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Digital Seminar

Menopause and the Pelvic Floor

Evidence Based Strategies for Optimizing Function

Speaker:
Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA
Duration:
1 Hour 15 Minutes
Format:
Audio and Video
Copyright:
Oct 21, 2025
Product Code:
POS065733
Media Type:
Digital Seminar


Description

Pelvic floor dysfunction silently affects countless menopausal women—yet many clinicians miss it entirely. From stress urinary incontinence to pelvic organ prolapse and sexual discomfort, these challenges can profoundly impact daily function, emotional wellbeing, and intimate relationships. Too often, providers either overlook pelvic health concerns during routine care or immediately refer without leveraging evidence-based strategies already within their scope of practice.

In this transformative session, physiotherapist Liz Frey bridges the gap between recognition and action. You'll gain the clinical tools to identify pelvic floor dysfunction in both active and sedentary patients, understand the biomechanical foundations of effective intervention, and confidently integrate pelvic health considerations into your practice. Whether you're screening for red flags, teaching movement strategies, or having sensitive conversations about intimacy, this course equips you to become a trusted resource for patients navigating menopause.

Key Takeaways:

  • Identify and assess pelvic floor dysfunction in active and sedentary patients
  • Implement movement-based strategies to support bladder control, prolapse management, and core function
  • Understand how menopause affects tissue integrity, lubrication, and sexual health
  • Determine when to manage within your scope and when specialized internal pelvic PT referral is indicated
  • Communicate confidently about leakage, pelvic pressure, and intimacy concerns

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 1.25 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 1.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

CE Broker


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 1.25 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 1.25 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 1.25 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 1.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 1.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 1.25 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 1.5 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 1.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 1.25 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 1.25 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 1.25 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 1.25 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 1.25 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Chiropractors - Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 1.0 CE hours of instruction in the following subjects: Corrective/Therapeutic Exercise (0.75hrs) Evidence-Based Outcomes (0.25hrs)  . Approval #065733/10/2125. 

 

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

 

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation and answer yes to the PACE Chiropractor evaluation question if they would like their participation submitted to PACE.


Other Professions

This self-study activity qualifies for 1.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA's Profile

Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA Related seminars and products


Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA

Liz holds a BSc and BPHE from Queen’s University; a MSc in Exercise Physiology from the University of Toronto, a MSc (PT) from McMaster University, and a MCISC (Manip) from University of Western Ontario. She is a member of the CPA and a fellow of the Canadian Academy of Manipulative Physical Therapists (FCAMPT). Liz is also a Contemporary Medical Acupuncture provider.

Liz is a clinic owner and practicing physiotherapist with a specialty in pelvic health physiotherapy. She is an instructor for Rocktape® Canada, a clinical lab facilitator at the University of Toronto, and a clinical supervisor for physiotherapy students.

As an orthopaedic and pelvic health physiotherapist, Liz integrates her over 10 years of clinical expertise to provide a unique whole-body approach to wellness. Liz’s practice focuses on helping women navigate pregnancy, menopause, and everything in between. Her care model addresses the underlying dysfunction causing injury and provides education to help prevent future re-injury. Her patient-centered approach empowers her patients to set goals, balance muscular dysfunction, and work toward optimal health. She does all of this through hands-on techniques, comprehensive education, and tailored progressive exercise programs.

Personally, as a busy mother of three children, the health habits that don’t slip for Liz are mindset and exercise – it is her positive outlook and passion to stay strong and mobile as she ages that are a few of her defining features.
 

Speaker Disclosures:
Financial: Elizabeth Frey is the owner of PhysioPlus Health Group, an instructor with Rock Tape, and has an employment relationship with Fringe. She is a mentor with Orthopedic Division. She receives a speaking honorarium and recording royalties from PESI, Inc.
Non-financial: Elizabeth Frey is a member of the Canadian Academy of Manipulative Physiotherapy and the Women’s Health Division of the CPA.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Recognize common signs and symptoms of pelvic floor dysfunction in menopausal patients, including incontinence, prolapse, and sexual discomfort.
  2. Apply movement-based and lifestyle strategies that support pelvic floor health across scopes of practice, including breath mechanics, posture, and load management.
  3. Identify when to refer patients for specialized pelvic health services and how to communicate about sensitive topics in a patient-centered manner.

Outline

Foundations: Menopause & the Pelvic Floor

  • Discover the inner core's "missing piece"—and why it matters more in menopause
  • Understand how estrogen loss reshapes tissue integrity, collagen, and reflexive support
  • Recognize whole-body contributors that either protect or compromise pelvic function

More Than Just Kegels: Breath, Posture, and Movement

  • Master intra-abdominal pressure management—the key to symptom control
  • Learn diaphragm-pelvic floor coordination that restores reflexive function
  • Identify postural patterns that silently sabotage your patients' progress
  • Apply breath-based strategies that work without internal assessment

Incontinence, Prolapse, and Sexual Discomfort

  • Decode stress incontinence: pressure mismanagement meets tissue change
  • Navigate prolapse presentations—from subtle heaviness to functional impact
  • Address dyspareunia with confidence: tissue, tension, and therapeutic options
  • Implement evidence-based interventions appropriate to every scope of practice

Tailored Tools for Your Scope of Practice

  • Educate powerfully using external cues, postural awareness, and habit modification
  • Deploy permission-based language that builds trust and promotes agency
  • Recognize red flags requiring referral—and confidently manage everything else
  • Use research-backed education strategies that improve outcomes without hands-on treatment

Real-World Application: Case Study

  • Walk through Helen's journey from leakage and heaviness to functional confidence
  • See how breath training, load management, and education combine for real results
  • Learn when to empower and when to refer in complex presentations

Target Audience

  • Doctors of Chiropractic
  • Registered Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Physical Therapists

Reviews

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