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Perimenopause & Menopause Health Coaching

You are not alone in this transition.
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At Beyond Basics, our Perimenopause & Menopause Health Coaching program offers personalized support to help you understand and manage the physical, emotional, and lifestyle changes that come with this natural phase of life. If you’ve found yourself saying, “I just don’t feel like myself,” you’re not imagining it and you don’t have to go through it alone. Through expert pelvic floor physical therapy, education, and lifestyle guidance, we empower you to take charge of your health and well-being during perimenopause, menopause, and beyond.

Ready to start feeling more like yourself again?

Call us today to schedule a free 15 minute phone consultation.

Book Your Appointment

Understanding Perimenopause and Menopause

Menopause occurs after a person has gone 12 consecutive months without a menstrual period. While menopause is a natural process that occurs as a result of the ovaries producing fewer hormones (and therefore lower hormone levels), the symptoms can be extremely uncomfortable.

At Beyond Basics, we can help alleviate your menopausal symptoms through a variety of pelvic floor physical therapy, education, and lifestyle guidance.

The three stages of menopause are:

  • Perimenopause: This transitional phase often begins between ages 35 and 45. Hormone levels start to fluctuate, leading to changes in the menstrual cycle and the onset of symptoms such as irregular periods, heavier or lighter flow, mood changes, hot flashes, sleep disturbances, changes in sexual function, and bowel or bladder health.
  • Menopause: This stage is confirmed when menstruation has ceased for 12 consecutive months, marking the end of reproductive years.
  • Postmenopause: The period following menopause, where symptoms may continue but often decrease in intensity.

Symptoms of Perimenopause and Menopause

Many people describe perimenopause and menopause with one simple phrase: “I don’t feel like myself anymore.” Whether it’s mood swings, disrupted sleep, or changes in your body that you can’t quite explain, these symptoms are real and valid. Let’s break them down and talk about how they can be managed with care and support.

Every person’s experience is different, but symptoms can involve much more than hot flashes, weight gain, night sweats, and trouble sleeping. Sometimes symptoms can last for years or longer, ranging from mild to severe and affecting quality of life.

Common symptoms include:

  • Vaginal or vulvar dryness
  • Vaginal or vulvar burning
  • Vulvar itching
  • Sexual difficulty
  • Pain during sex
  • Increased urinary tract infections
  • Pelvic floor muscle weakness
  • Pelvic floor muscle overactivity
  • Urinary incontinence and fecal incontinence
  • Pelvic Organ Prolapse (when the bladder, uterus, small intestine, or rectum drops into the vaginal vault)
  • Mood swings
  • Tendon health
  • Osteoporosis
  • Cardiac health
  • Musculoskeletal pain

The severity of symptoms can vary depending on current health conditions, lifestyle factors, and other variables. The good news is that pelvic floor physical therapy and health coaching can significantly reduce or eliminate many of these symptoms.

Get help now from a pelvic floor physical therapist for Perimenopause and Menopause.

Book Appointment Now

Physical Therapy Treatments for Perimenopause, Menopause, and Postmenopause

It’s common for people during and after menopause to experience weak or overactive pelvic floor muscles, resulting in uncomfortable symptoms. Exercises and interventions are tailored to the specific symptoms you are experiencing and may include:

  • Pelvic floor muscle training to strengthen and restore function to the muscles
  • Core exercises
  • Strength training exercises
  • Breathing exercises
  • Patient education on decreasing pelvic floor strain
  • Massage
  • Changing toileting mechanics
  • Use of pelvic floor tools (including vaginal weights, wands, and dilators)

Lifestyle Support Through Health Coaching

In addition to pelvic floor physical therapy, our coaching program supports you in key areas that can make a real difference during perimenopause and menopause, such as:

  • Nutrition and hydration strategies to support hormonal balance and pelvic health
  • Customized exercise and movement programs to maintain strength and bone health
  • Sleep optimization techniques to improve rest and recovery
  • Stress management and mindfulness practices
  • Collaborating with your healthcare providers for a coordinated care approach
  • Referrals to perimenopause and menopause informed healthcare providers to identify if hormone therapy and other related interventions is right for you

