Perimenopause & Menopause Health Coaching in NYC

You are not alone in this transition.
At Beyond Basics PT, we offer comprehensive support throughout every phase of menopause, from the initial signs of change to postmenopause. Our pelvic floor physical therapy program helps you manage symptoms and improve your quality of life during this natural transition.

If you’re experiencing shifts in your body and feeling out of sync, you’re not alone. We specialize in supporting individuals through the physical, emotional, and hormonal changes of perimenopause and menopause with expert care and personalized coaching.

Understanding Perimenopause and Menopause

Perimenopause is the phase leading up to menopause, during which hormonal fluctuations may cause changes in your menstrual cycle and trigger various symptoms. It often begins in the 40s but can start earlier. In contrast, menopause occurs when you’ve gone a full year without a period.

Beyond Basics PT takes a whole-body approach, understanding how pelvic floor health and overall wellness are impacted during these stages of life.

Symptoms of Perimenopause and Menopause

Symptoms of Perimenopause and Menopause

Symptoms vary widely from person to person. Common experiences may include:

  • Changes in your menstrual cycle

  • Sleep disturbances

  • Mood changes

  • Muscle loss

  • Joint pain

  • Weight fluctuations

  • Vaginal dryness or discomfort

  • Pelvic floor dysfunction

We provide support through physical therapy and health coaching to help you manage these symptoms and regain control of your body.

Get help now from a pelvic floor physical therapist for perimenopause and menopause.

Treatment Options for Perimenopause and Menopause at Beyond Basics PT

We offer personalized pelvic floor physical therapy and lifestyle support designed to alleviate menopause-related symptoms like pelvic pain, discomfort during intimacy, and changes in urinary or bowel function. Our approach includes:

  • Strengthening exercises for pelvic floor muscles

  • Core exercises to support overall strength

  • Manual therapy and education

  • Guidance on nutrition and wellness, including recommendations for trusted providers for HRT counseling and nutritional counseling

The Benefits of Working with Beyond Basics PT

With our targeted physical therapy treatments, you can expect to:

  • Improve pelvic floor function and strength

  • Reduce symptoms like vaginal dryness, incontinence, and pelvic pain

  • Support your overall wellness during menopause

  • Develop strategies for better stress management and sleep

You don’t have to figure it out alone.
We’ll create a personalized plan that fits your needs and goals.

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

Amber Wolfe
2 weeks ago
Juhi is warm, thoughtful, and knowledgeable. She made me feel comfortable from the beginning and tailored each session to what I needed. I’m very grateful for her care and highly recommend Beyond Basics.
Lourdes Calero
3 weeks ago
My health issue has improved tremendously in a short time, thanks to my amazing therapist,Kiko!
Marina Alton
4 weeks ago
It was a very amazing experience with my therapist, and it helps me a lot
Devin Williams
1 month ago
After a life changing surgery back in 2013, I dealt with chronic pelvic and lower back pain that had impacted and hindered me for years. At one point, I lost all hope that I would ever be able to be rid of it. Then, I had the fortune of coming across Beyond Basics and meeting a wonderful physical therapist in the form of Kiko. After nearly 13 yrs of dealing with this pain, I am happy to say that it is completely gone after my treatment with Kiko. Because of her and Beyond Basics, I am now able to enjoy life so much more and for that, I am eternally gratefully. Coming here was truly a life changing experience.
Audrey Symes
2 months ago
Melanie has been wonderful! Compassionate, kind, a great listener, and I have made so much progress in a few sessions
Tom Powell
2 months ago
I never thought that pelvic floor therapy would be so effective or a worthwhile experience...and then I was lucky enough to find Cory Hazama. She is truly skilled and knowledgable.
Louise Decatrel
6 months ago
I am very happy with this choice for my therapy. My Therapist, Molly, is so fantastic. I feel very much at ease and comfortable with her.
Carol J. Weiss
7 months ago
Melanie is amazing. So knowledgeable, comforting, and enthusiastic.
Barry Gurvitch
7 months ago
Beyond Basics provides sensitive and professional care in a comfortable environment. I was skeptical at first if they could help but now, I am a believer.
Barbara Friedman
8 months ago
A wonderful introduction to pelvic floor therapy. Eliza's engaged, intelligent approach made me feel surprisingly hopeful. She's clearly a great person to work with.
Marian
9 months ago
Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
Nell De Martini
9 months ago
I had a great experience working with Emily Moore for pre-op PT. She created an incredibly warm and inclusive environment and helped me feel comfortable from the start. In just a few sessions, she really helped me have a better understanding of my symptoms and how to best manage them. She gave me helpful tips to integrate into my daily routine and I noticed results almost immediately. I am looking forward to resuming sessions with her again after surgical recovery. The front desk and administrative staff were wonderful as well. I highly recommend working with Emily!
Elena Golub
11 months ago
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.
11 months ago
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
11 months ago
I cannot recommend Sonali highly enough, she’s truly incredible!
Sudais Haider
12 months ago
Nice
Lily Zoraster
12 months ago
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
12 months ago
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
1 year ago
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
Samatha Nemana
1 year ago
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
1 year ago
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
1 year ago
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!
Ava Anderson
1 year ago
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
1 year ago
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.
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..

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.

Ready to regain control of your health? Beyond Basics PT is here to guide you through menopause and perimenopause to start feeling like yourself again.

Stay informed

Learn more about pelvic health by exploring our blog.

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

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.