Menstrual cramps are common, but pain that disrupts your daily life is not considered normal. If you are experiencing pain that keeps you home from work or school or that leaves you curled up in bed, it is worth seeking further attention from your health care provider. Endometriosis is a chronic, complex condition in which tissue similar to the lining of the uterus grows outside the uterus, leading to inflammation, pain, and sometimes fertility challenges. It can also cause pain with bowel movements, urination, exercise, or intimacy, and symptoms often extend far beyond your menstrual cycle.

Unfortunately, getting a diagnosis for endometriosis can take years. Many people have their symptoms dismissed or minimized before finding a provider who recognizes the signs. Research has also shown that racial and ethnic minorities, along with other historically underserved communities, often face additional barriers to diagnosis and treatment. Like many chronic pain conditions, endometriosis has been underrecognized, leaving many individuals feeling unheard and unsupported. If this has been your experience, know that your pain is valid, and you deserve compassionate care.

While pelvic floor physical therapy cannot cure endometriosis, it can play an important role in helping you manage your symptoms and improve your quality of life. A pelvic health physical therapist can help reduce pain, improve mobility, address muscle tension and guarding, teach strategies for flare management, and help you return to the activities you enjoy. A therapist can also help connect you with trusted resources and other healthcare professionals who understand endometriosis. The goal is to give you tools to better navigate your unique endometriosis experience.

Endometriosis is best treated with a team approach. Depending on your symptoms and goals, your care team may include a gynecologist or endometriosis specialist, a pelvic floor physical therapist, a mental health professional, and a pain management specialist. You don’t have to manage this condition alone. If you’re living with persistent pelvic pain or difficult periods, talking with a healthcare provider or pelvic health physical therapist can be a helpful first step toward understanding your options.

Shana Hoke
Pelvic Health Physical Therapist at Better With PT
betterwithpelvichealthpt.com

Other Helpful Resources

Support & Education
Nancy’s Nook Endometriosis Education: https://nancysnookendo.com
Endometriosis Foundation of America: https://www.endofound.org
Endometriosis Association: https://endometriosisassn.org

Books
https://www.endofound.org/endofounds-bookshelf

Blogs
https://www.qendo.org.au/blog
https://drseckin.com/blog/