Benefits of Physical Therapy and Health Coaching for Perimenopause and Menopause

Our comprehensive approach can help you:

  • Improve pelvic floor function
  • Reduce vaginal pain, dryness, and itching
  • Decrease bladder urgency and frequency
  • Improve bowel and gastrointestinal issues
  • Improve sexual function and comfort
  • Strengthen muscles
  • Maintain pelvic floor health for the long term
  • Feel empowered with techniques and education to reduce symptom recurrence
  • Reduced occurrence of hot flashes, weight gain, night sweats, and sleep disturbances.

You don’t have to figure it out alone.

We’ll create a personalized plan that fits your needs and goals.

Book Appointment Now

What To Expect

During Your Initial Physical Therapy Appointment

Your first appointment with our physical therapy team at Beyond Basics will begin with us asking questions in order to learn more about you, including your medical history and current symptoms. This will give us the context we need to understand your body.

After our conversation, we’ll conduct a physical exam, including a hands-on assessment based on your symptoms. The initial evaluation might include a pelvic floor external and/or internal examination, with the purpose being to trace your issue to its source(s) in order to alleviate pain and dysfunction. Your Beyond Basics PT will also provide you with exercises to begin at home.

As the patient, we want you to be as comfortable as possible and you have the right to refuse any treatment at any time without an explanation.

During Your Additional Physical Therapy Appointments

Our goal as your healthcare provider is to ensure you receive the best holistic care possible and to give you the relief and results you need. The amount of time each session will be is determined by your own personal preferences as well as the recommendations of your PT. 

Many people experience an improvement in symptoms within 8 weeks or earlier.

Client Testimonials

Elena Golub
Absolutely adored working with Melanie Rocchio. She's truly an expert at her craft and immediately puts you at ease. It's hard to make PFPT a comfortable process but she did. If you need PFPT, go see Melanie--I'll definitely be a returning client if I need further treatment.
Kat M.
I recently saw Kiko for regular PT sessions following a c-section delivery and HIGHLY recommend her, she's the best!! We worked on regaining both pelvic floor and core strength, and while I'm happy both have improved significantly in the months since my delivery, I was sad to have 'graduated' PT as I really enjoyed my sessions with Kiko - she's a pleasure to work with and learn from! I also had a good experience with Beyond Basics as a practice - Veronica at the front desk is very sweet!
Savannah Carlin
I cannot recommend Sonali highly enough, she’s truly incredible!
Sudais Haider
Nice
Lily Zoraster
Had a great experience here, front desk person Veronica is very nice and helpful. It was a delight to have Kiko as my therapist. She is very knowledgeable, easy to talk to/work with, and very thorough. She helped me find the perfect exercises that were very doable to help me progress and I progressed so fast in ways that I couldn’t imagine before. Thank you so much 😊
Mike Honcharik
Went to Beyond Basics for treatment of abdominal pain ,as recommended by my doctor . Kiko treated me , she was very professional and a listened to all my concerns ,and made me feel much better as to my condition . She was very knowledgeable and very helpfull . I highly recommend her.
Garland Horwitz
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
Samatha Nemana
So appreciative of the staff at Beyond Basics, especially Emily Moore! Emily was immensely helpful as I navigate my endometriosis journey. During our sessions I feel like I got some real answers around my pain - I so, so appreciate her. Our visits and the exercises she recommended have resulted in noticeable improvement over just a few short months. Highly recommend!
Michele Caplan
I have worked with Beyond Basics for over 15 years. I have an underlying chronic problem that I will have to manage for the rest of my life. With their multitude of skills, Beyond Basics has given me the therapy and strategies to go from acute pelvic pain, severe back, and postural problems to being able to manage my underlying problems with resilience and support. And, with their help and guidance I have avoided back surgery.

