Menopause, The Wicked Movie & Why Pelvic Health Physio Can Transform Your Menopause Journey
I may not be in menopause myself yet, but I have the privilege of supporting so many women who are navigating this chapter, the symptoms, the emotions, the identity shifts, and the incredible strength that often goes unnoticed. And recently, when I watched the Wicked movie, I couldn’t help but notice how much it reflects the themes that come up in my clinic every day.
Because menopause is not just a hormonal shift.
It’s a transition.
A redefining.
A becoming.
And while this journey can feel overwhelming at times, pelvic health physiotherapy can play a far bigger role in your wellbeing than most women realise.
Menopause: The Phase That Changes Everything
Even without having personal experience yet, I see the reality of menopause through the women I work with. It’s a full-body shift that can bring:
Hot flushes
Night sweats
Insomnia
Weight changes
Mood fluctuations
Lower libido
Pelvic floor symptoms
Bladder irritation
Vaginal dryness
Pain with intimacy
But I also witness something even deeper:
A loss of confidence when your body suddenly feels different.
A frustration when you can’t explain why things feel “off.”
A longing to feel grounded and in control again.
And that’s exactly where pelvic health physiotherapy becomes so empowering.
The Wicked Movie: A Mirror of Change and Reinvention
As I watched the Wicked movie, I was struck by how much Elphaba’s story mirrors the experiences so many menopausal women share with me.
Menopause, like Wicked, is full of:
Transformation
Identity shifts
Emotional depth
Moments of vulnerability
Moments of power
Rediscovering parts of yourself
Letting go of old versions of who you were
You are not “losing yourself” you’re transitioning into a wiser, stronger, more unapologetic version of you.
But feeling strong again often starts from the inside, literally.
How Pelvic Health Physiotherapy Can Support You in Menopause
Most women don’t realise how closely the pelvic floor is tied to menopause symptoms. Hormonal changes, especially the drop in oestrogen, can have a huge impact on pelvic health.
Here’s how pelvic health physio can help:
1. Strengthening a Weakened Pelvic Floor
During menopause, the pelvic floor naturally loses tone and elasticity.
This can lead to:
Leaking when you sneeze, cough, or exercise
Difficulty controlling urgency
Heaviness or prolapse symptoms
Reduced confidence in daily life
Pelvic floor physiotherapy helps retrain these muscles so you feel supported, stable, and strong again.
2. Releasing a Tight Pelvic Floor
Not all pelvic floors are weak, some are too tight, and menopause tension can make this worse.
A tight pelvic floor may cause:
Pain with sex
Pelvic pain
Difficulty emptying your bladder
Constipation
A feeling of “closing off” or gripping
Physio helps you learn how to relax as well as strengthen, creating balance and comfort.
3. Supporting Bladder & Bowel Changes
Many menopausal clients tell me:
“I’m suddenly peeing more.”
“I can’t hold it when I need to.”
“My bladder feels irritated all the time.”
This is incredibly common and very treatable.
Pelvic physio addresses:
Overactive bladder
Urgency
Frequency
Stress incontinence
Nocturia (waking at night)
Constipation or straining
The goal is to help you regain calm and confidence in your daily routine.
4. Improving Sexual Comfort & Confidence
Vaginal dryness, pain, and reduced libido are normal but not things you have to “just live with.”
Physio supports this through:
Manual therapy
Breathing techniques
Pelvic floor relaxation
Education on lubrication & moisturisers
Gentle exercises to improve blood flow
Advice on hormonal options to discuss with your clinician
You deserve comfort and pleasure at every age.
5. Helping You Feel Connected to Your Body Again
Menopause can make your body feel unfamiliar, even unpredictable.
Pelvic health physiotherapy helps you:
Rebuild trust in your body
Understand what’s changing and why
Learn practical tools you can use daily
Reconnect with your pelvic floor, breath, and core
Feel grounded, supported, and empowered
You are not “fading” you are evolving.
My Message to You
Even though I haven’t walked through menopause personally, I am here to support you with evidence-based care, compassion, and tools that honour both your body and your experience.
Think of your menopause journey like the arc of the Wicked movie, transformative, emotional, and ultimately empowering.
And pelvic health physiotherapy?
It’s one of the most valuable forms of support you can bring into this chapter.
