What it is
Menopause
Menopause is the point 12 months after your last period; everything after is postmenopause. With less estrogen, the tissues of the vagina, vulva and urinary tract can become thinner, drier and less elastic. Doctors call this genitourinary syndrome of menopause (GSM). Muscle and bone also weaken faster without training. Together these can bring leaking, urgency, prolapse symptoms and painful sex. All of them are common, and all are treatable.
Most women notice some of these changes after menopause. Leaking and painful sex are common, not inevitable.
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This isn’t a diagnosis. If something feels urgent, see the list below.
How Katrina helps
A plan built around you
- 1
Get stronger
Pelvic floor and strength training, which also supports your bones.
- 2
Comfort and confidence
Education and strategies for tissue comfort and intimacy.
- 3
Work with your provider
Vaginal estrogen and hormone questions stay with your doctor; we coordinate when it helps.
In Katrina’s words
After menopause, lower estrogen can affect bladder control, vaginal and vulvar tissues, and how well your pelvic floor supports you on hills, in the gym, and in the bedroom. These changes are common—but leakage, prolapse symptoms, and painful sex are not something you have to accept.
We address them with pelvic floor PT, strength training, and education. Hormone or vaginal estrogen may be beneficial which is why, with your permission, we collaborate with your medical provider.
You do not have to trade hiking for pads or avoid intimacy without answers. We build capacity and confidence for the adventures you still have planned.
Your first visit, your way
You’re in control the whole time
- We start by talkingYour story and your goals come first.
- Nothing without your okayEvery step is explained before it happens.
- Internal exam is optionalWe can learn a lot without one, and you decide.
- One-on-one with KatrinaUnhurried, private, and at your pace.
Free 15-minute call
Ready to start the conversation?
Send a quick note and I'll call you for a free 15-minute chat. No pressure, just clarity.
We don't bill insurance directly. Every plan is different, so we'll talk through cost and coverage on your free call. HSA/FSA cards often work for visits.
Common questions
FAQs
Is it too late for pelvic floor PT after menopause?
No. Muscles respond to training at any age, and many women see real improvements in leakage, support, and comfort.
Can pelvic PT help with painful sex after menopause?
Often, yes. We work on muscle tension, tissue comfort, and strategies alongside any treatment from your medical provider.