The therapy and commitment at BB are on an entirely different level from therapy available any other Physical Therapy clinic I have ever encountered. It is entirely unique.
Allie Hemmings
Staff is friendly and efficient. Kiko is so easy to talk to, super informative, genuinely caring & kind, very knowledgeable about the pelvic floor as well as how other areas of the body work with it, and she also gave a great referral when my condition seemed to need treatment outside of her scope of practice. I highly recommend Kiko!
Chazzy cruje
I wasn't sure how soon I'd be able to resume running after my ACL surgery. For a few months, I received regular treatment from the staff, and each session was designed to increase my strength without overtaxing my knee. They kept a careful eye on my development and modified the plan as necessary. I'm jogging lightly now and feel secure once more.
Ariana Morgan
I had constant neck stiffness from long hours at a desk job, which eventually turned into headaches. Physiotherapy gave me relief I didn’t think was possible. Through posture correction, ergonomic advice, and gentle manual therapy, I’ve been pain-free and more productive than ever.
Marissa Noboa
It’s taken a year of different medical opinions but I’ve finally found the proper treatment with Beyond Basics Pt. Their therapists have a wide range of experiences and deep knowledge about pelvic floor and body mechanics to approach the treatment. I’m very thankful to have such smart and caring people helping me get better.
Ava Anderson
My son has autism and struggles with motor coordination. His physiotherapy sessions are tailored to his needs, full of playful yet purposeful activities. He looks forward to every visit and we’ve noticed significant improvements in his balance, posture, and ability to focus during tasks.
Ronlee Ben-Gal
Sonali Patel at Beyond Basis is an incredibly smart, kind, and effective pelvic floor PT. She was great during our sessions and also gave me the tools to continue healing on my own, without ever pushing unnecessary visits. I’d absolutely recommend her and will definitely come back to her if anything ever comes up again.
Joshua S Rubin DDS
Kiko is exactly what you want in a PT… Attentive and clearly loves what she does, all with a sense of humor. You’ll be lucky if you get her..
Jenna Barrett
After undergoing abdominal surgery, I was struggling with swelling, stiffness, and a general feeling of heaviness that wouldn’t go away. My doctor mentioned lymphatic drainage as a way to speed up healing and reduce inflammation, so I decided to give it a try. I had no idea how much of a difference it would make…The sessions were incredibly relaxing yet deeply effective. My therapist used gentle, rhythmic movements to encourage lymph flow, and I could actually feel the tension releasing from my body. After just a couple of appointments, I noticed a significant decrease in swelling, and my overall discomfort was much lower…What surprised me most was how much this therapy helped beyond just reducing swelling. My digestion improved, my energy levels increased, and I felt more ""normal"" again after weeks of post surgical sluggishness. If you are recovering from surgery, I cannot recommend lymphatic drainage enough it was truly a game changer in my healing process!
Meghana Palepu
I saw Harsh during my pregnancy for severe pubic pain and for preparation for birth. Harsh is incredibly knowledgeable and professional, and also has a very kind bedside manner. She always made me feel very comfortable, and it was great to work with her. I was able to manage my pain better because of our sessions. She is great!
Valerie Hayes
For years, I struggled with bladder issues that slowly started to affect my daily life. Sneezing, laughing, or even just going for a short walk could lead to embarrassing leaks, and I found myself constantly planning my day around bathroom access. I thought this was just something I had to live with until I found pelvic floor therapy. From the very first session, I felt heard and understood. My therapist took the time to explain what was happening with my body in a way that made sense, and for the first time, I realized that this was not just ""part of getting older"" or something I had to tolerate. The exercises were gentle but effective, and within just a few weeks, I started noticing changes. I could go longer without worrying about sudden urges, and my confidence began to return. Now, a few months later, I feel like a completely different person. No more wearing pads ‘just in case’ or feeling nervous about long car rides. If you are dealing with bladder dysfunction, please don’t wait as long as I did pelvic floor therapy truly works, and I only wish I had started sooner!
