Vaginal dryness affects millions of women during perimenopause and menopause — yet it’s still one of the most under-discussed symptoms out there. The good news?
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Susan Winograd, MSPT, is a licensed physical therapist, pelvic floor specialist, and founder of Pelvicore Rehab & Wellness in Boca Raton, Florida. She earned her Master's degree in Physical Therapy from the College of Staten Island in 1998 and has spent nearly 30 years developing deep clinical expertise in pelvic floor dysfunction, women's and men's pelvic health, pre and postnatal care, chronic pelvic pain, and scar tissue release therapy. Susan takes a whole-body approach to healing — identifying and treating the root cause of her patients' symptoms rather than managing them in isolation. She is a member of the American Physical Therapy Association and has been featured on multiple health and wellness podcasts as a recognized pelvic floor specialist in South Florida.
Do these symptoms sound familiar?
Brain fog, fatigue, and mood changes during perimenopause and menopause are real — and treatable. Susan has helped hundreds of women in Boca Raton feel like themselves again.
If you’re in your 40s or 50s and you’ve noticed you’re leaking, rushing to the bathroom, or going more frequently than usual, you might be surprised to learn it’s not just your bladder — it could be perimenopause.
Perimenopause can last up to ten years and may begin as early as your 30s. While we often talk about hot flashes and brain fog, bladder changes are rarely part of the conversation — and they should be.
Your pelvic floor tissue is highly estrogen-dependent. During perimenopause, hormones fluctuate significantly, which can lead to:
Understanding this connection is the first step to addressing the real root cause.
Many women experiencing urgency or frequency begin visiting the bathroom too often out of habit. This actually decreases your bladder capacity over time. Honor a strong urge — but don’t go preemptively.
On the flip side, avoid waiting too long. Once your bladder feels full and the urge is strong, honor it. Balance is key.
Hovering prevents your pelvic floor muscles from fully relaxing, which is essential for both optimal urination and bowel movements. Sit fully and allow your muscles to release.
Certain foods and drinks can irritate the lining of your bladder, including:
Reducing or eliminating these can make a noticeable difference.
Beyond these four tips, there are additional lifestyle habits that can improve bladder function:
If you’re a woman in midlife experiencing frequent bathroom trips, urgency, or leaking, don’t ignore it. Address your hormonal fluctuations, optimize your bladder habits, and make lifestyle modifications that support your overall pelvic health.
You don’t have to just live with these symptoms — help is available.
Not sure where to start? Book a Free Discovery Call
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📺 Related: Stop the Drip! 5 Ways How You Can Stop Bladder Leaks Without Medication.
You're not crazy — and you don't have to just push through.
Susan Winograd PT has nearly 30 years of experience treating exactly these symptoms. Her Boca Raton practice offers a free 15-minute discovery call so you can ask questions and find out if pelvic floor therapy is right for you — no commitment required.
Or book online — free, no obligation
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Ready to feel like yourself again?
Get a free 15-minute call with Susan to talk through your symptoms.
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Vaginal dryness affects millions of women during perimenopause and menopause — yet it’s still one of the most under-discussed symptoms out there. The good news?
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