Menopause & Pelvic Health

Specialist Physiotherapy in Bath & Corsham

Perimenopause and menopause bring changes — some subtle, some unexpected.

For many women, these changes can begin earlier than expected, sometimes from the mid-30s onwards. Hormonal shifts during perimenopause can quietly affect the pelvic floor, bladder, abdominal strength and overall movement confidence.

You may be told this is simply part of aging.

But that doesn’t mean you have to live with symptoms.

I offer specialist pelvic health physiotherapy in Bath and Corsham to support women through perimenopause and menopause — helping you feel more comfortable, more confident and more in control of your body.

What's happening during perimenopause and menopause?

Hormonal Changes Affect the Pelvic Floor

As oestrogen levels begin to fluctuate — sometimes from as early as 35 — the tissues of the pelvic floor and lower abdomen can gradually change.

You might notice:

  • New bladder urgency or leaking

  • Needing to go to the toilet more often

  • Pelvic heaviness or prolapse symptoms

  • Vaginal dryness or discomfort

  • Changes in intimacy

  • A feeling of core weakness

  • Increased back, hip or joint stiffness

These symptoms can feel confusing — particularly if you’ve previously felt strong and stable in your body.

How Physiotherapy Can Help

Pelvic health physiotherapy during perimenopause and menopause focuses on supporting your body through transition — not pushing it.

Treatment may include:

  • Gentle pelvic floor assessment and retraining

  • Bladder retraining strategies

  • Deep core strengthening

  • Postural and breathing work

  • Movement progression that respects energy levels

  • Advice around tissue health and load tolerance

  • Collaboration with your GP or menopause specialist if needed

This isn’t about doing endless pelvic floor exercises.
It’s about understanding what your body needs now.

A dark-skinned woman jogging confidently outdoors in a yellow sports top

What to Expect

Your initial appointment (60minutes) provides time and space to talk through your symptoms and concerns.

We will assess:

  • Pelvic floor function

  • Abdominal and core strength

  • Movement patterns

  • Areas of tension or compensation

You will leave with:

  • Clarity about what’s happening

  • Practical, achievable strategies

  • A personalised plan

  • Reassurance and guidance

Internal assessment is always optional and performed gently, with your comfort as the priority.

Who This Is For

This service may be helpful if you:

  • Are in your mid-30s or beyond and noticing new changes

  • Feel different in your body but can’t quite explain why

  • Have developed bladder symptoms later in life

  • Feel less strong or stable than before

  • Want proactive support rather than waiting for symptoms to worsen

Perimenopause can last many years — early support can make a meaningful difference.

Women doing side-plank in a bright studio with light weights nearby

A Calm, Whole-Body Approach

Menopause is not just a pelvic issue. It is a whole-body transition.

We consider:

  • Hormonal shifts

  • Muscle and tissue resilience

  • Bone and joint health

  • Recovery capacity

  • Stress and sleep

  • Movement confidence

The aim is sustainable strength — not pressure to “bounce back” or push through.

A woman sitting in a bright gym studio with light weights in her hands

Appointments in Bath & Corsham

Menopause pelvic health appointments are available in:

📍 Bath
📍 Corsham

Serving women across Bath, Corsham, Chippenham, Bradford-on-Avon and surrounding areas.

Initial Assessment — £90
Follow-up — £50 (30 minutes)

I can’t recommend enough! Claire is fantastic, very professional!”

Julia

A black and white photo of Claire with one of her children

You Don’t Have to Just Get On With It

Many women quietly adapt around symptoms for years.

With the right support, it is possible to feel stronger, steadier and more confident through perimenopause and beyond.

If you’re unsure whether this service is right for you, you’re very welcome to get in touch.