Zariah Collins
As an athlete, I never considered pelvic floor therapy until I started experiencing hip pain and core instability. I had no idea how much my pelvic floor contributed to overall strength and performance! My therapist tailored exercises to improve my endurance, posture, and core control. Within weeks, I felt stronger, ran more efficiently, and even reduced my risk of injury. This should be essential for any active person!
Annie Jung
I went to go see Kiko for tailbone pain that I had ignored for 20 months since giving birth. She gave me a thorough assessment and explained the reasons behind the persisting pain. She looked at my body as a whole, not just the pelvic area and we are addressing other problem areas that have been causing the pain. I can’t believe how much I’ve improved even after just one session. Her bedside manners are great too and I feel very comfortable working with her. I highly recommend this place for all new mamas!
Nicolette Omoile
KIKO is everything! She helped me through a surprisingly tough postpartum period (physically & mentally) for baby #2. Every session we have a tailored approach (internal & external work) that is helping me accelerate my healing. I'm excited to do my homework and get back to business soon! Also, whenever I have new issues (pain with sneezing?!) she addresses it immediately and then, we go back to the plan. I'm so grateful for her (and the admin staff who has dealt with my re-scheduling due to having a toddler & newborn). Love Beyond Basics!
Elizabeth Mills
I have had an amazing experience working with Kiko. She takes a holistic approach to assess and address your individual needs. Working with Kiko has dramatically reduced the symptoms of a condition I have had for many years, when nothing else I have tried has helped. My quality of life has greatly improved and I am very grateful!
Jenna Flint
I saw Harsh during my pregnancy to strengthen my pelvic floor and prepare for birth, as well as to help combat common pregnancy discomforts. I’m seeing her now postpartum as well. Harsh is absolutely amazing!!!!!!!! She has the sweetest and most professional bedside manner and has been great at helping me to be more mindful of how I move my body, giving me helpful exercises to do at home, and most importantly, relieving pain and discomfort. I give her a lot of credit in preparing me for what was a very successful birth experience with minimal tearing, as well as helping me recover well postpartum. She is simply the best in every way!!!!!!
carol espel
High quality, physical care
Gemma Newcombe
I found this place on Maps when my pelvic pain flared up best decision ever. I felt real progress after just a few visits.
P F
Very knowledgeable skilled understanding and friendly. Highly recommend
Alec-Lewis Wang
Very helpful!
Mayelin Batista
Sonali is one of the most caring and kind person I have come across. As a patient and most importantly as a female, to find these two qualities in a therapist are not only extremely important but also extremely rare to find.
nina Shapiro
I am working with Sonail. She is a skilled practioner both with hands and heart.
nelly tournaki
I want to thank Dr. Solani Patel. Throughout my treatment she has been gentle, polite, patient and very knowledgable. Each of the exercises she gave me were very relevant to my condition and very helpful.
Jenny Laroche
Beyond basics is such an amazing space for rehabbing postpartum pains and aches.
The therapists are incredibly knowledgeable, kind, gentle, and wonderful at their job!
As a dancer, I received the expert care I needed to return to work with confidence.
Kevin Fitzpatrick
Beyond Basics is one the best places to go for physical therapy.... I'm extremely happy I started going here, and it's very convenient, being that it's directly across the street from Grand Central. My physical therapist, Radhi Kadakia, is awesome and highly recommended!
Lisa Taylor
Vivian is fantastic! I felt like in just a few minutes she identified the reason I’ve been having so much so joint and hip area oain for the past couple of years. I had seen multiple different docs/specialists and no one had been able to figure anything out. She gave me some exercises to help gain more connectivity and activation on my glutes (I over-rely on my core and quads and not enough in my posterior chain), and when I said I’d be more likely to do them if I had a video demo she kindly did demos and let me record them!

