Perimenopause & Menopause Health Coaching in NYC
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
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Changes in your menstrual cycle
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Sleep disturbances
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Mood changes
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Muscle loss
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Joint pain
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Weight fluctuations
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Vaginal dryness or discomfort
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Pelvic floor dysfunction
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
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
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
Beyond Basics: We Can Help
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.
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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?
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?
At what age does menopause typically start?
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?
How can pelvic floor physical therapy help during perimenopause and menopause?
Do I need hormone therapy during menopause?
Can lifestyle changes really make a difference during menopause?
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.





