NorthStar Physical Therapy

#59: Perimenopause: From Menstrual Years Through Menopause Pelvic & Lymphatic Health Considerations

Dr. Shirlea North, PT, DPT, GCS, CLT

In this episode, Dr. Shirlea North discusses the important — and often overlooked — pelvic and lymphatic health considerations during the transition from menstruation through perimenopause to menopause.


Dr. North dives into how hormonal changes, tissue health, lymphatic flow, and lifestyle factors all impact pelvic floor function and whole-body well-being during this transformative stage of life. This episode is a must-listen for anyone navigating the complex (and often confusing) journey of perimenopause and beyond.


What You'll Learn in This Episode:

  • Introduction to today’s topic
  • What is perimenopause and when does it start?
  • Genetics, lifestyle, and hormone changes
  • Pelvic floor tissue changes during perimenopause
  • The importance of lymphatic health
  • Manual lymphatic drainage and compression strategies
  • Pelvic floor therapy during perimenopause
  • Active stress management techniques
  • Holistic view: Whole body, whole life
  • Being your own health advocate