You feel a heaviness you can't ignore. Standing for too long, a sneeze, a laugh — and suddenly you're managing leakage, pressure, or pain that wasn't there before. You've been told things "look fine," but something clearly isn't.
We assess the whole pelvic system, not just the symptom.
Your hormonal history, surgical history, muscle function, and pressure load patterns all factor into what's driving your symptoms.
Advanced therapies that work together on the real drivers.
Pelvic floor physiotherapy, shockwave, and neuromodulation are coordinated to target muscle weakness, tissue changes, and nerve regulation in the same program.
A plan built to last, not just to feel better for a month.
We build the strength, pressure strategy, and support to keep you comfortable and active long after your sessions end.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
Vaginal heaviness or a bulge sensation that gets worse after standing or by the end of the day
Leaking when you cough, sneeze, laugh, or try to exercise
Urgency to urinate that hits suddenly and is difficult to control
Sex has become painful, dry, or uncomfortable since menopause, and you've started avoiding it
Post-menopausal burning, dryness, or recurring UTI-like symptoms that no one has connected to your hormonal changes
A history of pelvic or abdominal surgery (hysterectomy, C-section, hernia, appendectomy) and you've never fully felt "connected" below the scar
You've been told everything looks normal, but something clearly isn't. You want a team that actually looks for the whole picture before giving you a plan.
The Real Problem
Explore 4 slides on Prolapse, genitourinary symptoms of menopause
Pelvic organ prolapse and genitourinary symptoms of menopause rarely have a single cause. Most cases involve several overlapping drivers happening at once. When only one is treated, the others keep pulling the system backward. Most women have several of these happening at once. That's why we assess the entire picture — hormonal history, surgical history, muscle function, pressure patterns, and tissue health — before deciding what to treat and in what order.
OUR APPROACH
INITIAL VISIT
Full pelvic floor and movement assessment, including pressure load patterns, hormonal and surgical history, and bowel and bladder habits
Identify which pain and symptom drivers are most active in your case: muscle weakness, tissue change, scar restriction, or autonomic dysregulation
Leave with a written treatment plan and transparent pricing before you commit to anything
First 4–8 Weeks
Focused shockwave therapy applied to the pelvic floor region to support tissue healing and address leakage (typically 3–5 sessions in the initial phase)
NESA neuromodulation to support autonomic regulation and bladder behavior patterns, particularly for urgency and mixed symptom presentations (typically 10+ sessions)
Pelvic floor physiotherapy targeting muscle coordination, strength, and timing under load, not just isolated contractions
Reduce leakage, pelvic pressure, and discomfort during daily activities.
12+ Weeks and Beyond
Progressive pelvic floor strengthening with supervised technique correction so gains actually transfer to daily movement
Pressure management strategies for lifting, running, exercise, and bowel habits to protect the pelvic floor under load
Coordination with your GP, gynecologist, or hormone specialist where relevant, and ongoing support to maintain what you've built
What To Expect
Every case is different, but research and our clinical experience consistently show:
Changes can begin within 4–8 weeks. In shockwave trials for stress urinary incontinence, measurable reductions in leakage were recorded at 4 weeks and continued improving through 6-month follow-up. Pelvic floor physiotherapy trials show meaningful symptom differences within the initial treatment window, with benefits documented at 2 years in follow-up research.
Many patients return to exercise, lifting, and social activities without constant management. Research consistently shows that supervised pelvic floor training improves patient-reported symptom interference and quality of life. The goal isn't managing symptoms in isolation. It's rebuilding confidence in your body.
A structured conservative program helps many women manage prolapse without surgery. For mild-to-moderate prolapse, pelvic floor muscle training is positioned as a first-line approach in clinical guidelines and supported by multiple randomized controlled trials. Surgery avoidance is a realistic goal for many women when the right conservative plan is followed consistently.
Our promise: we will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your situation calls for something different, we will refer you directly.