I’ll also add that I’m a childbirth educator and both doula and have been recommending this practice for years because colleagues and clients have raved about them but only recently did I get to actually experience this for myself. (In fact, I ran into one of my birth class students when I went to my appointment!) Now I can recommend even more highly!
Jeremy Pikser
Emily Moore is the most insightful, ingenious and effective PT I have ever worked with, and I've worked with over a dozen over the past 30 years. I wish they were a little more Medicare compliant, but even if it costs more, to me, it's worth it.
Virginia Meagher
PT Danielle is phenomenal. She knows about the entire body. She gave me exercises for my upper right back which are paying off. BBPT sends you a follow-up email with videos about how to do the exercises. They are awesome.
Sean H
Carson has been extremely informative and helpful in my PT journey. She has been great at keeping me at ease and explaining to process, and being straight forward about our goals in therapy. Very glad I found Carson and Beyond Basics.
serena
I had a great experience at Beyond Basics! I was nervous about going to physical therapy, but Sonali was so professional and nice, which made me feel a lot more comfortable. Sonali fully solved my pelvic floor issues in only a few sessions. She gave me stretches to do on my own time to move my progress along and also to ensure I don't lose any progress I've made. The receptionist Jasmine is also great-she is really helpful when it comes to scheduling appointments. I can't recommend Beyond Basics enough!
Frances Engoron
Great care - wonderful therapists. Head and shoulders above most other Physical Therapy practices.
Michele Bontemps
Sonali was wonderful! Extremely knowledgeable and understanding. Excellent facility.
Gail Brousal
The waiting room--always decorated--is a welcoming space. Makela is respectful, resourceful and wonderfully clear in spoken and physical instruction. It is truly a pleasure to work with her,
Bárbara Ipac
I highly recommend Beyond Basics Physical Therapy. Great staff!
Colta Ives
Danielle Santora is exceptionally well-informed, a great listener and and a great educator. She is that rare person who knows her business and has the sensitivity to deal with a delicate subject.
Jessica Hebenstreit
Eliza is amazing! I am seeing her for pelvic floor PT due to pregnancy related discomfort and in just 2 sessions she has helped reduce my pain/discomfort a lot. She has a very kind and comforting bedside manner and makes you feel very at ease. I highly recommend her.
Wendy Katzman
Sonali Patel is an excellent physical therapist. She is very knowledgable about pelvic health, and has great manual therapy and communication skills. I highly recommend her.
Rebecca Blane
This place is amazing!!! I worked with Sonali. She was extremely knowledgable and our sessions were very thorough. Sonali was so compassionate and helped me feel so supported. I felt like she really understood what I was going through. I saw great improvements and am very satisfied with the whole experience. Highly recommend!
Ray Tekosky
Wonderful place, I've worked with Makela previously, she's "as good as it gets". Natural healer, empathetic, pleasant, smart,,,,,,,what more can u ask for?
Lizzie Benzik
Vivian Zhang at Beyond Basic PT is awesome! She took my concerns seriously and, using exercises and physical releases, improved my breathing and quality of life.
Nick B
My experience with Beyond Basics has been outstanding! Danielle is incredibly insightful, professional, and an excellent communicator. She is truly an expert and I am very grateful to have her in my journey!
Jazmaine Vitta
Sonali Patel is a miracle worker! I came to Beyond Basics with really bad TMJ issues and Sonali was able to provide me almost instant relief from years of tension. I've never felt better and she taught me some really awesome tips I can use myself moving forward. Overall I had a really great experience at Beyond Basics!
Jessica Hope
I’ve now been to Beyond Basics at two different points in my life for two different reasons. They are truly the experts. I walk away from each session in awe of the deep knowledge base of my physical therapist Sonali, who I trust and respect deeply. I have dealt with other physical therapy offices in the past and nothing can compare to the level of care, comfort, professionalism, efficiency, and effectiveness of this office. I actually look forward to my appointments. Highly recommend for anyone with GI issues of any kind or has had a baby!
Marjorie Thompson
I highly recommend Beyond Basics for pelvic floor PT. My therapist, Vivian, was friendly, thoughtful, respectful, and knowledgeable. She knows what she’s doing and made great suggestions for exercises I could do on my own. I had great results in combination with treatment recommended by my doctor. The facility is clean and staff are welcoming. Highly recommend.
Barbara Pearson
A terrific therapist who made an awkward procedure comfortable and normal. She is smart, sensitive , knowledgeable and a delight to be with during therapy
Brian Singletary-Kirci
Beyond Basics is the Physical Therapy place to go for exceptional, friendly, knowledgeable, and personalized care for your physical rehabilitation, particularly following surgery and pelvic floor strengthening. Danielle, Physical Therapist, is awesome!
Leese Hamilton
Incredibly caring, experienced and professional. Highly recommended.
Joanne Sandler
Makela is an amazing PT. The office staff is wonderful and the space is great. Highly recommend.
Yassmin Dehesh
Danielle Santora saved my life! I have made more progress working with her than any other PT. She’s incredibly kind, always willing to meet you where you’re at but not afraid to push you to be better. I would not be anywhere close to where I am today without her detailed and consistent guidance.
Lisa Duggan
Rachel at Beyond Basics downtown is an outstanding, highly skilled, patient, kind and dedicated physical therapist. I love going to see her, she helps me so much. *Highly* recommended!
Stan S
Sonali is outstanding. She is very knowledgible and helpful. Plus, very pleasant.
Cindy C
I was afraid to go out because of my overactive bladder.  Vivian Zhang saved my life.  My life improved tremendously after spending two months with her.

