Endometriosis is a chronic condition affecting approximately 1 in 10 menstruating women worldwide. (That’s over 190 million people dealing with this often misunderstood and under-diagnosed disease). Despite its prevalence, many individuals face delayed diagnoses and limited understanding of their symptoms.
What is Endometriosis?
Endometriosis occurs when tissue the lines the inside of the uterus (the endometrium) grows outside the uterus. Unlike normal endometrial tissue, which sheds during menstruation, this misplaced tissue has no way to leave the body. This can lead to inflammation, scarring, and the formation of adhesions—bands of fibrous tissue that can reduce the mobility of affected tissues and organs.
Where is Endometriosis Found in the Body?
Endometriosis is most commonly found in the pelvic region, including but not limited to:
Ovaries
Fallopian tubes
Outer surface of the uterus
Bladder and bowel
In rare cases, endometrial-like tissue can also be found in distant areas of the body, such as the diaphragm or lungs.
Symptoms of Endometriosis
Symptoms of endometriosis vary widely and every affected individual experiences it differently. Common symptoms include:
Severe menstrual cramps (dysmenorrhea)
Chronic pelvic pain
Pain during or after intercourse (dyspareunia)
Heavy menstrual bleeding (menorrhagia)
Bloating or nausea
Fatigue
Less common symptoms may include:
Painful bowel movements or urination, especially during menstruation
Lower back pain
Tailbone pain
Difficulty conceiving (infertility)
Symptoms mimicking other conditions, such as irritable bowel syndrome (IBS) or urinary tract infections (UTIs)
How to Get a Diagnosis
Diagnosing endometriosis often begins with a detailed medical history and physical examination. Until recently, the gold standard for diagnosis was laparoscopic surgery. However, specialized ultrasound imaging has quickly become the preferred non-invasive method and can be done by a specializing gynaecologist.
How Can Pelvic Health Physiotherapy Help?
Pelvic health physiotherapy is a vital part of managing endometriosis symptoms. While it cannot treat the underlying cause, it can significantly improve quality of life by addressing the following:
Pain Management: Techniques like gentle manual therapy, and relaxation exercises help down-regulate the nervous system, reduce pelvic muscle tension and alleviate pain.
Scar Tissue and Adhesion Mobilization: Hands-on therapy can improve mobility in tissues affected by endometriosis, reducing discomfort and improving function.
Bladder and Bowel Function: Pelvic physiotherapists can provide strategies to manage urinary urgency, frequency, and bowel-related discomfort.
Exercise Guidance: A tailored exercise program can improve overall strength and mobility while avoiding symptom exacerbation.
Education and Support: Understanding the condition and learning self-management techniques can empower individuals to take control of their symptoms.
If you’re living with endometriosis, know that you don’t have to navigate this journey alone. Pelvic health physiotherapy can be a transformative part of your care team, helping you move toward a life with less pain and more comfort.
Need Help? Book an appointment with Liron Kvaterman Physiotherapy to explore how pelvic physiotherapy can support your endometriosis journey.
Your favourite physio,
Liron
Comments