Pelvic health is a cornerstone of overall well-being, yet it's often overlooked or misunderstood. Conversations about sexual health, particularly the role of pelvic health physiotherapy in postpartum recovery and menopause, are often shrouded in silence. But understanding these topics can profoundly impact your quality of life.
What does a pelvic health physiotherapist do?
Pelvic health physiotherapists assess and treat conditions related to the pelvic floor, the group of muscles, ligaments, and connective tissues that support your bladder, bowel and uterus, and play a role in sexual function. These muscles can become weakened, tight, or imbalanced due to trauma, pregnancy, childbirth, surgery, or ageing.
Reasons you might see one include:
- Postpartum recovery: pregnancy and childbirth place immense strain on the pelvic floor. Common issues include incontinence, prolapse, or pain during sex.
- Menopause: hormonal changes can lead to incontinence, prolapse, or discomfort during intimacy.
- Chronic pelvic pain: conditions like endometriosis or interstitial cystitis.
- Bowel or bladder dysfunction and pain during sex, which is common but not normal.
Why lubrication matters postpartum and through menopause
Postpartum: after birth, oestrogen levels drop, especially if you're breastfeeding, which can lead to vaginal dryness and discomfort. A high-quality water-based lubricant can reduce friction, support tissue comfort, and help rebuild confidence.
Menopause: declining oestrogen causes thinning and drying of vaginal tissues. Lubrication can ease dryness, protect delicate tissues from micro-tears, and support an active, comfortable sex life.
Choosing the right lubricant
Not all lubricants are created equal. Look for products that are free of irritants (no fragrance, glycerin, or parabens), compatible with your needs (water-based is great for everyday use and safe with condoms), and body-safe. All the reasons we love Come Clean.
Pelvic health and sexual wellness are integral to your overall well-being. Seeking help is a sign of strength, not weakness. I urge every woman to see a pelvic health physiotherapist at least once in her lifetime.
Anna, Physiotherapist and Pelvic Floor Specialist, RUA Health.