Compassionate Care for Every Woman
Pelvic floor issues affect women at every stage of life — yet too many are told their symptoms are just part of aging, just part of having babies, or just something to live with. For many women, they don't have to be. With the right care, real improvement is possible, and you deserve a practitioner who takes your concerns seriously.
Menopause, Prolapse & Surgical Recovery
Specialized care for the pelvic floor changes that come with perimenopause, menopause, and beyond — including prolapse and post-surgical rehabilitation.
- Menopause-related pelvic changes
- Prolapse management
- Hysterectomy & surgical recovery
- Pain with intimacy
Pelvic Pain & Intimacy
Compassionate care for sensitive concerns affecting quality of life.
- Pelvic pain
- Painful periods
- Pain with intimacy
- Pelvic, hip & low back pain
Urinary & Bowel Health
Effective solutions for bladder and bowel control issues.
- Urinary incontinence
- Stress or urge leakage
- Frequency & urgency
- Constipation & bowel urgency
Pregnancy & Postpartum
Specialized support for before, during, and after pregnancy.
- Pregnancy preparation
- Postpartum recovery
- Return to exercise guidance
- Pelvic pain during pregnancy
Common Reasons Women Seek Care
You're not alone — and you don't have to just live with it.
Pelvic floor issues affect women at every stage of life. Whether your symptoms appeared gradually or after a surgery, pregnancy, or menopause, effective care is available.
These concerns are common, treatable, and nothing to be embarrassed about.
- Changes related to menopause
- Leaking with coughing, sneezing, exercise, or laughing
- Prolapse symptoms (heaviness, bulging, feeling of something falling out)
- Pain with intimacy or tampon use
- Pelvic, hip, or low back pain
- Post-surgical recovery (hysterectomy, hernia repair, c-section, prolapse repair)
- Constipation or difficulty with bowel movements
- Postpartum recovery
What to Expect
Your sessions are private, compassionate, and tailored to your goals.
Your First Visit
Nora will talk through your health history and goals, complete a movement, muscle, and posture assessment, and — if appropriate — assess your pelvic floor muscles.
Personalized Exercises
Much more than "kegels" — exercises tailored to your specific needs, symptoms, and goals.
Hands-On Techniques
Manual therapy to release tension and improve mobility in fascia and muscles when appropriate.
FAQs for Women
General
Will there be an internal assessment?
An internal pelvic floor assessment can provide valuable information about muscle strength, coordination, and tension — but it is always your choice. Nora will explain what's involved, why it may be helpful, and will never proceed without your consent. Many women find that it answers questions they've had for years.
I've been told leaking is normal after having children — is that true?
Leaking is common after childbirth, but it is not something you simply have to accept. It is a sign that your pelvic floor muscles need support — and that is exactly what pelvic floor PT is designed to address. Most women see significant improvement with the right care. You deserve better than "just live with it" or "do your kegels".
Can pelvic floor PT help with pain during intimacy?
Yes. Pain with intimacy — whether it has been present your whole life or developed over time — is often related to muscle tension, scar tissue, nerve sensitivity, or hormonal changes. These are treatable. Nora provides compassionate, judgment-free care to help you understand the cause and work toward comfortable, enjoyable intimacy again.
Pregnancy & Postpartum
When should I start pelvic floor PT during pregnancy?
Any time during pregnancy is appropriate, but earlier is better. Many women benefit from starting in the first or second trimester to address discomfort, prepare their body for delivery, and build the strength and coordination they'll need as their body changes. The common problems of urinary frequency and leakage don’t need to rule your life. A nagging hip or back pain prior to pregnancy, may worsen as your pregnancy progresses.
How soon after delivery can I begin pelvic floor therapy?
A general guideline is 6 weeks postpartum, which is typically when your OB clears you for physical activity. However, Nora can see you earlier for gentle education, breathing work, and movement strategies that support healing even before active rehabilitation begins.
Do I need to have symptoms to benefit from postpartum care?
No. Pelvic floor PT after childbirth is valuable even without obvious symptoms. Pregnancy and delivery place significant demands on your pelvic floor regardless of how your recovery feels, and early care can prevent problems from developing later — including prolapse, incontinence, and core weakness. Think of it as part of your recovery, not just a response to something going wrong.
Menopause & Midlife
Can pelvic floor PT help with changes related to menopause?
Yes. The hormonal shifts of perimenopause and menopause can affect pelvic floor muscle tone, tissue elasticity, and bladder sensitivity — leading to leaking, urgency, dryness, pain with intimacy, or prolapse symptoms. Pelvic floor PT addresses these changes directly, helping you understand what's happening in your body and giving you tools to manage or reverse many of these symptoms.
I've had symptoms for years — is it too late to see improvement?
It is never too late. Many of Nora's patients have lived with leaking, pain, or prolapse symptoms for years — sometimes decades — before seeking care, and still see meaningful improvement. The length of time you've had symptoms may affect how quickly you progress, but it does not close the door on healing.
Prolapse & Surgery
Can pelvic floor therapy help avoid surgery for prolapse?
For many women, yes. Conservative management with pelvic floor PT — including targeted exercises, posture and pressure strategies, and lifestyle modifications — can significantly reduce prolapse symptoms and improve quality of life without surgery. Even if surgery is eventually recommended, PT both before and after will improve your outcome and recovery.
How soon after a hysterectomy can I start pelvic floor PT?
Most women are cleared to begin pelvic floor PT around 6–8 weeks post-surgery, once initial tissue healing has occurred. Earlier visits focused on gentle movement, breathing, and education are often possible before that window. Nora works with your surgical team to determine the right timing for your specific procedure and recovery.
Questions about appointments, referrals, and payment? See our General FAQ
