Menopause & Perimenopause Support


Hormonal shifts during perimenopause and menopause can affect the bladder, bowel, pelvic floor, vulvovaginal tissues, and overall musculoskeletal health. You may notice changes in bladder control, vaginal comfort, sexual function, core strength, or joint stability — even if you’ve never had symptoms before. These changes are common, but they are not something you simply have to live with. Pelvic physical therapy can support tissue health, pelvic floor coordination, strength, pressure management, and return to confident movement during this stage of life.

Common Concerns During Menopause & Perimenopause

  • Urinary urgency, frequency, or leakage

  • Genitourinary Syndrome of Menopause (GSM)

  • Vaginal dryness or discomfort

  • Pain with intercourse

  • Recurrent urinary tract infections

  • Pelvic organ prolapse symptoms

  • Constipation or bowel changes

  • Hip, low back, or sacroiliac joint pain

  • Core weakness or abdominal changes

  • Decreased sexual satisfaction

  • Changes in exercise tolerance

Menopause is a transition—not a decline—and your body deserves support through it. At Wonder we are here to see and support you through this transition with confidence.

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