Understanding Pelvic Pain During Perimenopause: How Occupational Therapy Can Help

Pelvic pain is a common yet often misunderstood symptom for many women entering perimenopause, the transitional phase before menopause. As hormone levels fluctuate, it’s not uncommon for women to experience new and uncomfortable symptoms, with pelvic pain being one of the most concerning. The good news? You don’t have to manage this pain on your own. Occupational therapy can play a vital role in helping you regain control and improve your quality of life during this phase.

What Causes Pelvic Pain in Perimenopause?

Perimenopause is marked by a decline in estrogen and other reproductive hormones, which can lead to changes in the body. The pelvic floor muscles, which support the bladder, uterus, and bowels, may weaken, and the tissues of the vagina and surrounding areas may become thinner and less elastic. These changes can result in pain or discomfort, including:

• Pelvic Floor Dysfunction: A weakening or tightening of pelvic muscles can lead to chronic pain, urinary incontinence, or discomfort during sexual activity.

• Vaginal Dryness: Decreased estrogen levels can cause vaginal tissues to become dry and irritated, leading to discomfort during sex or everyday activities.

• Endometriosis or Fibroids: For some women, underlying conditions like endometriosis or fibroids may worsen during perimenopause, contributing to pelvic pain.

• Interstitial Cystitis: This bladder condition can cause chronic pelvic pain, and hormonal changes can exacerbate symptoms during perimenopause.

How Occupational Therapy Can Help

Occupational therapy offers a holistic approach to managing pelvic pain, particularly during life transitions like perimenopause. Here’s how OT can help you navigate this challenging time:

1. Pelvic Floor Rehabilitation
   An occupational therapist can assess your pelvic floor muscles to identify any dysfunctions, such as muscle weakness, tightness, or imbalance. Through personalized exercises, we help you restore strength, flexibility, and coordination to reduce pain and improve bladder and bowel control.

2. Pain Management Strategies
   Chronic pelvic pain can take a toll on your daily life and mental health. OT provides techniques to manage pain through mindfulness, relaxation exercises, and biofeedback. We also teach you how to pace activities to prevent overexertion, reducing the risk of aggravating pelvic pain.

3. Education and Lifestyle Modifications
   Perimenopause is a time of significant hormonal and bodily changes. Occupational therapists help you understand the impact of these changes on your pelvic health and guide you through lifestyle adjustments. This might include dietary recommendations, bladder training techniques, and ergonomic adaptations to improve comfort during daily activities.

Self-Care Tips for Managing Pelvic Pain

While seeking professional help is key, there are some things you can start doing at home to manage pelvic pain:

• Stay Hydrated: Proper hydration supports bladder function and can reduce irritation.

• Incorporate Gentle Movement: Yoga, stretching, and pelvic floor exercises can help maintain flexibility and ease pain.

• Practice Mindfulness: Relaxation techniques such as deep breathing or guided meditation can alleviate stress, which often exacerbates pelvic pain.

You're Not Alone

Pelvic pain during perimenopause is more common than many women realize, but it doesn’t have to control your life. At The Pelvic OT, we’re here to guide you through this phase with compassion, expertise, and a personalized approach that addresses both physical and emotional well-being.

If you’re struggling with pelvic pain during perimenopause, don’t hesitate to reach out for support. Occupational therapy can help you manage your symptoms, so you can enjoy life to the fullest—without pelvic pain holding you back.