Midlife Magic

Pelvic Floor, Real Talk: Leaks, Lifts & Life in Midlife with Pelvic Health PT Sandra Ghaly

Michelle Bazinet

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Urinary leaks, pelvic pain, prolapse, dryness—so many women deal with these silently, assuming they’re “just part of motherhood” or “just menopause.” In this powerful, unfiltered conversation, pelvic health physiotherapist Sandra Ghaly, owner of Makewell Health (Oakville, ON), joins Michelle to explain what the pelvic floor actually is, why it matters in perimenopause and menopause, and how evidence-based care (including pelvic floor physio and, for some, vaginal estrogen) can change your day-to-day life—on runs, in workouts, and in the bedroom. Expect zero shame, loads of clarity, and practical next steps.

Timestamps

  • 00:00 – Why this convo matters (and why we don’t talk about it enough)
  • 02:00 – Sandra’s story: from patient to pelvic health specialist
  • 05:00 – Pelvic floor 101: location, role, and how it ties to low-back/core
  • 09:45 – “Common” symptoms in peri/menopause: leaks, urgency, pain, dryness
  • 13:20 – What an appointment looks like (consent, comfort, options)
  • 15:00 – Prolapse signs you shouldn’t ignore
  • 17:30 – Michelle’s candid stories (and why sharing them helps us all)
  • 19:30 – Vaginal estrogen & why tissues feel “plumper”/more comfortable
  • 22:30 – If estrogen isn’t an option: evidence-based non-hormonal supports
  • 25:30 – Kegels aren’t the whole plan: hips, deep core, breath, strength
  • 28:30 – Cost/time concerns, devices, and making progress at home

If you loved today’s conversation, I’d love for you to take the next step with me! You can explore my Midlife Magic Membership at www.michellebazinet.com — it’s where women just like you learn how to thrive in midlife with confidence, strength, and ease.

Looking for some "right now" guidance, book your complimentary 30 minute connection session with Michelle.

📲 Come hang out with me on Instagram @michellebazinet_ for daily tips, encouragement, and a behind-the-scenes peek at my world.

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