What is GSM? Genitourinary syndrome of menopause is a relatively new term that describes various signs and symptoms associated with menopause. These include genital symptoms (vaginal dryness, burning, and irritation), sexual symptoms (dryness, pain, discomfort, and impaired function), and urinary symptoms (urgency, dysuria, and recurrent UTIs). During menopause, the production of estrogen and progesterone decreases....
Vaginal dilators are tools that help stretch and expand the vaginal introitus (or opening) and surrounding tissues. Dilators come in many shapes, sizes, and material types but all utilize the underlying strategy of desensitizing and stretching the tissue gradually and progressively. Most often dilators are prescribed for conditions that cause pain with vaginal penetration. Common...
Urinary incontinence is a common (but not normal!) problem among elderly women, and it can greatly affect their quality of life. Pelvic floor muscle training is often recommended as a first-line treatment, but recent research suggests that adding weight training to the regimen can be more beneficial. A recent study conducted involved 44 elderly women...
Many women are aware of the multitude of undesirable symptoms that occur in the perimenopausal period (the menopausal transition where you go from a regular menstrual cycle to a very irregular cycle) including reduced energy level, mood changes,hot flashes, and body composition changes including loss of lean muscle mass and increased abdominal fat. For the...
Quick answer: NO. Often what is seen clinically in those who experience urine leakage with something like walking, running, or jumping movements, is that these individuals will begin to clench and contract their pelvic floor during these activities to try to prevent leakage. While that seems to make logical sense, this technique often doesn’t solve...
Patients coming to pelvic health physical therapy often have abnormalities with the bladder or bowel habits. And often, if these habits have been around for a while, it is difficult for someone to know what is normal. So what is a ‘normal’ bladder like? Frequency -Voids aka peeing, should occur 5-8 times in 24 hours....
Bowel movements are a part of our normal routine, but painful bowel movements don’t have to be. A common cause of painful bowel elimination is anal fissures. These tiny tears in the anal canal are quite common and have a significant impact on quality of life. Among patients studied in a 2014 cohort, prevelance of...
At Mend, we work with highly active women in Boulder County during pregnancy in our Boulder and Lafayette sports medicine and pelvic health physical therapy practice. This includes elite marathoners, CrossFit enthusiasts, triathletes, group fitness junkies and more. As pelvic health specialists we often hear concerns from these active women about “being too tight” in...
Strength or resistance training targeting the major muscle groups of the body is recommended by the American College of Sports Medicine for all adults a minimum of 2 days per week. Loss of muscle and bone mass over time can have significant functional and health consequences in the transition to older adulthood. Because of the...
35% of postpartum women that return to running report musculoskeletal pain. A new research study has looked at biomechanical and musculoskeletal differences that exist in postpartum runners as compared to nulliparous (person who hasn’t given birth) runners. 9 women less than 2 years postpartum that run at least one day per week were compared to...