Treating Endometriosis: How Pelvic Floor Therapy Can Help

Diagnosis and treatment of endometriosis requires an interdisciplinary approach and NPs are a critical part of that care team.

HPI questions for considering further workup for endo:

✅ Menstrual questions: dysmenorrhea, menorraghia, can your patient insert a tampon?

✅ Sexual questions: Are you able to have penetrative sexual activity without pain?

✅ Pain: Do you have pelvic, rectal, abdominal, back or gluteal pain?

✅ Bowel movements: Patients with endo often experience IBS-like symptoms that worsen with the menstrual cycle.

The latest research is finding that endo is more an inflammatory issue, NOT a GYN or hormonal issue. Inflammation starts in the gut, so treat the gut.

Referral to PF therapy is also a must for your endo patients. “A prospective study in the journal Ultrasound in Obstetrics & Gynecology has found that women treated with pelvic floor physiotherapy showed a significant improvement in pelvic floor relaxation, superficial dyspareunia and chronic pelvic pain, in comparison to women who did not receive treatment.”

Resources we cover in this video:

Nancy’s nook endo: nancysnookendo.com https://www.contemporaryobgyn.net/view/pelvic-floor-physiotherapy-for-endometriosis

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