She is very patient, knowledgeable, and professional.  She spends a full hour with me which I could not find in any other physical therapy.  She gave me so much attention and continued to look for the root cause of my problems.  She explains the purpose of the exercises.  She teaches me the exercises and makes sure I do it correctly.  She will check my understanding in the next session to make sure I do it correctly.  If I don’t do it correctly, she will find another way to explain to me and check my understanding.   All other physical therapy just spends 30 minutes on me and leaves me alone to do the exercises myself.  They don’t check to see if I am doing it correctly.  Before coming to Beyond Basic, I was in another physical therapy for a year and was not able correct my overactive bladder problem.  I am so lucky to have found Vivian and Beyond Basic.
France Choa
You don't take my insurance.
Maddy Hoffman
Superb and attentive care. Highly recommended!
Mary Callahan
I've really appreciated my experience so far at Beyond Basics, working with Makela. I was nervous going into pelvic floor physical therapy and she was respectful and considerate of my hesitation. She also makes a great effort to connect with other members of my treatment team, which makes me feel like I'm being supported holistically. I have already noticed improvement in my daily life, and I'm very grateful!
Aashish Kumar
I’ve been seeing Vivian Zhang for almost a month now for chronic lower back pain. Her approach from the get-go has been based on translating my narrative of symptoms into a comprehensive treatment plan, combining targeted exercises, corrective behaviors, and skillful musculoskeletal manipulation. After almost a year of suffering pain I can finally see the end! Beyond Basics justifies their name. To speak nothing of those rockstar plants in the waiting area!
Justine Larbalestier
Beyond Basics has the best physical therapists I've been to in NYC. They've provided the best treatment for chronic fibromyalgia, reducing my pain & increasing my functionality enormously. Highly recommended.
Arleny Gonzalez
I had known about pelvic floor therapy for more than year before making my first appointment. My only regret is not booking my appointment sooner. Pelvic PT has helped me overcome a long-standing issue, and it has been life-changing.

