Menopause and Sexual Health: Yes, It’s Possible | PhysioExtra

Menopause is a natural and significant stage in a woman’s life. It is marked by major hormonal changes that lead to the permanent cessation of menstruation, typically around the age of 50. Although it is a natural process, menopause-related symptoms can vary in intensity and duration from one woman to another. These symptoms can even begin long before menstruation stops, during the initial hormonal fluctuations.

Menopause: More Than Just Hot Flashes!

Contrary to popular belief, irregular menstrual cycles and hot flashes are not always the first signs of menopause. While they are commonly associated with this transition, other lesser-known symptoms can also significantly affect a woman's quality of life.

Common symptoms include:

• Irregular menstrual cycles
• Hot flashes and night sweats
• Mood changes (irritability, depression)
• Persistent fatigue
• Joint pain
• Difficulty concentrating or memory issues
• Skin changes
• Insomnia
• Increased anxiety
• Decreased libido
• Genitourinary syndrome of menopause (GSM)

What is Genitourinary Syndrome of Menopause?

Genitourinary syndrome of menopause (GSM), formerly known as vulvovaginal atrophy, affects 40 to 50% of postmenopausal women. This condition is caused by a decline in estrogen levels and tends to worsen over time if left untreated.

Common symptoms include:

• Vaginal dryness
• Burning or irritation
• Pain during intercourse
• Urgency to urinate
• Increased frequency of urination (day and night)
• Painful urination
• Urgency incontinence

These symptoms can significantly impact sexual health and overall quality of life.

Noticing Changes in Your Vulvar Area? You’re Not Alone!

The decline in estrogen levels leads to changes in the vaginal, urethral, vulvar, and labial tissues. In women affected by GSM, these tissues become more fragile, dry, less elastic, and thinner, which can result in:

• Pain during sexual intercourse
• Irritation or burning sensations

These changes can occur at any time during or after menopause.

Perineal Rehabilitation to Regain Comfort

Perineal and pelvic rehabilitation, a specialized field of physiotherapy, offers effective solutions to relieve GSM symptoms and improve quality of life. A physiotherapist specialized in perineal rehabilitation can guide you through several key steps:

• Tailored advice: Use of vaginal moisturizers and specific lubricants to relieve sexual discomfort. Guidance on bladder irritants that may contribute to urinary urgency and strategies to manage these symptoms.
• Targeted techniques: Softening of vaginal and perineal tissues, relaxation of pelvic floor muscles, and, if necessary, the use of dilators to improve tissue elasticity.
• Specific exercises: Strengthening and relaxation of the pelvic floor muscles, adapted to your condition. Breathing exercises and mobility techniques for the abdominal and pelvic regions.

Take Charge of Your Sexual Health!

Pain during sexual intercourse should not be accepted as inevitable. Consult a physiotherapist specializing in perineal and pelvic rehabilitation for a personalized and effective approach. Don’t wait to regain comfort and optimal quality of life.

Article written by Sabrina Boucher, physiotherapist with expertise in perineal and pelvic rehabilitation.