Understanding Endometriosis: How Pelvic Floor Physical Therapy Can Support Your Care

Endometriosis is a complex, often painful condition in which tissue similar to the lining of the uterus grows outside the uterus. It most commonly affects women of reproductive age, but its impact can extend far beyond the reproductive system. Pelvic pain, painful periods, discomfort with intercourse, bowel or bladder symptoms, and fatigue are just some of the ways endometriosis can affect daily life.

One of the most challenging parts of endometriosis is that symptoms don’t always match what shows up on imaging or testing. Many people spend years seeking answers, often being told their pain is “normal.” It isn’t—and you deserve thoughtful, effective care.

The Role of the Pelvic Floor

Chronic pain conditions like endometriosis can place the pelvic floor muscles into a constant protective state. Over time, these muscles may become tight, sensitive, and less coordinated. This can contribute to ongoing pelvic pain, hip or low back discomfort, bladder or bowel symptoms, and pain during intimacy—even after medical or surgical treatment for endometriosis.

Pelvic floor physical therapy addresses these muscular and nervous system components that are often overlooked but play a major role in how pain is experienced.

How Pelvic Floor Physical Therapy Helps

At Progressive Pelvis Physical Therapy, pelvic floor physical therapy is not about “pushing through pain.” Instead, we focus on restoring balance, mobility, and calm to the pelvic region. Treatment may include:

  • Hands-on techniques to reduce muscle tension and improve tissue mobility

  • Gentle movement and stretching to support the pelvis, hips, and lower back

  • Breathing and nervous system regulation to decrease pain sensitivity

  • Education on posture, daily habits, and activity modification

  • Guidance for managing flare-ups and building resilience over time

This approach can be especially helpful before or after surgery, during hormonal treatment, or as part of a long-term pain management plan.

A Supportive, Whole-Body Approach

Endometriosis is not just a gynecologic condition—it affects the whole person. Pelvic floor physical therapy offers a compassionate, evidence-informed way to address pain while supporting function, movement, and quality of life. Care is always individualized, respectful, and paced to meet you where you are.

You Are Not Out of Options

If endometriosis is interfering with your comfort, confidence, or ability to enjoy daily life, there is support available now. Pelvic floor physical therapy can be a meaningful part of your care team, helping you regain a sense of control and connection to your body.

If you’re ready to explore your options, we invite you to schedule a consultation today. Help is available, and you don’t have to face endometriosis alone.

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Understanding Interstitial Cystitis (Painful Bladder Syndrome): How Pelvic Floor Physical Therapy Can Help

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Understanding Prostatitis and Chronic Pelvic Pain Syndrome (CPPS): How Pelvic Floor Physical Therapy Can Help