Can You Use Pelvic Floor Therapy for Endometriosis?

Health Line

2 days ago

Many people with endometriosis have symptoms like pelvic pain, painful penetration, and bowel or bladder discomfort. In some cases, pelvic floor therapy can improve these symptoms.
Pelvic floor therapy is a specialized form of physical therapy that focuses on the muscles, ligaments, and connective tissues in the pelvic region. It can help relieve symptoms associated with endometriosis.
While some exercises can be done at home, it's recommended to consult a trained pelvic floor specialist — typically, a physiotherapist specializing in pelvic health.
How does pelvic floor therapy work?
Pelvic floor therapy involves a combination of techniques aimed at improving the function of the pelvic floor muscles. It's not just a matter of doing Kegel exercises.
These may include:
Manual therapy: Hands-on techniques (e.g., massage) to release muscle tension and improve tissue mobility.
Stretching and strengthening exercises: Targeted movements to enhance muscle flexibility and strength.
Education: Guidance on posture, breathing, and daily habits that may impact pelvic floor health.
Depending on your individual needs, your physiotherapist may use:
Biofeedback: Sensors provide real-time feedback on muscle activity, which can help you learn to control these muscles more effectively.
Transcutaneous electrical nerve stimulation (TENS): This involves sending small electrical currents to certain body parts.
Your physiotherapist will likely also suggest pelvic floor exercises for you to do at home. These interventions aim to address muscle imbalances and reduce pain associated with endometriosis.
What are the potential benefits?
Research indicates that pelvic floor therapy can offer several benefits for people with endometriosis.
These benefits include:
Pain reduction: A study found that 63% of people with endometriosis experienced an improvement in pain after six sessions of pelvic floor therapy.
Improved sexual function: By addressing muscle tension and discomfort, therapy can alleviate pain during penetration.
Enhanced bowel and bladder control: Strengthening pelvic muscles can help manage symptoms like constipation or urinary urgency.
A study looked at the effects of physical therapy in teenagers and young adults with endometriosis and chronic pelvic pain. It found that a course of pelvic physiotherapy significantly improved their daily functioning.
What are the potential side effects or risks?
Pelvic floor therapy is generally considered safe. However, potential considerations include:
Initial discomfort: Some people may experience temporary soreness after sessions.
Emotional response: Addressing pelvic health can sometimes evoke emotional reactions, especially if past trauma is involved.
Cost and accessibility: Not all insurance plans cover pelvic floor therapy, and finding a specialized therapist may be challenging in some areas.
It's essential to discuss any concerns with a healthcare professional before starting therapy.
Who is pelvic floor therapy for, and how can you get started?
Pelvic floor therapy may be beneficial for people with endometriosis who experience:
Chronic pelvic pain
Painful penetration
Bowel or bladder dysfunction
Muscle tightness or spasms in the pelvic region
To get started, find a qualified therapist. Look for physiotherapists with experience in treating endometriosis-related pelvic floor issues.
Some pelvic floor physiotherapists require a referral from another healthcare professional. Consider asking your usual GP or gynecologist, if you have one, for a referral.
The first session usually consists of an initial assessment. The doctor will ask about your symptoms and medical history and evaluate your condition. From there, the doctor can develop a personalized treatment plan.