Your pelvis changes during menopause–inside and out. The vaginal and vulvar tissues become thinner; the pH and microbiome in your vagina can shift; and the scaffolding that supports your pelvic organs can weaken, increasing your risk for pelvic organ prolapse. There’s help for all of that, so you can continue running, riding, lifting, having sex, and enjoying an active life free from pain, infection, and injury. We talk about all that and more this week with urogynecologist Kathleen Connell, MD.Kathleen is chief of Urogynecology and Reconstructive Pelvic Surgery in the Department of Obstetrics and Gynecology at the University of Colorado School of Medicine. She is the co-director of Women’s Pelvic Health and Surgery, a multidisciplinary practice at the Anschutz Medical Campus. Her surgical practice focuses on pelvic floor disorders including pelvic organ prolapse, urinary and fecal incontinence, and reconstructive pelvic surgery. She has done research on genital health and bicycling and genital health and saddle selection. You can learn more about her and her work at CU School of Medicine.Support our Partners:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offPrevinex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Wahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

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