In this Sept 2, 2026 Menopause Chronicles session, Dr. Welch & participants welcome guest instructor Becky Keller—a pelvic health physical therapist and Low Pressure Fitness educator—will introduce how hypopressives, a myofascial, diaphragm‑based approach, can support pelvic floor health through perimenopause and menopause. She will begin with a clear, practical overview of the what, why, and how of Low Pressure Fitness (LPF) hypopressives: what they are, why they matter for issues like leakage, prolapse, pain, and constipation, and how they work through breathing, pressure management, and posture.

Becky will then guide the group through the “HYPO breathing”, the “vacuum” maneuver, and their integration into a few foundational postural poses, so you can directly experience the basics of the method with key principles to apply in daily life. Along the way, she’ll briefly touch on related ideas such as the abdominal vacuum, Low Pressure Fitness, and their relationship to traditional practices like uddiyana bandha. This is an introductory, educational session designed to give you a grounded understanding plus a handful of practical tools you can start to weave into daily life.

Becky Keller, PT, MSPT, PRPC is a physical therapist with over 25 years of experience and has specialized in pelvic health physical therapy since 2009. She received the distinction of Pelvic Rehab Practitioner Certified in 2016. She currently sees pelvic health patients at Activcore Physical Therapy and Performance in Lawrenceville, NJ. One of her passions is utilizing Low Pressure Fitness (LPF) hypopressives for both pelvic health and overall wellness. She is LPF-certified, the LPF USA distributor, and a master coach who teaches professional courses to clinicians, fitness professionals, and bodywork practitioners throughout the U.S. and internationally. When she’s not working, she enjoys time with her husband and teenage son, outdoor activities, and travel.

This session is part of the Menopause Chronicles membership and requires an active subscription. You can learn more or join here. (Subscription can be canceled anytime.)

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