Menopause & Pelvic Health Care in Mahone Bay

Perimenopause and menopause rarely show up as a single, tidy symptom — hormonal shifts, sleep, mood and pelvic health changes often arrive together, and most clinics can only address one piece at a time. At Zenith, Dr. Jessie Short, ND, MSCP and Rebecca Libby work together on exactly this overlap, combining naturopathic menopause care with specialized pelvic floor physiotherapy under one roof in Mahone Bay.

Whether you're noticing the first changes of perimenopause, navigating menopause itself, or dealing with pelvic health changes at any stage, our team builds a plan around what's actually going on for you — not a one-size-fits-all protocol.

This isn't just convenient — it reflects how menopause care is meant to work. Pelvic floor physiotherapy is a recognized treatment for the pelvic and urinary changes that come with menopause, and it's part of the standard of care Dr. Jessie's MSCP training covers. Having both specialists in one clinic means that connection actually happens, instead of being left to you to coordinate.

Hot flashes or night sweats
Sleep that's harder to fall into or stay in
Brain fog, trouble concentrating or finding words
New or worsening anxiety, irritability or mood changes
Vaginal dryness or discomfort
Bladder leaks, urgency or frequency
Pelvic pain, heaviness or pressure
Pain during intimacy
New joint aches or stiffness
Irregular or unpredictable periods
Lower libido

You don't need every symptom on this list, or a formal diagnosis, to book — many women come in simply because something feels different and they want support figuring out what's going on.

Dr. Jessie Short is a board-certified naturopathic doctor with a clinical focus on hormonal and menstrual health, and is a Menopause Society Certified Practitioner (MSCP) — a credential awarded by The Menopause Society to licensed healthcare professionals who pass its competency examination in menopause and midlife women's health. Her training covers hormone therapy and non-hormonal treatment options, cardiovascular and bone health, sleep, mood, sexual health and healthy aging, giving her a broad, evidence-based view of what's happening at this stage of life rather than a narrow focus on any single symptom.

“Women navigating perimenopause and menopause deserve care that is informed by current evidence, attentive to the whole picture, and nuanced enough to reflect the complexity of this stage of life.” — Dr. Jessie Short, ND, MSCP

Her individualized plans may include clinical nutrition, botanical medicine, targeted supplementation and lifestyle strategies, coordinated with any hormone therapy or other treatment you're already receiving.

Many of the pelvic changes that show up during perimenopause and menopause — bladder leaks, pelvic pressure, pain during intimacy — respond well to pelvic floor physiotherapy, which works directly on the muscles, coordination and tissue changes involved. Rebecca Libby brings post-graduate training in pelvic floor rehabilitation to this work, along with a 2018 osteopathy thesis specifically evaluating the impact of manual therapy on pelvic floor function and diastasis recti in women — giving her a particularly deep, evidence-based grounding in this exact area.

What's the difference between perimenopause and menopause?

How do I know if my symptoms are from perimenopause or something else?

Can naturopathic care work alongside hormone therapy prescribed by my doctor?

What does pelvic floor physiotherapy involve, and is it uncomfortable?

Do I need a referral to book a women's health appointment at Zenith?

Is this covered by insurance?

Does naturopathic menopause care cover more than just hot flashes?