Your First Pelvic Floor Visit During Menopause or After Cancer Treatment
Dryness, leaking, urgency, painful sex, recurrent UTIs, or just not feeling like yourself. Whether it is menopause, perimenopause, or the aftermath of surgery, radiation or hormone therapy, these changes are common. Common does not mean you have to live with them.
We start by listening
I want to know what has changed, when, and what it is stopping you from doing. If you have had cancer treatment, I ask about surgeries, radiation fields, chemotherapy and any hormone-blocking medication, because each affects tissue differently. I coordinate with your gynecologist or oncologist when it helps.
The assessment
- Posture, breathing, hips and abdomen, and how you manage pressure when you cough, lift or stand up
- Scar and tissue mobility after surgery or radiation
- Real-time ultrasound (RUSI) as biofeedback so you can see how your pelvic floor is working
- Pelvic floor assessment externally, or internally only if you are comfortable — we can go as slowly as you need
What treatment often includes
Pelvic floor strengthening or relaxation (depending on what we find), tissue work, graded dilator use where appropriate, bladder retraining, and practical advice about moisturizers and lubricants. I will also tell you when a conversation with your doctor about vaginal estrogen or other options is worth having.
What you leave with
An honest explanation of what is going on, a short home routine, and a realistic plan. Many women notice a difference in leaking and comfort within a few weeks.
Menopause and oncology pelvic care near Montclair
Full-hour, one-on-one sessions in a private room in Upper Montclair, serving Montclair, Glen Ridge, Verona, Caldwell, Bloomfield and the surrounding area.