From the moment I walked in, the team made me feel welcomed and supported. They took the time to understand my concerns and designed a personalized treatment plan just for me.

Vivian used a holistic approach, combining various techniques and exercises to address my pelvic floor concerns. With her guidance, I regained control and experienced a remarkable improvement in my symptoms.

What impressed me the most was her caring and empathetic approach. She created a safe space where I could openly discuss my concerns, and she provided exceptional support throughout the entire journey.

I am forever grateful to Beyond Basics. If you're struggling with pelvic floor issues, don't hesitate to seek their help. They are truly outstanding in their care and commitment to patient well-being.
Manon Vergerio
Beyond Basics has been nothing short of transformative in my health journey. After years of having my pain dismissed by various doctors, I found an OBGYN who identified that I had a hypertonic pelvic floor and should seek pelvic floor physical therapy.

I searched on Google and am so grateful I came across Beyond Basics - this is truly an outstanding place if you are looking for pelvic floor experts. I have never encountered such holistic, patient-affirming care before.

I was fortunate to be matched with Joanna, one of their incredible physical therapists. Joanna is so knowledgeable and an absolute joy to work with. She is not only a very skilled pelvic floor therapists, she is also patient, incredibly emotionally intelligent, and funny, and could brighten up even the worst day in my long healing journey with the crack of a joke.

Thanks to Joanna and Beyond Basics, I have learned so much about my body and have developed concrete tools and pelvic floor relaxation techniques. I feel empowered in my own journey and it was worth every cent !

I will say that while the price of sessions can feel daunting, they do make an effort to make pelvic health more accessible through a sliding scale and spacing out sessions. Their goal is not to make you dependent on their physical therapists, but to help you develop tools and skills so you can take control of your own health and live a pain-free life.

I cannot recommend Beyond Basics enough. I hope one day all women will know about pelvic floor physical therapy and be able to access this amazing practice !
Karla Lopez
At Beyond Basics I found the help I needed for my Postpartum recovery after a traumatic delivery. Little did I know all the benefits I could get from pelvic floor PT. Here I learned a lot of tools to have a better pelvic health and improve my wellbeing. I really recommend pelvic floor PT to all women! This will help you for life.
Vivian has been my PT and she is great! She has helped me in a lot of ways, physically and emotionally, she’s caring and very knowledgeable.
Also, the girls from front desk are very kind.
Beyond basics is a great place!
Katie Kuntzman
My experience with Beyond Basics has truly been life changing!

After having a variety of symptoms without a true diagnosis for months, I found Beyond Basics, and, while I was completely unfamiliar with pelvic floor physical therapy before going there, I quickly realized the benefits even after my first session.

I've now been working with Vivian Zhang for almost a year, and I am continuously amazed by her work. Out of all of the medical professionals that I've worked with in the past, Vivian has shown the most care and interest in my well being. Healing is definitely a journey, and Vivian has shown the utmost respect and patience for me as I work through ups and downs of my personal path. With Vivian, I feel like I have a trusted resource and someone who genuinely listens to me, and that has made such a difference in my recovery.

I cannot thank Vivian, and Beyond Basics as a whole, enough for the improvement that they've made to my quality of life and I highly recommend this practice to anyone who is even remotely considering pelvic floor PT!
S H
Eliza was so great to work with. She was very helpful. She is caring and compassionate. She helped me feel better. Grateful for all of her support. Can’t say enough good things. Would be better if they accepted insurance though.
Barry Schiller
Beyond Basics PT identified my needs and listened to my concerns as well as planned a treatment regimen that addressed the fundamental causes of my issues. Makayla knowledge regarding body mechanics is extraordinary.
donal farley
I needed a specialized pt called pelvic floor therapy following rectal surgery. I found Vivian Zhang a very able and knowledgeable therapist at Beyond Basics Physical Therapy on William Street in lower Manhattan. After six weekly one hour sessions, I had a significant improvement in returning to a normal life. Vivian was very clear in her instructions, provided illustrated email instructions for at-home exercises and was available via email as needed. She was also very patient and kind with this 87 year old client.
Caitlyn West
Dr. Spielman and the Beyond Basic staff are amazing. The front desk is kind, friendly and very helpful when booking appointments.

Dr. Spielman is a life saver. She helped me at a time when I had experienced months of debilitating pain. I had seen multiple specialists and tried various medications to no avail.

Dr. Spielman was the first doctor to diagnose me with an overly tight pelvic floor. She has helped me with workouts, stretches and provided me with important anatomical information on my road to recovery.

