Disclaimer: I am not a doctor or a hormone specialist. I am a certified Menopause Support Practitioner and am post-menopause myself. I follow the evidence and look to vocal advocates for female sexual health and wellness like Dr Kelly Casperson and Dr Rachel Rubin and Dr Corinne Menn. This is a ...
By Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published April 7, 2023
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In menopause, falling estrogen thins and narrows the vaginal tissue — going from a soft, folded “pleated skirt” to a tighter “pencil skirt.” This can cause dryness, irritation, painfu...
By Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published February 18, 2023
What Is the Between Two Lips Podcast?
Between Two Lips is Kim Vopni's (The Vagina Coach) weekly podcast on pelvic health — covering incontinence, prolapse, pelvic pain, pregnancy, perimenopause...
By Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published July 23, 2022
Genitourinary syndrome of menopause (GSM) is also known as vulvovaginal atrophy or atrophic vaginitis. It is caused by a decrease in estrogen production.
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Genitourinary syndrome of me...
By Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published July 15, 2022
Our bodies have a decline in estrogen as we approach menopause which can influence tissues in and around our vagina, the bladder, and our pelvis.
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Perimenopause and menopause bring a ...
By Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published June 12, 2022
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Menopause is the point when menstrual periods permanently stop, and the transition into it — perimenopause — most often begins between ages 45 and 55 and lasts about seven years, some...
By Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published March 21, 2022
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Menopause can contribute to pelvic organ prolapse because declining estrogen thins and weakens the tissues that support the bladder, uterus, and rectum. This can cause a bulge or hea...
By Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published March 16, 2022
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Pelvic health is a balance between effort and ease — the pelvic floor needs to both lengthen and strengthen. It often helps to lengthen first, releasing tension so the muscles can co...
Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published August 12, 2021
Direct Answer: Menopause belly — midsection weight gain during perimenopause and menopause — is common but not inevitable. It's driven by stress, cortisol, hormonal shifts, poor sleep, and under- or ...
By Kim Vopni, The Vagina Coach — Certified Pelvic Floor Fitness Specialist · Published March 2, 2020 · Updated August 2026
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Yes, you can do kegels on your period. Pelvic floor exercise remains safe and effective throughout your cycle, though motivation and muscle engagement may feel d...