EVIDENCE
Supervised pelvic floor muscle training has been shown to reduce prolapse symptoms in 57% of participants compared to 13% in watchful waiting groups, in a randomized controlled trial conducted in primary care settings.
Pelvic floor muscle training improves validated prolapse symptom scores and shows signals for prolapse stage improvement, confirmed across systematic reviews and meta-analyses including studies from multiple RCT sources.
Low-intensity shockwave therapy for stress urinary incontinence significantly reduced leakage on objective pad testing at 4 weeks, with improvements continuing to grow through 6-month follow-up in a multicentre randomized controlled trial.
Electromagnetic pelvic floor stimulation improved objective leakage measures and patient questionnaire scores over 6 sessions in clinical studies, supporting its role as an adjunct for urinary symptom management.
Pelvic floor physiotherapy benefits for prolapse have been documented at 2-year follow-up, with some cohort research showing persistent symptom improvement when patients maintain their home program and return for follow-up care.
Outcomes are group averages from clinical trials. Individual results vary.
Here are answers to some of the most common questions about Prolapse, genitourinary symptoms of menopause.
6 results found
For mild-to-moderate prolapse, supervised pelvic floor muscle training is supported by multiple randomized controlled trials as a first-line conservative approach. It won't reverse structural changes, but it can meaningfully reduce day-to-day symptoms — the heaviness, the pressure, the leakage — and for many women, it delays or avoids the need for surgical intervention. We review what's realistic for your specific case during your initial assessment.
This is one of the most common and least-discussed symptoms of genitourinary syndrome of menopause (GSM). When estrogen declines, the tissues of the vagina and lower urinary tract thin, lose elasticity, and become more sensitive to friction. Pain with penetration, dryness, and burning are not just "getting older." They're tissue changes driven by hormonal shifts that respond to targeted treatment. We map this out as part of your assessment.
Most research on pelvic floor muscle training for prolapse uses 12–16 week programs with supervised components plus home practice. For the shockwave component targeting urinary leakage, clinical estimates suggest 3–5 sessions for an initial meaningful response. Neuromodulation support typically runs 10–20 sessions. Your written plan after the initial assessment will lay out exactly what's recommended for your case, with transparent pricing, before you commit to anything.
Exercises alone often underperform when other drivers are still active. Constipation, chronic cough, high-load lifting without a pressure strategy, and underlying tissue changes from menopause all continue loading the pelvic floor even while you're training it. If the muscle coordination is off, or if autonomic regulation of the bladder is disrupted, isolated Kegels won't hold gains. We look at the full picture and treat the system, not just the muscle. We map this out in your first visit.
There is emerging-to-moderate evidence for low-intensity shockwave therapy applied to the pelvic floor region for stress urinary incontinence. In one multicentre randomized controlled trial, objective pad-test leakage was significantly reduced at 4 weeks and continued improving through 6-month follow-up. This is not a guaranteed outcome, and the evidence is stronger for urinary leakage than for prolapse stage change specifically. We review whether shockwave is appropriate for your presentation during your assessment.
Hysterectomy is a well-recognized risk factor for later pelvic organ prolapse in the published literature, and it's thought to relate to changes in apical support and connective tissue after surgery. More broadly, prior abdominal and pelvic surgeries are commonly associated clinically with altered tissue mobility, guarding, and difficulty activating the pelvic floor and core together. The direct evidence linking specific scars to prolapse progression is still developing, but the clinical pattern is one we assess routinely. We review this with you during your initial assessment.
YOUR NEXT STEP
Stop managing symptoms one at a time and get a plan that addresses the whole picture: muscle function, tissue health, hormonal history, pressure loading, and surgical history together.
Initial Prolapse, genitourinary symptoms of menopause Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full pelvic floor, core, and movement assessment including pressure load patterns and bladder and bowel history
Identify which symptom drivers — muscle weakness, tissue change, scar restriction, autonomic dysregulation — are most active in your case
Review of surgical history, hormonal history, and any imaging or reports you have available
Clear written treatment plan with transparent pricing before you commit to anything beyond this visit
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
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