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Menopause Essentials – Secret to Better Sex with Dr. Tanya Kormeili

Dr. Tanya Kormeili explains menopause effects on pelvic health and shares ways to improve sexual wellness and pelvic floor strength.

Ask about this video. Answers come from its transcript only — with the timestamp, so you can check them.

Generated from the transcript and can be wrong — check the timestamp.

Key Takeaways

  • Menopause leads to decreased collagen and elastin in pelvic tissues, causing laxity and dryness.
  • Pelvic floor health is vital for urinary control and sexual function.
  • Symptoms like incontinence and pain during sex are common but manageable.
  • Proactive pelvic floor care can improve quality of life post-menopause.
  • Understanding these changes helps women reclaim their feminine identity and confidence.

What the video covers

  • Menopause causes physical changes in the pelvic area due to falling estrogen and progesterone levels.
  • The pelvic floor muscles and connective tissues lose firmness and elasticity, leading to issues like vaginal dryness and incontinence.
  • Blood flow decreases in the pelvic region, contributing to thinning and atrophy of tissues.
  • Symptoms include urinary leakage, decreased lubrication, pain during sex, and reduced sexual desire.
  • These changes are normal but can significantly impact quality of life and feminine identity.
  • The pelvic floor connects the front and back of the body and is crucial for core stability.
  • Pregnancy, childbirth, and aging contribute to pelvic floor laxity.
  • Proactive steps can be taken to strengthen the pelvic floor and improve symptoms.
  • Addressing these issues helps women regain control over their bodies and enhances life quality.
  • Open discussion about these topics is important as women may spend half their lives in menopause.

Answers

Questions about this video

What causes vaginal dryness and atrophy during menopause?

Vaginal dryness and atrophy occur due to decreased estrogen and progesterone levels, which reduce blood flow and collagen stimulation in pelvic tissues.

Why do women experience urinary leakage after menopause?

Urinary leakage happens because the pelvic floor muscles and connective tissues lose firmness and elasticity with aging, childbirth, and hormonal changes, leading to decreased control.

Can pelvic floor strength be improved after menopause?

Yes, proactive pelvic floor exercises and treatments can help strengthen muscles, improve symptoms like incontinence, and enhance sexual health and overall quality of life.

Full Transcript — Download SRT & Markdown

00:00
Speaker A
It's really hard to see our body age, especially our feminine parts, because we have spent so much of our identity being a woman.
00:15
Speaker A
And now it's changing, like a cough, maybe urine leaks. Maybe you don't have the same pleasures with sexual activity or lubrication may take a little bit longer.
00:30
Speaker A
It is okay because this is a normal part of aging, and there are things we can do about it to make ourselves feel whole again and to regain that feminine energy in the pelvic area.
00:42
Speaker A
Hi, this is Dr. Tanya Carmemelli, board-certified dermatologist, and today we're going to talk about menopause and menopause, and what it does to our lady.
00:57
Speaker A
So, we all know that our skin here on the body gets thinner, has less collagen, less elastin, gets wrinkly, and ages with menopause and aging.
01:12
Speaker A
But the same thing is happening in our lady parts.
01:24
Speaker A
So as your estrogen levels fall and as your progesterone levels fall during perimenopause and finally during menopause,
01:36
Speaker A
there is less stimulation for the collagen, the elastin, all the firmness and connective tissue that suspends your pelvic floor.
01:52
Speaker A
And your pelvic floor is basically the part that connects you from your pubic bone all the way up to your butt bone.
02:03
Speaker A
So it's basically where you would put your maxi pad. That area all the way inside just holds your front and your back together, and it's
02:12
Speaker A
a huge part of causing stability and part of your core because your front of the body connects to the back of your body through the pelvic floor.
02:24
Speaker A
With aging, with pregnancy, delivery, ripping through delivery, C-section, that entire area can get laxed anyway because the muscles also gain laxity.
02:35
Speaker A
The worst part is blood flow through that area decreases, causing vaginal dryness, causing atrophy, thinning,
02:46
Speaker A
not firmness because we're standing up against gravity. All the things that were once nicely tucked away with that strong, healthy
02:56
Speaker A
muscle and connective tissue and collagen, elastin all now become loosey-goosey.
03:04
Speaker A
It's like imagine you had healthy elastic on your underwear and now that elastic barely holds on. So everything kind of sags and falls.
03:16
Speaker A
So having vaginal leaking, having incontinence like when you cough or if you want to jump on a trampoline or if you feel like, oh my God, I have to go and you can't really hold it.
03:27
Speaker A
All that stuff becomes really normal, as do problems with lubrication during sexual activity, lack of desire, or maybe even pain on penetration.
03:35
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These are things we don't like to talk about, but we are living to be potentially 100.
03:49
Speaker A
So a woman can spend half of her life in menopause and thereafter. These are important things for us to address because it improves the quality of our life.
04:01
Speaker A
It makes us feel like women again. It makes us feel like we have control over our body and the daily functions, right?
04:11
Speaker A
Nobody wants to pee themselves in public. Nobody wants to be afraid of that sneeze that comes on. Maybe you want to jump with your grandkids on the trampoline and you don't want to be
04:24
Speaker A
leaving a trail of urine. So, there are things you can do proactively to fight for your pelvic floor.
Topics:menopausepelvic floorsexual healthurinary incontinencevaginal drynessestrogenprogesteronepelvic healthmenopause symptomswomen's health

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