Navigating perimenopause

Dr. Kari Craig-Physical Therapist and Founder, Kare Pelvic Health • May 7, 2025

Understanding the connection between hormone shifts and pelvic floor changes can help you feel like yourself again.

Three people in athletic wear stand by a railing outdoors, talking while holding rolled-up yoga mats.

Most women might not know that perimenopausal symptoms can start to show as early as the late 30s. Issues that seem to pop out of nowhere are byproducts of declining hormones and could be responses to muscle dysfunction that already existed but was easier to bounce back from at a younger age.


As women, our bodies are constantly changing and sometimes it’s hard to pinpoint what those changes are and what they mean. As you get older, hormonal shifts can start to affect your mood and body in ways you have never experienced before, creating a sense of insecurity, feeling abnormal or feeling crazy. Maybe you started having prolapse, experiencing urinary leakage, have newfound digestive issues or are having pain with intercourse.


I’m here to tell you that you are not crazy—it’s very normal, and all these symptoms could be starting due to perimenopause. 


Most women might not know that perimenopausal symptoms can start to show as early as the late 30s. Issues that seem to pop out of nowhere are byproducts of declining hormones and could be responses to muscle dysfunction that already existed but was easier to bounce back from at a younger age. We know that a decrease in estrogen levels can affect muscles, tendons and even our heart. The vaginal tissue is particularly sensitive to estrogen, so when those hormones are taken away it can weaken the pelvic floor. 


At Kare Pelvic Health, we feel really privileged that we can help with the muscle system and help get rid of annoying symptoms, but we can also identify what else might be going on. Obviously, we cannot prevent menopause, but we can lighten the load a little and help you handle it in a way that makes your body feel good again.


If you are experiencing these pelvic floor symptoms during perimenopause, I would advise having your pelvic floor assessed to see the whole picture. It will keep you one step ahead of menopause while taking your mind and body back into your own hands. 


Kare Pelvic Health is located at 7575 Fredle Dr., Suite 202, in Concord. To learn more about Kare Pelvic Health, visit KarePelvicHealth.com or call 440-256-6268.



A person smiling while holding a model of a human pelvis toward the camera against a plain background.

Dr. Kari Craig


Recent Posts

By Patricia Nugent July 9, 2026
After two decades of serving up fresh, affordable eats in a firehouse-themed environment, Station 43 Tavern still brings the heat.
By Mary Malik July 9, 2026
Summertime brings with it more movement and more opportunity for injury. StretchLab keeps you moving and feeling better, no matter which activities you take on.
By Mary Malik July 9, 2026
Instead of being cooped up with the kids this fall, why not discover a way to express your creativity at Fairmount Center for the Arts ?
By Laura Briedis July 9, 2026
At Holiday Copley Place , residents like Rebecca Steele enjoy the benefits of all-inclusive senior living in a thoughtfully-designed setting.
By Mike Ventresca, Vital Choice Health Store July 9, 2026
An ancient Mediterranean fruit is finding new life as a modern wellness ally.
By Mary Malik July 9, 2026
Summertime brings with it more movement and more opportunity for injury. StretchLab keeps you moving and feeling better, no matter which activities you take on.
By Mitch Allen July 9, 2026
Cloudy or yellowed headlights can block up to 80% of the light needed to drive safely at night. Headlight Restoration Company —once available only to car dealers—can now restore your headlights, too.
By Olivia Bloom July 9, 2026
One approach waits for the market. The other puts the seller in control.
By Mary Malik July 9, 2026
Hollywood told one version of the Judgment of Paris. Here's the true story of the man who crafted the winning wine.
By Mitch Allen July 9, 2026
From road rage to the World Cup, discovering that our greatest strength has always been our shared humanity.

RELATED ARTICLES

By Patricia Nugent July 9, 2026
After two decades of serving up fresh, affordable eats in a firehouse-themed environment, Station 43 Tavern still brings the heat.
By Mary Malik July 9, 2026
Summertime brings with it more movement and more opportunity for injury. StretchLab keeps you moving and feeling better, no matter which activities you take on.
By Mary Malik July 9, 2026
Instead of being cooped up with the kids this fall, why not discover a way to express your creativity at Fairmount Center for the Arts ?
By Laura Briedis July 9, 2026
At Holiday Copley Place , residents like Rebecca Steele enjoy the benefits of all-inclusive senior living in a thoughtfully-designed setting.
By Mike Ventresca, Vital Choice Health Store July 9, 2026
An ancient Mediterranean fruit is finding new life as a modern wellness ally.
By Mary Malik July 9, 2026
Summertime brings with it more movement and more opportunity for injury. StretchLab keeps you moving and feeling better, no matter which activities you take on.
By Mitch Allen July 9, 2026
Cloudy or yellowed headlights can block up to 80% of the light needed to drive safely at night. Headlight Restoration Company —once available only to car dealers—can now restore your headlights, too.
By Olivia Bloom July 9, 2026
One approach waits for the market. The other puts the seller in control.
By Mary Malik July 9, 2026
Hollywood told one version of the Judgment of Paris. Here's the true story of the man who crafted the winning wine.
By Mitch Allen July 9, 2026
From road rage to the World Cup, discovering that our greatest strength has always been our shared humanity.
More Posts