Participants who register for this course have the option to attend the course live-online and/or watch the recording later. The recording will be available to all registrants for a 6-week period and access is provided on the next business day following the course. This allows participants who may not be able to attend live-online to still benefit from the course content. 

Course Description:

Menopause is having a moment! There’s never been a better time to become familiar with the whole body and brain changes associated with menopause and to get clear about our role in helping women live well during menopause and beyond.

Female hormones change dramatically throughout our lives, and affect every function and structure in our bodies, from pelvic health to psychological health.

Do you understand what’s happening hormonally during the menstrual cycle? During pregnancy and postnatal recovery? What if you’re postnatal AND perimenopausal?

And what’s the difference between perimenopause and post menopause?

How can we help women live well during all of these transitions?

In this revised, updated and expanded course we will explore:

• The definitions, key terms and diagnostic criteria to understand around this transition
• The influence of menstrual and maternal health on good outcomes at and after menopause
• The musculoskeletal implications of low oestrogen: how muscles, tendons & joints are affected by menopause
• Breast health, back pain and prolapse – creating good support systems
• Resistance training: what do we need to consider, from bone health to pelvic health?
• Brain changes, sleep hygiene and evidence based lifestyle medicine for managing symptoms
• Why women at menopause/after hysterectomy are more likely to be diagnosed with IBS and what does the evidence tell us about our role in midlife bowel health
• Why urinary frequency and urgency, as well as incontinence are menopausal issues
• Sexual health at menopause: it’s not just about atrophy! Body image, msk considerations & relationship with self, along with lubricants, moisturizers and topical hormonal treatment
• Metabolic changes, weight gain and exercise prescription
• Exercise prescription at menopause: picking the right tool for the target

Objectives – By the end of the course, participants will be able to:

1. Explain the anatomical, physiological and hormonal changes associated with the menopausal transition, including their impact on pelvic, urogenital, musculoskeletal and whole-body health from peri- to post-menopause.
2. Critically appraise and apply the evidence for pelvic rehabilitation in Genitourinary Syndrome of Menopause (GSM), integrating assessment, education, exercise, pelvic floor rehabilitation and appropriate multidisciplinary management into individualized care.
3. Recognize, assess and manage the Musculoskeletal Syndrome of Menopause (MSM), applying evidence-informed principles of resistance, impact, balance, mobility and load management to support muscle, tendon, joint and bone health and lifelong physical function.
4. Integrate brain, heart, mental and metabolic health into menopause rehabilitation, using a biopsychosocial and behaviour-change-informed approach to create personalized strategies that support resilience, recovery, physical activity, sleep, nutrition and long-term health.

In this course, supplemented by access to pre-recorded lectures & videos, the therapist’s repertoire of clinical reasoning, manual therapies and exercise prescription will be developed, along with an exploration of evidence based integrative approaches, including yoga, breath-work, stress management, sleep hygiene & lifestyle pertaining to the management of menopausal symptoms. Participants will gain an understanding of the changing hormonal profiles of the menopausal woman, but will also appreciate the long term implications of these changes, especially pelvic & sexual health and function, musculoskeletal/bone health issues, and overall health and wellness.

5+ hours of pre-recorded material available 7 days before the course start date and for 6 weeks after the last session.

Audience: Open to all healthcare and wellness professionals. Information/skills taught must only be used within your scope of practice.

Prerequisites: None

Participants who register for this course have the option to attend the course live-online and/or watch the recording later. The recording will be available to all registrants for a 6-week period and access is provided on the next business day following the course. This allows participants who may not be able to attend live-online to still benefit from the course content.

Course Description:

This evidence-informed one-day course provides clinicians with a practical framework for assessing and managing common men’s pelvic health conditions. Rather than viewing lower urinary tract symptoms (LUTS), sexual dysfunction and chronic pelvic pain as isolated presentations, the course follows the patient journey through male pelvic anatomy, lower urinary tract function, prostate cancer and radical prostatectomy rehabilitation, sexual dysfunction, chronic primary pelvic pain syndrome (CPPPS) and hard flaccid syndrome.

