Menopause & Perimenopause
Every woman’s experience of perimenopause is different, and your treatment plan should reflect your symptoms, your lifestyle, and your goals.
Menopause and perimenopause can feel like a whirlwind — not just hormonal changes, but shifts in mood, energy, libido, bladder and bowel habits, core strength, and overall wellbeing. At The Pelvic Health Company in Sheffield, we offer specialist pelvic health physiotherapy to help you understand what’s happening in your body and support you through this transition with evidence based, compassionate care. Our approach is never one-size-fits-all.
How Perimenopause Affects Your Body
During perimenopause, fluctuating and declining oestrogen levels can influence:
Pelvic floor function
Vaginal tissue health
Bladder and bowel function or control
Tendon and muscle resilience
Mood, anxiety, irritability, and emotional regulation
Energy levels and fatigue
Libido and sexual comfort
These changes often overlap, creating a complex picture that affects daily life, exercise, relationships, and confidence.
What Your Symptoms May Feel Like
Many women describe:
leaking when they run, laugh, or lift
urgency or needing the toilet more often
constipation or difficulty emptying
bloating that feels “stuck” or uncomfortable
heaviness or prolapse sensations
vaginal dryness, irritation, or recurrent thrush
UTIs that keep returning
hip, back, or pelvic pain that seems to appear “out of nowhere”
feeling disconnected from their core
dips in mood, motivation, or libido
These symptoms can feel frustrating, worrying, or even isolating — but they are common and treatable. If this sounds like you, it’s not something you need to just live with.
How Pelvic Health Physio Helps During Menopause
At The Pelvic Health Company Sheffield, pelvic health physiotherapy can support:
Bladder Changes
urgency
frequency
leaking
difficulty emptying
recurrent UTIs
Bowel Changes
constipation
incomplete emptying
urgency
bloating linked to digestion, diaphragm, or pelvic floor dysfunction
Pelvic Floor Dysfunction
weakness
overactivity
prolapse symptoms
discomfort with exercise or daily activities
Vaginal & Vulval Health
Working alongside your GP or menopause specialist, we support:
vaginal atrophy
dryness
discomfort
recurrent thrush
recurrent UTIs
Musculoskeletal Pain
Oestrogen changes are associated with increased rates of:
tendinopathies
hip pain
back pain
pelvic girdle pain
We regularly treat these issues as part of your menopause care.
A Whole Body, Individualised Approach
Your menopause journey is unique — your physiotherapy should be too.
Our Sheffield menopause pelvic health assessments may include:
Full consultation of symptoms and health history or Pelvic Health MOT
Movement and postural assessment
Breathing and diaphragm evaluation
Pelvic floor assessment (internal or external, only if you choose)
Digestive screening
Review of activity levels, lifestyle, and wellbeing
A personalised plan built around your goals
We look at how your bladder, bowel, pelvic floor, diaphragm, abdominal wall, posture, and daily load all interact. This wholebody approach helps us understand what’s driving your symptoms and what the best next steps are.
Empowering, Not Limiting
There’s no blanket outdated advice. Instead, you’ll receive honest, evidence-based guidance with clear explanations of what’s happening and why. We give you realistic strategies that fit your life and the support to help you make meaningful progress.
Our goal is to empower you — not just add to your never ending to do list.
Why Women in Sheffield Choose Us
Too often, women arrive in clinic when perimenopause has already significantly impacted their life. We are here to help:
when symptoms first appear
when you feel unsure what’s “normal”
when you want to stay active and strong
when you feel overwhelmed with where to start with your health
when you need clarity, reassurance, and direction
when you’re ready to invest in your own wellbeing
Whether you’re noticing early changes or navigating more complex symptoms, our Sheffield pelvic health physio service will support you with care that is individualised, evidence-based, and empowering.