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Pelvic Floor Dysfunction

The muscles, ligaments, nerves, and fascia can all drive pain, which is why many people with endometriosis find pelvic floor therapy (PFT) to be helpful. Many often do PFT as a next step after having excision. However, it can be helpful prior to excision too, or just in general! PFT may help with vulvodynia, painful sex, constipation/diarrhea, Interstitial Cystitis/Painful Bladder Syndrome, pelvic pain, leg pain, and more.

PFT may include:

  • manual therapy
  • biofeedback
  • trigger point release
  • breathing exercises
  • connective and scar tissue mobilization
  • posture correction
  • and more

It may involve internal as well as external work, but the therapist should get your consent before doing any internal work. There are also wands and other tools, as well as stretches and techniques that they can show you how to use at home to work on your pelvic floor. Patients often have 1-2 sessions per week for 8-12 weeks.

Your therapist should have experience with endometriosis

Just like we need to see an actual specialist in endometriosis and not just any gynecologist for our endometriosis treatment, we need to see a pelvic floor therapist who is familiar with treating patients with endometriosis. Pelvic floor therapy is not one size fits all, and some pelvic floor therapists may not have the knowledge to treat the pelvic floor of someone with endometriosis. Many people with endometriosis have a hypertonic pelvic floor, meaning that its very tense and doesn’t relax. This would need to be treated differently than a hypotonic pelvic floor, which is a weakened pelvic floor (often common after pregnancy and childbirth).

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