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Changes in tissues in the vagina, bladder and bowel occur as a result of the hormonal changes in menopause.

This often means this is the first time many women may experience symptoms such as incontinence or prolapse. Physiotherapy is a great option to manage many of these problems conservatively without the need for surgery. The significant drop in oestrogen levels at menopause along with other hormonal changes, physical inactivity and reduced muscle strength and size, mean a loss in bone density can occur at a rapid rate.

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