S2: Ep12: It’s Not “Just Aging” — What’s Really Happening to Your Pelvic Floor After 40

What if the leaking, urgency, dryness, painful sex, or heaviness you’ve started noticing in your 40s or 50s isn’t just aging—but a sign your pelvic floor needs support?

In this episode, Diana sits down with pelvic floor specialist Khyati (Cathy) Merchant, PT, founder of Lotus Physical Therapy and Pelvic Health, to break down how perimenopause and menopause impact your pelvic floor, core, posture, and emotional health.

They talk about:

• How estrogen changes affect your vaginal tissues, bladder, and support muscles

• Why symptoms can feel like recurrent UTIs—even when tests come back “negative”

• The emotional and nervous system connection to pelvic pain and tension

• How posture, TMJ, and whole-body movement tie into pelvic floor function

• Practical ways to support your pelvic floor in this stage of life, from moisturizers and lubrication to movement, breath, and pelvic PT

• Why getting a pelvic floor “baseline” in your 30s, postpartum, and again in perimenopause can be a game-changer

If you’ve ever felt dismissed or told “that’s just what happens as you get older,” this conversation will remind you: you don’t have to suffer through this alone—and you do have options.

Guest: @lotusptph Host: @womenswellnessauthority

Educational only. Not medical advice. Please consult your own provider.