Throughout the day, participants will develop the clinical reasoning skills needed to determine what is driving a patient’s symptoms, and when onward referral is appropriate. Rather than teaching isolated conditions, the course presents a structured pelvic floor rehabilitation continuum, enabling clinicians to manage complex, overlapping presentations with greater confidence.

Topics include male pelvic anatomy, lower urinary tract function, urinary incontinence, post-prostatectomy rehabilitation, erectile and ejaculatory dysfunction, chronic primary pelvic pain syndrome, hard flaccid syndrome, rehabilitation progression, red flags and case-based clinical reasoning.

The course is designed for clinicians seeking a practical, evidence-informed approach to assessment, rehabilitation and clinical decision-making across the spectrum of men’s pelvic health.

Course Aim

To provide clinicians with a practical, evidence-informed framework for assessing and managing common men’s pelvic health presentations, including urinary incontinence, post-prostatectomy rehabilitation, erectile and sexual dysfunction, chronic primary pelvic pain syndrome and hard flaccid syndrome, using a structured rehabilitation continuum and clinical reasoning approach

Learning Objectives

By the end of the course, participants will be able to:

1. Describe clinically relevant male pelvic anatomy and lower urinary tract physiology.
2. Explain the relationship between the pelvic floor, lower urinary tract, bowel, sexual function, pain and movement.
3. Differentiate common lower urinary tract, sexual and pelvic pain presentations, including:
   • Stress urinary incontinence (SUI)
   • Urgency urinary incontinence (UUI)
   • Post-micturition dribble
   • Terminal dribble/Overactive bladder
   • Post-prostatectomy urinary and sexual dysfunction
   • Chronic primary pelvic pain syndrome
   • Hard flaccid syndrome
4. Recognize the effects of prostate cancer treatment, including radical prostatectomy, on urinary continence, sexual function, pelvic floor function and quality of life.
5. Recognize the effects of prostate cancer treatment, including radical prostatectomy, on urinary continence, sexual function, pelvic floor function and quality of life.
6. Apply a structured assessment framework for men presenting with lower urinary tract, sexual and pelvic pain symptoms.
7. Design a progressive rehabilitation program following radical prostatectomy, including early recovery, continence rehabilitation, return to activity and return to exercise.
8. Differentiate between increased tone, decreased tone, poorly coordinated and pain-protective pelvic floor presentations.
9. Explain the role of pelvic floor rehabilitation within the multidisciplinary management of erectile dysfunction, ejaculatory dysfunction and male sexual health.
10. Describe chronic primary pelvic pain syndrome as a multifactorial condition involving pain mechanisms, pelvic floor behaviour, urinary, bowel, sexual, musculoskeletal and psychosocial contributors.
11. Select evidence-informed management strategies for chronic primary pelvic pain syndrome, including education, down training, manual therapy (where clinically indicated), graded movement, strengthening, flare management and self-management.
12. Explain hard flaccid syndrome using a clinically grounded biopsychosocial and pelvic pain framework.
13. Recognize red flags and identify when referral to urology, primary care, pain medicine, psychology, psychosexual therapy or other specialist services is indicated.
14. Apply a pelvic floor rehabilitation continuum to progress patients from symptom management through movement confidence, functional capacity and performance.
15. Integrate case-based clinical reasoning to prioritize assessment, treatment and rehabilitation progression for men with overlapping urinary, sexual and pelvic pain presentations.
16. Apply clinical reasoning to determine:
    • What is driving the patient’s symptoms.
    • Whether the pelvic floor requires relaxation, coordination, strengthening or progressive loading.
    • How urinary, sexual, bowel and pain symptoms interact.
    • When rehabilitation is appropriate and when further investigation or referral is required.

Audience: This course is intended for qualified healthcare professionals, including physiotherapists, naturopaths, nurses, physicians, occupational therapists, osteopaths, chiropractors, and other clinicians working in pelvic health, musculoskeletal, or rehabilitation settings.

Prerequisite: Completion of a Level 1 (entry-level) course in pelvic health assessment is recommended. Previous training in male internal pelvic floor examination is beneficial but not essential, as this course focuses on evidence-informed assessment, rehabilitation, and clinical reasoning rather than teaching internal examination techniques. Clinicians who perform internal examinations should do so only if this is within their professional scope of practice, training, and local regulations.