To Study the Effectiveness of Pelvic Floor Muscles Strengthening Exercises, Paced Breathing & Trans-Cutaneous Electrical Nerve Stimulation (Tens) for Treatment of Symptoms in Peri-Menopausal & Menopausal Women

Abstract

Introduction: Menopause is defined as a complete year without menstrual bleeding due to a natural decline in reproductive hormones or natural cessation, or stopping, of a woman's menstrual cycle, and marks the end of fertility.  It typically occurs between the ages of 45 and 55, but can develop before or after this age range. ^{[1 & 2]}

Menopause is the point when a woman no longer has menstrual periods for at least 12 months. At this stage, the ovaries have stopped releasing eggs and producing most of their estrogen³. The decrease in estrogen levels produces a series of symptoms that impair physical, mental, quality of life (QOL), affecting the and sexual health of women ^{[3 & 4 ]}

Need Of Study:- The primary problem in peri-menopausal and menopausal women is perineal laxity , vaginal laxity , urinary incontinence & pain in pelvic region

Methodology:- After random sampling, subjects will be divided into two groups, each group consist of 15 patient of both male and female. Group A received Pelvic Floor Muscles Strengthening Exercises, Paced Breathing & Trans-cutaneous Electrical Nerve Stimulation (TENS) subjects receive the treatment for 4 days/week for 12 weeks, session of 45-60 minutes  Subjects were positioned on a treatment couch in supine position with adequate back support . The position of patient was changed according to the exercise protocol.

Conclusion:- In conclusion, the treatment program PFM Strengthening Training , TENS and Paced Breathing in Group A (Experimental Group ) is more effective than the Home treatment program only PFM Strengthening Training in Group B (Controlled group) to improving PFM strength and relieve the symptoms in Peri-menopause & Menopause Women after 12 weeks (4days/week) of intervention.