I am so grateful for her and I can't recommend both Dr. Spielman and Beyond Basics enough!
Dina
I received excellent care at Beyond Basics
I L
I have been a patient at the Beyondbasics PT for almost 3 years and they successfully helped me with both the pelvic floor and orthopedic issues.
I have health issues and I have used several physical therapists in the past.
Beyond Basics is the best!!
They were recommended to me by my doctors
And I am grateful for the recommendations.
Beyondbasics PTs are knowledgeable, attentive, patient and kind.
Front desk representatives are very friendly and kind.
Thank you
Mark Scheflen
I am extremely grateful for Ekta's work. She figured out a complex problem within 2 visits. Importantly, I now understand the problem and know what to do to fix it. I went to so many medical specialists and Pelvic PT's and they couldn't figure out problem. I highly recommend Beyond Basics a perfect name.
Natalie Valentine
Excellent treatment, knowledgeable therapist. Very informative and comfortable experience.
Esther Gopin
Joanna was super helpful, knowledgeable, and caring. Would absolutely recommend!

Beyond Basics: We Can Help

At Beyond Basics, we are committed to treating pelvic floor issues with sensitivity to each individual’s needs, regardless of sex, race, identity, age, or orientation – we treat the whole person with a comprehensive, caring biopsychosocial approach.

Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.
The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. Our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel in our practice.

Our therapists have completed hundreds of additional hours outside of their doctorates through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here.

Get help now from a pelvic floor physical therapist for Perimenopause and Menopause.

Book Appointment Now

Stay informed

Learn more about pelvic health by exploring our blog.

Stay updated about our seminars and access other educational resources here.

View all posts

Frequently Asked Questions

Navigating perimenopause and menopause can bring up a lot of questions. Here are answers to some of the most common concerns we hear from our clients:

What are the first signs of perimenopause?
The earliest signs often include irregular periods, heavier or lighter bleeding than usual, hot flashes, mood changes, disrupted sleep, weight gain, vaginal dryness, and increased urinary urgency or leakage.
Is it normal to have irregular periods in your 30s or 40s?

Yes. Many people begin to notice cycle changes during perimenopause, which can start as early as the mid-30s. If you notice significant changes, it’s a good idea to speak with a healthcare provider and seek supportive care.

How long does perimenopause last?
Perimenopause can last several years — typically around 4 years but sometimes up to 10. The duration and intensity of symptoms vary from person to person.
At what age does menopause typically start?
Most people reach menopause between the ages of 45 and 55, but symptoms of perimenopause can begin up to 10 years before the final menstrual period.
Can menopause cause bladder problems?
Yes. Decreased estrogen levels can impact pelvic floor tissues and bladder function, leading to urinary urgency, leakage, or frequent infections. Pelvic floor physical therapy can be extremely helpful in managing these symptoms.
What helps with vaginal dryness during menopause?
Vaginal dryness is common due to hormonal changes. Pelvic floor physical therapy can improve blood flow and support tissue health. In cases of significant dryness or vaginal atrophy, we collaborate with your gynecologist for medical management, such as hormone therapy and other related interventions.
How can pelvic floor physical therapy help during perimenopause and menopause?
Pelvic floor therapy can strengthen weakened muscles, improve pelvic support, reduce bladder and bowel symptoms, and ease discomfort during sexual intimacy. It also teaches strategies to improve overall pelvic health during this transitional time.
Do I need hormone therapy during menopause?
Hormone therapy (HT) can be beneficial for some people, but it’s not the only option. Our health coaching focuses on non-hormonal strategies, and we can collaborate with your medical providers to ensure a plan that feels right for you.
Can lifestyle changes really make a difference during menopause?
Yes. Movement, nutrition, sleep, stress management, and pelvic health education can have a profound impact on how you feel during this transition. Coaching provides guidance on how to adjust these factors in a way that works for your body and lifestyle.
When should I see a pelvic floor physical therapist during perimenopause or menopause?
If you are experiencing bladder leaks, pelvic pain, sexual discomfort, prolapse symptoms, or just want to proactively support your pelvic health, it’s a good time to seek help. Early support can prevent symptoms from becoming more severe.
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