By Kristin Carpenter, PT, DPT, OCS, FAAOMPT The hormonal decline resulting from the menopausal transition (ie: perimenopause) is characterized by detrimental impacts on health including: increased cardiometabolic risk factors (insulin resistance, Type II diabetes, increased central adiposity, weight gain), reduced mental and physical health (depression, loss of lean muscle mass, reduced bone density and increased...
One of the most challenging populations for any exercise professional is women entering the perimenopausal or menopausal phases of life wishing to lose weight. Weight changes during this period for women are common due primarily to changes in key hormones, estrogen and progesterone, and metabolic changes/slow downs due to aging. Combined these changes can lead...
By: Erica Tran, PT, DPT, OCS Athletes practice “just in case” (JIC) peeing before workouts to avoid bathroom breaks during training or competition. However, this habit can harm your pelvic floor health. A recent systematic review on urinary incontinence (UI) in female athletes reveals how behaviors like JIC peeing can disrupt bladder function, leading to...
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....
Vaginal dilators are tools that help stretch and expand the vaginal introitus (or opening) and surrounding tissues. Dilators come in many shapes, sizes, and material types but all utilize the underlying strategy of desensitizing and stretching the tissue gradually and progressively. Most often dilators are prescribed for conditions that cause pain with vaginal penetration. Common...
Urinary incontinence is a common (but not normal!) problem among elderly women, and it can greatly affect their quality of life. Pelvic floor muscle training is often recommended as a first-line treatment, but recent research suggests that adding weight training to the regimen can be more beneficial. A recent study conducted involved 44 elderly women...
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...
Quick answer: NO. Often what is seen clinically in those who experience urine leakage with something like walking, running, or jumping movements, is that these individuals will begin to clench and contract their pelvic floor during these activities to try to prevent leakage. While that seems to make logical sense, this technique often doesn’t solve...
Patients coming to pelvic health physical therapy often have abnormalities with the bladder or bowel habits. And often, if these habits have been around for a while, it is difficult for someone to know what is normal. So what is a ‘normal’ bladder like? Frequency -Voids aka peeing, should occur 5-8 times in 24 hours....
Bowel movements are a part of our normal routine, but painful bowel movements don’t have to be. A common cause of painful bowel elimination is anal fissures. These tiny tears in the anal canal are quite common and have a significant impact on quality of life. Among patients studied in a 2014 cohort, prevelance of...