Genitourinary Syndrome of Menopause: A Pelvic Physical Therapist’s Perspective on the New AUA Guidelines
Genitourinary Syndrome of Menopause (GSM), a condition affecting up to 75% of postmenopausal individuals . These guidelines emphasize a symptom-based diagnosis and advocate for conservative treatments, including pelvic floor physical therapy (PFPT), as integral components of care .
Understanding GSM
GSM encompasses a range of symptoms resulting from decreased estrogen levels during menopause. Unlike other menopausal symptoms, GSM tends to persist and may worsen over time without appropriate intervention .
The Role of Pelvic Floor Physical Therapy
PFPT offers a non-invasive, hormone-free approach to managing GSM symptoms. In a review of the studies the authors of these guidelines found that Pelvic Floor Therapy resulted in significant improvement in the most bothersome GSM symptoms and an effective treatment for urinary incontinence, pain with penetration, pelvic organ prolapse, and pelvic floor dysfunction.
As pelvic floor physical therapist, we focus on:
Muscle Assessment and Training: Evaluating and strengthening pelvic floor muscles to improve support for pelvic organs and enhance bladder control. We also ensure proper relaxation and coordination of the muscles to alleviate pain often associated with penetration and intimacy.
Tissue Health: Techniques to improve blood flow and tissue elasticity, addressing vaginal dryness and discomfort .
Pain Management: Employing strategies to alleviate pain during intercourse and daily activities which can include working on proximal supportive muscles like the core and postural stabilizers.
Integrating PFPT into GSM Management
The updated AUA guidelines recognize PFPT as a first-line treatment, particularly for individuals experiencing pelvic floor dysfunction, urinary incontinence, or dyspareunia . By incorporating PFPT into the management plan, patients can experience significant improvements in quality of life and sexual function .
Empowering Patients
Education is a cornerstone of PFPT. By understanding the changes occurring during menopause and the available treatment options, individuals are better equipped to take an active role in their care. PFPT not only addresses physical symptoms but also empowers patients through knowledge and self-management strategies.
If you are interested in optimizing your midlife health, or are suffering from any of the above symtoms schedule your visit! We offer in person and virtual consultations.
