Genitourinary Syndrome of Menopause (GSM) Treatment in Singapore

Many women experience discomfort or distress during menopause that goes beyond hot flushes or mood changes. One of the most common and often under-discussed conditions is Genitourinary Syndrome of Menopause (GSM). At Calyx, we offer compassionate, effective care tailored to the unique needs of women navigating this phase of life.

What Is Genitourinary Syndrome of Menopause (GSM)?

GSM refers to a collection of syndrome and physical changes to the vagina, bladder, and urinary tract caused by a drop in oestrogen during perimenopause and menopause. These changes may affect intimacy, continence, or daily comfort.

Is This Safe for Me?

Yes, physiotherapy-based GSM care is safe, non-invasive, and evidence-informed. We customise every treatment plan according to your symptoms, medical history, and comfort levels.

Who Should Consider GSM Treatment?

If you’re experiencing persistent vaginal dryness, discomfort during intimacy, urgency, or frequent urinary tract infections, you may benefit from GSM care.

  • Do I Need a Referral?

    No referral is required. You may contact Calyx directly to book an assessment with our women’s health physiotherapists.

  • Is This Suitable Before or After Childbirth? Or Both?

    GSM typically affects women in perimenopause or menopause, but some changes may occur post-childbirth. Treatment is tailored to your reproductive and hormonal history.

Symptoms and Signs You May Benefit from GSM Treatment

Common signs include:

  • Vaginal Dryness and Irritation
  • Pain During Sexual Activity (Dyspareunia)
  • Urinary Urgency or Frequency
  • Recurrent Urinary Tract Infections (UTIs)
  • Vaginal Laxity or Pressure

What Happens During Your Session

Your first session focuses on understanding your symptoms, goals, and comfort levels in a calm, respectful environment.

  • Will There Be an Internal Assessment?

    An internal assessment may be offered to check vaginal elasticity, muscle tone, and tissue health, but it is always optional and only with your consent.

  • Do I Need to Prepare or Bring Anything?

    Wear comfortable clothing. Bring past medical history or reports if available. No specific preparation is needed.

  • What Happens After the Session?

    We provide a care plan that may include pelvic floor therapy, education, home care techniques, and review of progress at your own pace.

Techniques and Tools We May Use

  • Pelvic floor muscle training
  • Vaginal moisturising techniques
  • Breathing and relaxation exercises
  • Education about GSM and hormonal changes
  • Biofeedback or electrical stimulation (if appropriate)
  • Is It Painful or Uncomfortable?

    Treatments are gentle. You are always in control and can pause or decline any technique.

  • How We Ensure Safety in Each Method

    We adhere to strict hygiene, consent, and comfort protocols for every session.

Your Progress and Results Over Time

  • How Soon Will I See Improvement?

    Some women feel relief in a few sessions. Others take more time depending on symptom severity and consistency of home care.

  • How Often Will I Need Sessions?

    We typically start with weekly or biweekly sessions, then taper off based on your progress.

  • Will I Need Maintenance Visits?

    Yes, occasional reviews may be helpful to sustain progress, especially if symptoms fluctuate.

     

  • What Do I Need to Do at Home?

    You’ll be guided through at-home routines including gentle stretches, pelvic floor activation, and self-care habits.

Why Women Trust Calyx for GSM Treatment

Calyx is a safe space for women to receive care from experienced, empathetic practitioners who understand the physical and emotional changes of menopause.

Are Sessions Covered by Insurance or Medisave?

Some insurance plans may cover physiotherapy sessions. Our admin team can guide you through eligibility checks.

What Makes Calyx Different?

Our women’s health physiotherapists bring years of experience, trauma-informed care, and personalised attention.

How Much Does It Cost?

Pricing is transparent and will be shared during your consultation. We offer flexible packages to suit your needs.

Take the First Step Toward Relief

Let’s help you move from discomfort to confidence. Whether it’s pain during intimacy, recurrent infections, or feeling like your body is changing too quickly, we are here to help.

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RAJWEEN KAUR
Pilates Instructor

Rajween is a Pilates instructor with a strong academic and clinical foundation in movement, health and rehabilitation. With a Master’s degree in Nutrition and Metabolism and a Bachelor of Science in Molecular and Cell Biology, she approaches movement with a deep understanding of the body as an integrated system.

Her own journey into Pilates began after the birth of her children, where she experienced first-hand how Pilates improved alignment, strengthened her deep core and pelvic floor and complemented strength training and yoga. This experience shaped her passion for supporting women through different life stages.

Rajween is Polestar Pilates trained and certified in pre- and post-natal Pilates. Her teaching style is supportive, personalised and attentive. She works closely with the physiotherapy team to ensure care is aligned and individualised.

