Menopause & Pelvic Floor

Menopausal physiotherapy & pelvic floor treatments in London. Physiotherapists for menopausal women

If you are an Axa or Bupa patient, you cannot book online. Please call our office with your authorisation number.

If you cannot find an appointment which suits you, call us or send us a message: we will do our best to find you a slot.


Menopausal physiotherapist specialised in pelvic floor rehabilitation, Incontinence, prolapse, bladder issues, sexual dysfunctions at home or at our practices in Moorgate, Belgravia, Westminster and ClaphamMenopause pelvic floor physiotherapy London

When 35% of women experience pelvic floor dysfunction at some point in their lives, having an understanding of the risk factors affecting the pelvic floor can be the fundamental step in how we treat as well as prevent dysfunctions such as urinary leakage or urgency incontinence. Pregnancy, childbirth and the menopause can be moments in life where added stress through physical change, as well as hormonal changes, influence whether the pelvic floor can work to the level that is required for symptom free daily activity.

Bowel, bladder and sexual health are the key functions affected by pelvic floor dysfunction. This can be through pelvic floor weakness, as well as having a tight pelvic floor and are characterised with symptoms such as bowel or urinary leakage, prolapse, or pain during intercourse, as well as a change of sensation. These symptoms may present around the time of menopause and can all be treated and rehabilitated with the help of high-quality physiotherapy. Our London based physiotherapists have all had extensive training to help women tackle pelvic floor dysfunction occurring around the menopause.

These treatments should help identify how to improve your pelvic floor and give you the skills to make lifelong changes improving your symptoms, your mental well-being and your quality of life.

Please contact us if you have other menopause symptoms not described as we could still be of help, or we can also direct you to other specialties who may be more appropriate for you.

Pelvic floor physiotherapy in menopause, treatments for incontinence & bladder issues, sexual dysfunctions with pelvic physiotherapy for menopaused women in London

Our London based physiotherapists at Excellence Physiotherapy are international experts, and the first French experts in London, for the treatment of pelvic floor dysfunction and menopausal physiotherapy. They are highly specialised, experienced women’s health physiotherapists with extensive training in incontinence and pelvic floor rehabilitation. They use evidence-based methods to bring the most effective and efficient treatments and have a history of helping many women overcome their symptoms of pelvic floor dysfunction.

Menopausal physiotherapy treatment at our practices in East London Moorgate EC2, Central London Belgravia Westminster SW1 and Clapham SW4 in South London

Our team of highly trained menopausal physiotherapists & osteopaths provide treatments at our practices in London:

  • Light Centre Belgravia near Victoria Station: 9 Eccleston Street, SW1W 9LX
  • Light Centre Moorgate near Moorgate, Monument Liverpool Street: 114 London Wall, EC2M 5QA
  • Make Me Feel Pharmacy Clapham between Clapham South Clapham Common: 25 Abbeville Road, SW4 9LA

Home Visits: Menopausal physiotherapy at home in London

Some of our patients feel more comfortable to be treated by our menopausal physio at home or are too busy to come to the practice. That’s why our menopause expert offers home visit physiotherapy treatment in London. Whether your live in North London, South London, East London or West London, we can come and visit you.

Our physiotherapy and osteopathy treatments are covered by most health insurances and are Bupa registered & recognised (BUPA Global and BUPA UK), Axa registered & recognised (AXA InternationalAXA ppp), Cigna registered & recognised and WPA registered & recognised

Menopause physio treatments & Pelvic Floor rehabilitation: 0207 125 0262 / 0782 455 3765

Menopause & Physiotherapy

What is the menopause?

On average women go through menopause between the ages of 49-52 years. Menopause is actually only one day, and is defined as being the day of the 1-year anniversary after your last period. However, the hormonal and physical changes can occur for several years around this day. The typical characterisation is the reduction in oestrogen levels and the symptoms that occur due to this.

Why do I have pelvic floor issues during menopause?

The hormonal changes that occur during menopause can lead to reductions in all muscle strength, including the pelvic floor, if strength exercises aren’t maintained. The pelvic floor helps support the pelvic organs, if they become too weak to support these organs then you may start to experience symptoms. Weight gain during this time is another risk factor for lessening pelvic floor function as it increases weight onto the pelvic floor, which it has to resist.

What conditions can result from pelvic floor issues linked to menopause?

A weakened pelvic floor may lead to a number of conditions including:

  • Hyperactive bladder
  • Leak when doing sports, sneezing or coughing
  • Urinary urgency, you might feel difficulties to hold when you need to go to the loo
  • Urinary incontinence, you might have problems holding your need to urinate
  • Urgency at night – nocturia, you might wake up many times per night feeling the need to urinate
  • Increases in urinary frequency, you might want to go to the loo more often than before
  • Vaginal issues including: pain: vulvodynia, vaginismus, dyspareunia – pain or lack of sensation during sexual intercourse
  • Abdominal pain
  • Prolapse
  • Anal incontinence
  • Constipation: constipation can be treated with osteopathy
  • Changes in the ability to control wind

What is the aim of Menopausal physiotherapy?

Women’s health physiotherapy aims to improve the control and strength of the pelvic floor through direction of strength and relaxation techniques to the pelvic floor and breathing muscles, including the diaphragm. If indicated, the use of biofeedback or hypopressive exercises may also be advised and explained. Our menopausal physiotherapist will usually give a home exercise programme for you to continue improvement at home and to establish long term effective changes.

How work physiotherapists to treat Menopausal symptoms? Pelvic floor rehabilitation

The assessment at first includes a discussion, so a clear understanding or your symptoms and history is established. There is usually a physical examination with your consent, they may discuss with you the option of an internal examination of your pelvic floor as it is the most effective way of determining how well your pelvic floor is functioning. At this point the physiotherapist should be able to give you a working explanation of your symptoms and will be able to educate you on some of the conditions which may be linking to your symptoms. This usually develops over the period of time you are seeing your menopausal physiotherapist, as further understanding and changes to your symptoms leads to a more holistic view of your conditions. They may use techniques in the treatment sessions such as manual release and manipulation to increase the rate of recovery and for pain management. They will also go on to teach you how to self-manage your symptoms and rehabilitate if this is indicated to be necessary. The women’s health physiotherapist has a well-rounded understanding of the menopause and will be able to give you advice and understanding of some of the other symptoms associated with menopause such as lowering bone quality (osteoporosis), which can also be improvement through exercise, but also hot flushes, vaginal dryness and pain during intercourse.

When shall I start my pelvic floor rehabilitation?

Pelvic floor issues can present at any stage in life and are not always related to an event such as pregnancy, giving birth, or the menopause. They can affect younger women, as well as older. Whether you have recently noticed symptoms, or they have been around for years, it is never too late to start making changes. Pelvic floor rehabilitation and menopausal physiotherapy can be an effective way to improve and resolve your symptoms at any age and any time. They are also a great way to prevent conditions developing at every stage of your life, with associated hormonal and physical changes and traumas that occur. Your body always has the capacity to build strength and improve function, sometimes we just need some direction, encouragement, and motivation to make these changes.

If you want these changes to happen, our menopause expert is here for you.

If you have any questions about menopause and pelvic physiotherapy, contact our team on 0207 125 0262 or use our contact form, we will be able to give you more details about your condition.


If you are an Axa or Bupa patient, you cannot book online. Please call our office with your authorisation number.

If you cannot find an appointment which suits you, call us or send us a message: we will do our best to find you a slot.