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What Is Genitourinary Syndrome And Why You Should Know About It

What is GSM? Genitourinary syndrome of menopause is a relatively new term that describes various signs and symptoms associated with menopause. These include genital symptoms (vaginal dryness, burning, and irritation), sexual symptoms (dryness, pain, discomfort, and impaired function), and urinary symptoms (urgency, dysuria, and recurrent UTIs).  During menopause, the production of estrogen and progesterone decreases....

Women can experience a lot of undesirable symptoms during perimenopause, including reduced energy levels, dramatic mood changes, and incredibly uncomfortable hot flashes. Many also notice changes in their body composition, including the loss of lean muscle mass and increased abdominal fat. Put another way, perimenopause is stressful for everyone; however, it can be especially frustrating...

Is My Pelvic Floor Too Tight to Give Birth?

At Mend, we work with highly active women in Boulder County during pregnancy in our Boulder and Lafayette sports medicine and pelvic health physical therapy practice. This includes elite marathoners, CrossFit enthusiasts, triathletes, group fitness junkies and more. As pelvic health specialists we often hear concerns from these active women about “being too tight” in...

Women who participate in high-impact activities may be at higher risk for pelvic floor dysfunction (PFD) such as urinary incontinence than women who participate in low-impact activities. Following childbirth, 30% of mothers report urinary incontinence and 10% report anal incontinence. Women are all too often advised to avoid activities such as high intensity interval training...

Are you doing your ‘Kegel’s’ but still leaking when you jump or run? Kegel’s aren’t enough! But you can read that rant here. Having leakage with jumping and running, whether newly postpartum, decades postpartum, or having never had a baby, has multiple factors contributing to it. First, surrounding muscle groups require adequate strength and symmetry...

A frequent question of pregnant patients is, “how do I actually push during labor”? If they ask friends, they will often get the answer, “well in the moment you just know what to do”. If they ask the internet, there are even more vague and varied answers. So let’s discuss the best biomechanics and research...