Menopause Therapy

What is Perimenopause & Postmenopause?

Perimenopause is the time when your body starts to change before your periods stop completely. It often begins in your 40s but some people may experience changes even starting in their mid-30s. During this time, your hormone levels go up and down, which can cause a variety of symptoms, such as:

• Irregular or missed periods

• Hot flashes or night sweats

• Mood swings, anxiety, or irritability

• Trouble sleeping

• Fatigue or low energy

• Brain fog or difficulty concentrating

• Weight changes or bloating

• Vaginal dryness or discomfort

• Decreased sex drive

• Breast tenderness

• Joint or muscle aches

Postmenopause begins after you haven’t had a menstrual period for 12 months in a row. At this point, your hormone levels stay low, and you can no longer get pregnant naturally. Some symptoms may continue or appear for the first time, such as:

• Ongoing hot flashes or night sweats (though often less intense)

• Vaginal dryness or thinning

• Discomfort or pain with sexual activity

• Increased urinary urgency or leakage

• Difficulty sleeping

• Weight gain, especially around the belly

• Thinning hair or dry skin

• Lower bone density (risk of osteoporosis)

• Changes in mood or memory

Both phases are a natural part of life, but the changes can feel challenging. With the right support — through movement, exercise, pelvic health therapy, mindfulness, and lifestyle strategies — it’s possible to feel more balanced, comfortable, and confident in your body.

How can you help me?

Queenie is passionate about women’s health and helping women 35+ thrive, despite the many changes that can come with perimenopause and post menopause. She takes a holistic mind-body approach to care — addressing the wide range of symptoms women may experience, while also focusing on prevention and long-term wellbeing so you can age gracefully and confidently.

Her menopause therapy includes, but is not limited to:

• Lifestyle, self-care, and vulva/vaginal care guidance for perimenopause & menopause

• Hot flash management strategies

• Mental health support — strategies to improve mood, memory, and manage stress

• Sleep optimization strategies

• Pelvic floor therapy for vaginal discomfort, sexual dysfunction, or incontinence

• Nutrition support to promote hormonal balance and energy

• Personalized movement programs targeting joint and muscle pain

• Weight training programs to support bone health (osteopenia/osteoporosis)

• Balance training to prevent falls

• Education on hormone therapy (HRT or non-HRT options) — to help you make informed choices about what’s right for you

If you’re experiencing changes related to perimenopause or menopause, you don’t have to navigate them alone. Click here to book an appointment today!

Note: If you have extended health coverage for physiotherapy, pelvic physiotherapy sessions will be covered. No referral is needed to see a physiotherapist, but some insurance companies may require a physician’s referral for reimbursement.