Why Pelvic Floor Therapy is Great for Endometriosis

(This post contains affiliate links)

Another treatment I’ve undergone for Endo is pelvic floor physical therapy. Although it involves a lot of internal work, which may make some uncomfortable, it is so worth it!

I wanted to share how beneficial this was for me because it’s something that I had no clue about until my pain doctor recommended it to me. Being one to try anything that might help me, I didn’t bat an eye at the idea of internal vaginal physical therapy.

However, I know that can make people nervous, especially if you haven’t had much internal work. But trust me, you will be okay and will get used to it pretty quickly.

My Experience:

I went to a pelvic floor physical therapist for about 6 months throughout the past year. When we met in person, she would perform internal work in which she would release any tight muscles in my pelvic floor. It did not hurt, although it was a somewhat new experience to have internal vaginal work since I am not sexually active and have only had a few internal inspections at the gynecologist.

In addition to seeing a physical therapist in person, I was instructed to use vaginal dilators at home every night to keep my pelvic floor nice and loose.

The point of pelvic floor physical therapy is to be trained how to do it at home through the use of dilators so that the pelvic floor can remain relaxed without having to have professional intervention. So, by about 6 months worth of treatment and training, I felt comfortable using the dilators and sustaining my treatment on my own. Therefore, I do no see my physical therapist in person anymore, but continue to use the dilators as she taught me to.

Benefits of Pelvic Floor PT:

For me, pelvic floor physical therapy (PT) helps to relax my pelvic floor and release a lot of the tension that builds up in my pelvic floor due to pain and Endo adhesions.

I’ve been able to pee more easily and a relaxed pelvic floor has decreased my symptoms of constipation.

In addition, sitting in a chair has been more comfortable.

Why is Pelvic Floor PT Beneficial for Endo?:

When you have endo, your pelvic floor tightens in response to pain and Endo adhesions. This makes it harder to use the bathroom and more uncomfortable to sit upright. Plus, a tight pelvic floor only increases the amount of pain you experience everyday.

My physical therapist explained to me that the pelvic floor is like a bowl holding all of your organs in place in the pelvis. It is made up of muscle. Here is a picture of it:


Pelvic Floor PT works by releasing tightness in your pelvic floor muscles and training them to remain loose in the long term to help with the reduction of pain.

A looser Pelvic Floor can also help with issues when using the bathroom. I’ve found that it has helped with constipation symptoms and urinary issues related to Endo.

Should You Try Pelvic Floor PT?

If you are considering Pelvic Floor PT for Endo, I would say go for it! Talk to your doctor and see whether he/she can recommend a Pelvic Floor physical therapist to you.

Be sure to describe all of your Endo symptoms to your Pelvic Floor physical therapist and don’t be afraid to ask any questions you may have.

But Isn’t Pelvic Floor PT Taboo?:

Don’t feel as if Pelvic Floor PT is taboo or inappropriate. Endo is a taboo disease and sometimes can be solved with some taboo interventions. If you want to feel better, don’t worry about what others might think. You don’t have to tell them you are going to Pelvic Floor PT. Remember that your body belongs to you and the treatments you choose are supposed to benefit you, not others who are judging from the outside.

That being said, don’t feel bashful about going to Pelvic Floor PT. It’s normal to be a bit nervous about something you may be inexperienced with. If you have any concerns, don’t be afraid to let your physical therapist know. It may be uncomfortable at first, but it will be so worth it once your Pelvic Floor loosens up and you feel a little better.

What Do I Need for Pelvic Floor PT?

When going to Pelvic Floor PT, you may be advised to purchase vaginal dilators and some lubricant to use at home. Your physical therapist should train you how to properly use them.

Vaginal dilators come in different materials and sets. Some are silicone and said to be a bit more comfortable than the plastic ones. There are also sets that include more sizes and are a little easier to move between sizes with (you will matriculate from the smallest sized dilator to a larger one).

I personally use these plastic dilators, which come in a set of 5. I have found them to be comfortable and easy to use. These also have “discreet” shipping, so you do not have to worry about your mailman knowing that you ordered vaginal dilators. LOL.

VuVa Smooth Set of Five with Travel Pouch- *Bonus 1oz Travel Lube* – Waterproof – Made in the USA – Lightweight – Discreet Shipping – Fast Free Shipping

I also use this lubricant, which I prefer because it does not contain any dyes or perfumes.

Water Based Silky Safe Longlasting Personal Lubricant Gel By Slippery Stuff 8oz

I would also advise that for home use of your dilators, have some wet wipes and a towel on hand. When using the dilators to relax your pelvic floor, you do not insert them all the way into your vagina. Having a towel on hand to balance the dilator against will help you keep a dilator in place since it is only inserted a little bit. Plus, a towel will help with cleaning up any extra lubricant and is great to dry off with after using wet wipes.

And, for easy reference, here is a list of the supplies you will most likely need! I would double check with your personal physical therapist before making any purchases, but you can rest soundly knowing I put my stamp of approval on these products!

Pin this article so you have easy future access to the list! (Click this link to have an interactive version in which you can click on items on the list to easily view them on Amazon!)

endo girl blog-3.jpg

Have you tried Pelvic Floor PT? Let me know below in the comments!

Signature for blog


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s