What is Endometriosis and How Can Pelvic Floor PT Help?

Defining Endometriosis

Endometriosis is a condition characterized by tissue similar to the lining of the uterus (endometrial tissue) located outside of the uterus.  This tissue can be found throughout the pelvis and most commonly on the ovaries, bladder, bowels, and lining of the abdominal cavity. Endometriosis has a genetic component - so a person that’s affected may have a mother, sisters, or other family members with endometriosis. Endometrial tissue can also increase inflammation within the pelvic area, especially during menstruation, which leads to pain and other symptoms listed below. 

Common Symptoms & Presentation

Endometriosis affects each person differently. People from ages 25-40 are most commonly affected, but symptoms usually begin in teenagers after the onset of menstruation. Folks in their teens may begin to complain about painful periods, with pain 1-2 days before their period as well as throughout their periods. 

Over time, people may experience symptoms including (but not limited to): 

• Pelvic pain not associated with menstruation

• Moderate-severe menstrual cramps

• Heavy bleeding with menstruation 

• Urinary frequency/urgency & waking at night to void

• Irritable bowel syndrome 

• Constipation, bloating

• Low back pain

• Fatigue

• Decreased fertility

With chronic pelvic pain and inflammation, the pelvic floor and abdominal muscles can become tighter or more sore. Overtime, those affected may experience increased pelvic pain, difficulty tolerating gynecological exams, decreased arousal, and discomfort during/after penetrative intercourse. 

Role of PT

Foundations Pelvic Health is here for you! Whether you are dealing with any of the above symptoms, were recently diagnosed with endometriosis, underwent surgery, or are looking to manage your symptoms long-term. 

We can provide:

• Manual therapy

  • to reduce pelvic floor, low back, abdominal, hip, and lower extremity muscle tightness/soreness

• Exercise

  • Core and hip strengthening

  • Spinal & hip mobility

  • Stretching

• Neuromuscular re-training

  • Pelvic floor relaxation/lengthening

  • Improved breathing patterns

  • Functional movement training

• Education

  • Pain management

  • Bladder retraining

  • Improved toileting

As you see above, endometriosis can affect each person differently and living with endometriosis can be challenging. We hope to improve your overall function so that your symptoms don’t get in the way of your day-to-day life.