  • Polestar Pilates: Certified Comprehensive Instructor (Mat, Reformer, Trapeze Table, Barrel, Chair)
  • Art of Motion: Slings Essential
  • Art of Motion: Anatomy Trains
  • Masters in Science, Metabolism & Nutrition, Boston University School of Medicine
  • Bachelors in Science, Life Sciences, Molecular & Cell Biology, National University of Singapore
  • Pre and Postnatal Pilates Specialist (The Centre for Women’s Fitness)
  •  
  • Pregnancy
  • Postpartum
  • Diastasis Recti
  • Strength Training
EZORA WONG
Senior Physiotherapist

Ezora is a certified physiotherapist with over a decade of experience in women’s health, musculoskeletal and sports physiotherapy. Her current practice focuses on pelvic health and sexual wellness across all stages of a woman’s life. 

Trained in both internal and external pelvic floor assessments and real-time ultrasound, she supports women experiencing pelvic pain, sexual discomfort, or postpartum recovery needs. Fluent in English and Cantonese, Ezora is known for her skilled hands-on approach and her dedication to helping women restore confidence, comfort and connection with their bodies.

  • Allied Health Professions Council (AHPC) registered
  • Member of Singapore Physiotherapy Association (SPA)
  • BSc Physiotherapy (Honors, 2i), Trinity College of Dublin, 2014
  • Female Pelvic Health: Advanced Assessment and Management, Physio Skills
  • Level 2A & 2B Women’s Pelvic Health, Australian Physiotherapy Association (2023, 2024)
  • Level 1A & 1B Women’s Health Physiotherapy, Australian Physiotherapy Association (2021, 2022)
  • Dry Needling, OMT
  • Scar Therapy Practitioner
  • Rocktape & Dynamic Tape, Battlewin Tape 
  •  
  • Sexual Health and Wellness
  • Pelvic Pain
  • Scar Massage Therapy
  • Pre and Postnatal care
  • Neck and Shoulder Pain
CHLOE NG
Co-founder, Senior Physiotherapist

Chloe is a dedicated women’s health physiotherapist whose personal and professional journey has shaped her compassionate approach to care. Early in her career, she noticed that many women’s health concerns, including incontinence, painful intercourse and fertility challenges, were often dismissed or left unspoken. This sparked her commitment to specialise in pelvic health and provide women with the support they deserve.

She pursued training in pelvic health assessment and management, and integrates Polestar Pilates principles into her practice to restore functional movement, postural alignment, and overall wellbeing.

Her personal decision to go through two unmedicated births reinforced her belief in the power of education, preparation, and informed support during pregnancy and beyond. 

  • Allied Health Professions Council (AHPC) registered
  • Member of Singapore Physiotherapy Association (SPA)
  • BSc Physiotherapy (Honors), Trinity College of Dublin, 2016
  • Functional Fitness for Pregnancy and Postpartum, Brooke Turner
  • Female Pelvic Health: Advanced Assessment and Management, Physio Skills
  • Pelvic Pain and Rectal Courses, Pelvic Health Melbourne
  • Pelvic Health Foundation, Pelvic Health Melbourne
  • Level 1 & 1A Women’s Health Physiotherapy, Australian Physiotherapy Association
  • Polestar Pilates Trained
  • Dry Needling, OMT
  • Spinal Manipulation, OMT
  • Birth Preparation
  • Dyspareunia
  • Endometriosis Management
  • Pre and Postnatal Care
  • Lactation Care
  • Clinical Pilates
CLARE TANG
Co-founder, Senior Physiotherapist

Clare is an experienced physiotherapist specialising in women’s musculoskeletal and pelvic health, focusing on pregnancy, postpartum recovery, and perimenopause. She combines clinical precision with a whole-body approach, integrating hands-on manual therapy and movement strategies tailored to women’s changing needs.

As a twin mum, Clare personally experienced the gaps in postpartum care, which fuels her passion for changing the status quo. As co-founder of Calyx, she champions a preventive physiotherapy model that closes critical gaps between medical care, recovery, and long-term wellbeing.

  • Allied Health Professions Council (AHPC) registered
  • Member of Singapore Physiotherapy Association (SPA)
  • BSc(Hons) Physiotherapy, First Class Honours, Trinity College Dublin, 2014
  • MSc Rehabilitation Science, University of Melbourne, 2020 (Women’s Health, Health Behaviour Change)
  • Caesarean scar specialist, Restore scar therapy
  • Diastasis Recti Abdominis & The Postpartum Course, Munira Hudani
  • Female Pelvic Health: Advanced Assessment and Management, Physio Skills
  • Dry Needling, GEMT
  • Kinesiotaping Fundamentals and Advanced (KT1 and KT2)
  • DMA Clinical Pilates
  • Postpartum Recovery
  • Caesarian Section Rehabilitation
  • Women’s Musculoskeletal Care
  • Back and Pelvic Girdle Pain
  • Pre and Postnatal Care
  • Preventive Physiotherapy 
  • Perimenopause Management
  • Core Rehabilitation (Pregnancy, Postpartum, Post-Operative)