You’re rolling your eyes now, right? But the truth is, menopause can be one of the most significant and self-defining events in a woman’s life. And even though all women go through it, many women find the experience isolating and overwhelming.
At The Pelvic Hub we think it’s time to get over the embarrassment, shame and terrible cliches.
We think it’s time to celebrate menopause. And we think it starts with getting proactive about the changes that are happening to our bodies, especially our pelvises and vaginas.
This part is a bit boring, but it’s important because it underpins our whole understanding and most people are getting it wrong.
Perimenopause is the transition from your reproductive years to menopause. It can start as early as 35 or as late as 59, and can last between 5 to 15 years. Most Australian and New Zealand women start their menopausal transition at around 51-52 years of age. This is what most people mean when they refer to themselves or someone else as “menopausal”.
Menopause is just one day. One day! The 12 month anniversary of your very last period.
If you’re in perimenopause you’ve probably got a whole lot of changes going on. We all know about the fatigue, hot flashes and mood swings (thanks TV and pop culture!). But there are a whole range of other lesser-known biological symptoms and changes that can occur.
The effect of menopause on your pelvis and vagina probably isn’t something you’re gossiping about with friends over a glass of wine (or maybe it is, in which case, GO YOU!).
Either way, we’re here to get real with you about some fairly typical pelvic health related perimenopause and menopause symptoms that are associated with genitourinary syndrome of menopause (GSM), including:
Vulvovaginal atrophy (VVA) is one of the most unpleasant aspects of GSM and women rarely discuss the problem with their health care provider.
Symptoms of VVA include:
All of these symptoms are associated with declining estrogen levels that cause structural and functional changes in the vaginal tissue, including an changes in pH, decreased blood flow to tissues, shortening and narrowing of the vagina, and reduced vestibular sensation.
Who would have thought that estrogen plays such an important role in vaginal tissue health?!
If a woman is finding sex painful their pelvic floor may spasm involuntarily and make vaginal penetration more painful, difficult or impossible. This involuntary muscle spasm is called vaginismus. Vaginismus is, unfortunately, fairly common in women who have gone through menopause.
All of the things that can cause pain during sex can complicate and exacerbate vaginismus. And anxiety and emotions have a big role to play. Once a person starts experiencing painful sex their fear and apprehension about sex and penetration can actually cause vaginal spasms. This in turn makes sex more painful and difficult and so the negative cycle continues.
If you’re experiencing any of these symptoms you might feel like you’ve got a long way to go to love your pelvis. But The Pelvic Hub is here to help you find a better way to manage your symptoms, gain control and turn things around. So you can stop feeling like your body is betraying you and start feeling in control of your health and wellbeing (and maybe even start enjoying sex again).
If you’re not already getting professional help we strongly recommend seeing a qualified professional who specialises in pelvic health (like a women’s health physio or gynaecologist) for treatment and care. They will make sure you are getting the right treatment for your body.
We have lubricants and vaginal moisturisers for menopause to get things feeling better again. They’re natural, nourishing and made from the highest quality ingredients to help you feel good about taking care of your body.
Although stress incontinence is a really common symptom of menopause it is not a normal part of ageing that you simply have to put up with. Kegel trainers for menopause can help strengthen your pelvic muscles to improve your continence, tone your pelvic floor and maybe even give you better orgasms.
To fully regain control of your pelvic health you need to have the awareness and ability to both contract and relax your pelvic floor. The Elvie kegel trainer gives you feedback while you work so you can be certain you are training your pelvic floor the correct way.
Using an intimate wearable that allows you to control the depth of penetration during sex can help you manage, or even eliminate, pain. The Ohnut is designed to feel just like skin. It’s so comfortable (like a gentle hug) you and your partner will barely notice it’s there. And because you no longer have to worry about whether penetration will hurt, the Ohnut allows both you and your partner to focus on what matters most, connection, enjoyment and fun.
Vaginal dilation can help to manage VVA, dyspareunia and vaginismus by gently stretching the vaginal walls which helps to maintain or improve vaginal capacity and gradually makes the vagina more elastic and flexible over time.
In the case of dyspareunia or vaginismus, dilators can be used as part of treatment to help retrain the muscles to relax. Women start with a size that is comfortable and gradually progress as able.
Our vaginal dilators for menopause are premium, top-of-the line products made from medical grade silicone making them safe and easy-to-use. They’re soft but firm and can be warmed to body temperature for ultimate comfort.
Some perimenopausal and menopausal women actually feel more confident in their bodies compared to their younger selves (can you believe it?). With the right help, support and menopause treatment this could be you too.