce symptoms. Seeking Help & Finding Relief If you’re struggling with persistent pelvic pain, you’re not alone. Many people suffer in silence due to a lack of awareness and understanding about conditions like pudendal neuralgia. Fortunately, pelvic health physiotherapy can provide significant relief by addressing the root cause of pain and improving function. Don’t let pelvic pain control your life. If you suspect you have pudendal neuralgia, consider consulting a pelvic health physiotherapist to explore treatment options tailored to your needs.

Pregnancy is a beautiful journey, but it comes with its own set of challenges, including pelvic girdle pain (PGP). Pelvic girdle pain during pregnancy is a common yet often misunderstood condition that affects many women as their bodies undergo significant changes. While it can be distressing, there are ways to manage the pain and continue enjoying your pregnancy. In this blog, we'll dive into what pregnancy-related pelvic girdle pain is, why it happens, its symptoms, and how you can manage it effectively. What is Pregnancy-Related Pelvic Girdle Pain? Pelvic girdle pain refers to discomfort or pain in the pelvic area, particularly around the joints that connect the pelvis to the spine, including the sacroiliac joints (SI joints) and the pubic symphysis. During pregnancy, the body undergoes numerous physical changes to accommodate the growing baby, which can lead to instability or misalignment in the pelvic area. This can result in pain that affects daily activities like walking, sitting, and even sleeping. PGP during pregnancy is often caused by the loosening of ligaments and joints in the pelvic area due to hormonal changes, particularly the hormone relaxin , which helps prepare the body for childbirth. While this process is natural, it can make the pelvis more vulnerable to strain and discomfort. Common Symptoms of Pregnancy-Related Pelvic Girdle Pain Pelvic girdle pain can present in various ways, but some of the most common symptoms include: Pain in the pelvic region : This pain can be located in the lower back, hips, groin, or pubic area. It may feel sharp, aching, or throbbing. Pain while sitting or standing : Activities like sitting for long periods, transitioning from sitting to standing, or standing for extended periods can trigger or worsen the pain. Difficulty walking : Many pregnant women with pelvic girdle pain find walking uncomfortable or notice they have a limp or altered gait due to the pain. Pain during certain movements : Movements such as climbing stairs, turning in bed, or lifting one leg may intensify pelvic girdle pain. Reduced mobility : The pain can make it harder to move freely, bend over, or perform other normal activities. Pain that worsens with physical activity : Walking, lifting, or any activity that puts strain on the pelvis may aggravate the pain. The intensity of pelvic girdle pain can vary, and it may fluctuate during different stages of pregnancy. What Causes Pelvic Girdle Pain During Pregnancy? Pregnancy-related pelvic girdle pain is primarily caused by hormonal changes, weight gain, and postural shifts. Below are some of the key factors that contribute to PGP during pregnancy: Hormonal Changes During pregnancy, your body produces the hormone relaxin , which helps relax and loosen the ligaments in the pelvis in preparation for childbirth. While this is essential for allowing the pelvis to expand during delivery, it can also lead to joint instability, making the pelvic area more prone to discomfort and misalignment. Increased Weight and Pressure As your baby grows, the weight gain during pregnancy puts additional pressure on the pelvis and spine. The added weight can exacerbate pelvic girdle pain, especially as the pelvis tries to accommodate the growing baby. Postural Changes As the pregnancy progresses, your body’s center of gravity shifts. You may find yourself leaning back or altering your posture to compensate for the weight of your growing baby. These postural changes can strain the pelvic joints and muscles, leading to pain and discomfort. Muscle Imbalances Pregnancy can cause changes in the pelvic muscles, especially as the body adjusts to the growing belly. Weak or tight muscles in the pelvic floor, lower back, or hips can contribute to pain in the pelvic girdle area. Previous Injuries or Conditions If you've had a previous pelvic injury, such as a fall, pelvic surgery, or conditions like sciatica or hip pain, you may be more susceptible to pelvic girdle pain during pregnancy. How to Manage Pregnancy-Related Pelvic Girdle Pain Although pelvic girdle pain during pregnancy can be uncomfortable, there are several ways to manage the condition and reduce discomfort. Here are some effective strategies: Pelvic health physiotherapist Seeing a pelvic health physiotherapist is one of the most effective ways to manage PGP. A physiotherapist can guide you through exercises to strengthen the muscles that support your pelvis and improve posture. They may also teach you techniques for better body mechanics to prevent strain on the pelvic area. Pelvic Support Belts Wearing a pelvic support belt or maternity belt can help relieve pressure on the pelvic joints and provide additional stability. These belts can be especially helpful when walking, standing for long periods, or during physical activities. Posture and Body Mechanics Maintaining good posture is key in managing pelvic girdle pain. Try to sit with your back straight and your pelvis aligned. When getting up from a seated position, use your arms to support yourself, and avoid twisting your body. If you need to stand for a long time, try to shift your weight between your legs or use a footstool to rest one leg. Heat and Cold Therapy Applying a warm compress or heat pad to the pelvic area can help relax tense muscles and relieve discomfort. On the other hand, if you're experiencing inflammation, ice can help reduce swelling and numb the pain. Always wrap ice or heat in a cloth to protect your skin. Avoid Prolonged Sitting or Standing Avoid sitting for long periods or standing in one position for too long, as this can exacerbate pelvic girdle pain. Take breaks to stand, walk around, or stretch if you're sitting for an extended time. When sitting, try using a cushion or pillow for added support. Gentle Exercise and Stretching Low-impact exercises, such as swimming, walking, or prenatal yoga, can help maintain mobility and relieve tension in the pelvic region. Stretching the lower back, hips, and legs can also help reduce stiffness and improve circulation. Always check with your healthcare provider before starting any new exercise routine during pregnancy. Sleeping Position Adjustments Finding a comfortable sleeping position is crucial. If you're experiencing pelvic girdle pain, try sleeping with a pillow between your knees to reduce strain on the pelvic area. Sleeping on your side with a slight bend in your knees can help alleviate pressure on your pelvis. Pain Relief If the pain becomes difficult to manage, talk to your doctor about safe pain relief options during pregnancy. While over-the-counter pain relievers like ibuprofen may not be recommended during pregnancy, your doctor may suggest other options to help reduce pain. When to Seek Medical Help If pelvic girdle pain becomes severe or if it significantly interferes with your daily activities, it’s important to consult with your healthcare provider. They may recommend additional treatments or help rule out other conditions that could be contributing to the pain. You should also seek medical help if you experience other symptoms, such as numbness, tingling, or weakness in your legs, as these could indicate a more serious issue. Pregnancy-related pelvic girdle pain is a common condition that many women experience, but it doesn’t have to control your pregnancy journey. With the right treatment plan, including physiotherapy, posture adjustments, and self-care practices, you can manage the pain and continue to enjoy this special time in your life. Always remember to consult with your healthcare provider for personalized guidance on managing pelvic girdle pain during pregnancy. Taking care of your body is essential for both you and your baby’s well-being, and with the right approach, you can find relief and continue to feel your best. If you found this blog helpful, consider sharing it with other pregnant women who may be dealing with pelvic girdle pain. The more we share knowledge, the more we can help each other through the challenges of pregnancy.