Endometriosis & the Pelvic Floor: The Overlooked Connection

Endometriosis is widely known for causing intense pelvic pain, but what often goes unmentioned is how it affects the pelvic floor muscles. When the body experiences chronic pain, the pelvic floor can go into a protective, tightened state, leading to further discomfort, bladder urgency, and even painful intercourse.

How Endometriosis Impacts the Pelvic Floor

• Muscle Tightness & Guarding – The body naturally tenses muscles in response to pain, leading to pelvic floor dysfunction over time.

• Bladder & Bowel Issues – Endometriosis lesions can irritate nearby organs, contributing to constipation, painful urination, or urgency.

• Sexual Pain – A hyperactive pelvic floor can make penetration painful or even impossible, impacting intimacy and overall quality of life.

Holistic Approaches to Pelvic Floor Care with Endometriosis

• Pelvic Floor Physical Therapy – A specialist can help release tension and retrain muscles to reduce pain.

• Breathwork & Relaxation – Diaphragmatic breathing, meditation, and vagus nerve exercises can help calm the nervous system and ease pelvic tightness.

• Anti-Inflammatory Diet – Reducing inflammatory foods and increasing omega-3s, turmeric, and magnesium-rich foods may help with symptom relief.

• Gentle Movement – Practices like yin yoga, stretching, and low-impact exercises support mobility and reduce stiffness.

• Castor Oil Packs & Heat Therapy – These natural remedies can help relax the pelvic area and ease pain from both muscle tension and inflammation.

Endometriosis and pelvic floor dysfunction often go hand in hand, but relief is possible. A whole-body approach—combining pelvic floor therapy, mindful movement, and anti-inflammatory practices—can make a big difference.