Pelvic Floor, Real Talk: Leaks, Lifts & Life in Midlife with Pelvic Health PT Sandra Ghaly

Send us Fan MailUrinary leaks, pelvic pain, prolapse, dryness—so many women deal with these silently, assuming they’re “just part of motherhood” or “just menopause.” In this powerful, unfiltered conversation, pelvic health physiotherapist Sandra Ghaly, owner of Makewell Health (Oakville, ON), joins Michelle to explain what the pelvic floor actually is, why it matters in perimenopause and menopause, and how evidence-based care (including pelvic floor physio and, for some, vaginal estrogen) can change your day-to-day life—on runs, in workouts, and in the bedroom. Expect zero shame, loads of clarity, and practical next steps.Timestamps00:00 – Why this convo matters (and why we don’t talk about it enough)02:00 – Sandra’s story: from patient to pelvic health specialist05:00 – Pelvic floor 101: location, role, and how it ties to low-back/core09:45 – “Common” symptoms in peri/menopause: leaks, urgency, pain, dryness13:20 – What an appointment looks like (consent, comfort, options)15:00 – Prolapse signs you shouldn’t ignore17:30 – Michelle’s candid stories (and why sharing them helps us all)19:30 – Vaginal estrogen & why tissues feel “plumper”/more comfortable22:30 – If estrogen isn’t an option: evidence-based non-hormonal supports25:30 – Kegels aren’t the whole plan: hips, deep core, breath, strength28:30 – Cost/time concerns, devices, and making progress at homeReady for your next upgrade?If you're a woman in midlife who's tired of starting over with your health, Midlife Magic is where we practise a different way.Build strength. Create sustainable habits. Upgrade your Health Operating System. And become a woman who knows how to continue.Join Midlife Magic: https://www.michellebazinet.com/membership-1Connect with Michelle:Instagram: https://www.instagram.com/michellebazinet_/Facebook: https://www.facebook.com/michellebazinetvp/Website:https://www.michellebazinet.com/Subscribe to The Midlife Upgrade Podcast so you don't miss what's next.Enjoying The Midlife Upgrade?If this episode made you think differently about what's possible in midlife, I'd love it if you'd take a minute to follow the podcast and leave a review.Your review helps more women find these conversations—and helps us spread the message that midlife isn't the end of anything.It's an upgrade. 🔥