Pelvic Physiotherapy for Menopause & Perimenopause in London
Empowering Women Through Every Stage at PhysioReform
At PhysioReform, we’re passionate about supporting women through every phase of life, especially during the often-overlooked transition of perimenopause, menopause, and postmenopause. These hormonal changes can significantly impact physical, emotional and pelvic health. Our specialist pelvic physiotherapy services are designed to give you confidence, comfort and control during this time.
To find out more about how we can help, or to explore some of our other services such as men’s health physiotherapy, women’s health physiotherapy, acupuncture or sports injury treatment, contact the clinic, or use the quick and easy online booking system.
Our London Clinic
Our Central London clinic is modern, comfortable, and easy to get to. We’re fully equipped to help you feel your best, with a relaxed space, private treatment room and the latest physio equipment.
Our clinic is conveniently situated just off of Tottenham Court Road, in between Tottenham Court Road and Goodge Street tube stations.
What is Perimenopause?
Perimenopause is the transitional phase leading up to menopause, when hormone levels (primarily oestrogen and progesterone) begin to fluctuate. This can cause a wide range of symptoms, even while menstrual cycles are still occurring, though often irregularly.
Average onset in the UK: Around 45 years old
Possible range: From the late 30s to early 50s
Duration: Can last months or several years
Cause: Natural decline in ovarian hormone production
Common Perimenopausal Symptoms
- Irregular periods (heavier or lighter, longer or shorter)
- Hot flashes and night sweats
- Sleep disturbances and fatigue
- Mood swings, anxiety, irritability, depression
- Vaginal dryness and discomfort during intercourse
- Low libido
- “Brain fog”, poor concentration, and memory lapses
- Digestive issues like bloating, constipation, or indigestion
- Skin and hair changes (dryness, thinning, oiliness)
- Joint and muscle aches
- Reduced fertility (though pregnancy is still possible)
These changes can affect your energy, focus, confidence and daily comfort, but support is available.
Why Choose Physioreform in London?
At Physioreform, we bring together compassion and clinical expertise to women’s health. Our pelvic physiotherapists understand the unique challenges of midlife and the importance of feeling heard and supported.
Whether you’re in the early stages of perimenopause, navigating menopause itself, or managing your health in postmenopause, we’re here to help you move forward with strength and confidence.
Meet Your Physio
Farhana Sonday is a specialist pelvic health, oncology and musculoskeletal physiotherapist. She has over 20 years experience as a practicing physiotherapist, and is registered with the HCPC, CSP, POGP and Pelvic Floor Society.
Why Hormonal Changes Matter for Your Health
Fluctuating and declining hormones during this transition don’t just affect the reproductive system. They influence:
- Bone density
- Muscle strength and joint flexibility
- Pelvic floor function
- Bladder and bowel control
- Sleep quality and mood regulation
- Memory and mental clarity
- Skin elasticity and hydration
It’s quite common to feel “not quite yourself”, but you don’t have to just “push through it.” The right physiotherapy support can help restore balance, relieve your discomfort and protect your long-term health.
What is Menopause?
Menopause is diagnosed after 12 consecutive months without a menstrual period, not caused by another medical condition such as surgery or illness. It marks the end of your reproductive years. The average age of menopause in the UK is around 51 years old.
Menopause is a point in time, but the symptoms often persist into the years that follow, though they may stabilise.
Typical Symptoms During Menopause
- Ongoing hot flushes and night sweats
- Difficulty sleeping or staying asleep
- Mood changes or emotional sensitivity
- Continued vaginal dryness and discomfort
- Reduced libido
- More pronounced bone loss, raising risk for osteoporosis
- Difficulty concentrating
- Loss of fertility
The hormonal shifts during menopause affect multiple systems in the body, but they can be managed effectively with the right support and care.
What is Postmenopause?
Postmenopause begins after menopause and continues for the rest of your life. While some symptoms may ease or settle, others, such as bone thinning or cardiovascular risk, can increase without proper management.
Maintaining musculoskeletal health, pelvic floor function and bone density during this stage is crucial. Physiotherapy offers an empowering, evidence-based approach to long-term postmenopausal wellness.
Expert, Personalised Support with The Menopause MOT
The Menopause MOT at Physioreform is a comprehensive, physiotherapy-led health check, tailored to help you navigate this life stage with confidence and clarity.
Led by our specialist women’s health physiotherapists, the MOT provides a full review of your physical, hormonal, pelvic and musculoskeletal health. It’s suitable whether you’re in early perimenopause or well into postmenopause.
What Does the Menopause MOT Include?
Symptom Review: We begin with a detailed discussion about your current symptoms and lifestyle. We’ll explore concerns like:
- Hot flushes or night sweats
- Sleep disturbances and fatigue
- Anxiety, low mood, or irritability
- Brain fog and concentration problems
- Libido changes and sexual discomfort
Understanding your experience allows us to create a care plan tailored specifically to your needs.
Musculoskeletal Screening: Many women notice increasing muscle aches, joint stiffness, or postural changes during menopause. Our assessment covers:
- Posture
- Joint mobility
- Muscle strength and flexibility
You’ll be guided through a personalised exercise plan to reduce pain, improve movement, and build resilience.
Exercise & Lifestyle Advice: We help you build a healthy foundation for this stage and beyond, with practical guidance on:
- Physical activity tailored to energy levels
- Weight management and metabolic changes
- Sleep strategies
- Dietary advice and gut health
- Alcohol and smoking cessation support
Our approach is realistic, flexible and designed to fit around your life, not the other way around.
Pelvic Health Assessment: Hormonal changes can weaken the pelvic floor, increasing the likelihood of:
- Bladder leaks or urgency
- Bowel incontinence
- Prolapse
We’ll assess:
- Pelvic floor muscle function
- Bladder and bowel control
- Core strength and breathing
You’ll receive a tailored pelvic floor exercise programme and advice on managing any symptoms discreetly and effectively.
Bone Health Evaluation: Bone loss accelerates after menopause due to lower oestrogen levels. We’ll help assess your osteoporosis risk and provide advice on:
- Nutrition and supplements
- Weight-bearing exercises
- Lifestyle habits to support bone density
Early action is the best protection against fractures and long-term bone conditions.
Education and Signposting: We empower you with clear, evidence-based information about:
- Hormonal and non-hormonal treatment options
- Lifestyle management tools
- When and how to seek further support
We can also connect you with trusted services, including menopause-specialist GPs, HRT clinics, dietitians or nutritionists and psychologists or counsellors.
Book Your Menopause MOT Today
You don’t have to wait until things get worse. Taking action now can dramatically improve how you feel, physically, mentally and emotionally.
Book your Menopause MOT today to take control of your midlife health. Contact the clinic now to arrange your initial consultation, or use the quick and easy online booking system.