Perimenopause/Menopause:

Genitourinary Syndrome of Menopause (GSM)

You’re Not Fading—You’re Evolving.

Let’s Care for This Next Chapter, Together.

What We Support:

  • We help clients navigating:

    • Vaginal dryness, irritation, or pain with intimacy

    • Increased urgency, UTIs, or incontinence

    • Pelvic pressure or heaviness

    • Core weakness, posture changes, or fatigue

    • Emotional dysregulation, brain fog, anxiety, or sleep struggles

    • Confusion or frustration about what’s happening in their body

  • Karla’s Approach:

    As an Occupational Therapist specializing in pelvic and nervous system health, Karla helps you:

    • Understand what’s happening to your pelvic tissues and why

    • Support your pelvic floor without shame or surgery-first pressure

    • Explore movement, breathwork, and postural support for comfort

    • Regulate your nervous system and reframe the menopause narrative

    • Feel seen, heard, and deeply respected throughout your care

  • What to Expect:

    You’ll receive personalized support that may include:

    • Pelvic floor exercises and body mechanics for bladder and tissue health

    • Lifestyle adjustments to reduce discomfort and improve confidence

    • Support for intimacy, sensation, and body image

    • Emotional regulation tools tailored for midlife shifts

    • Virtual options for convenience, privacy, and consistency

Genitourinary Syndrome of Menopause affects over half of women—and yet it’s rarely talked about. Many are dismissed, misinformed, or told to “just wait it out.” But these years are not a medical sentence. With the right support, you can feel vibrant, sexually empowered, and physically comfortable again.

You don’t have to disappear—you get to redefine.

Ready to get started?

Whether you’re navigating the unpredictability of perimenopause or settling into the new rhythms of menopause, you don’t have to do it alone.

Through 1:1 coaching, virtual sessions,

and custom self-care plans, we’ll help you:

  • Understand the hormonal shifts of perimenopause and menopause—and how they affect your mood, energy, pelvic health, and daily life

  • Soothe pelvic pain, bladder changes, and intimacy discomfort with holistic, body-aware strategies

  • Rebuild trust with your body and respond to its changing needs with clarity and compassion

  • Develop nervous system regulation tools that support emotional balance and reduce overwhelm

Schedule your consult with Karla to move through menopause with the support, education, and care you’ve always deserved.