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Pelvic Floor Therapy: A Game Changer For Endometriosis and IC
Victoria Gasparini
Living with endometriosis or interstitial cystitis often means battling chronic pain, discomfort, and frustration. While treatments like medications and dietary changes can help, there’s another powerful tool that many overlook: pelvic floor therapy.
Pelvic floor therapy isn’t just about strengthening your muscles, it’s about retraining them to work in harmony, easing pain, and improving overall quality of life. Here’s why it’s worth considering if you’re managing endometriosis or IC.
Understanding the Pelvic Floor and Its Role in Pain
The pelvic floor is a group of muscles, ligaments, and tissues that support your bladder, uterus, and rectum. These muscles help control urination, bowel movements, and even sexual function.
For people with endometriosis or IC, these muscles often become tense, overactive, or weakened due to chronic pain and inflammation. This dysfunction can contribute to:
Increased bladder pain or urgency
Painful intercourse
Pelvic and lower back pain
Difficulty fully emptying the bladder
By addressing these issues directly, pelvic floor therapy can provide relief that other treatments may not.
How Pelvic Floor Therapy Helps Endometriosis
Endometriosis often causes deep pelvic pain due to adhesions, inflammation, and nerve involvement. Over time, this chronic pain can cause the pelvic floor muscles to tighten defensively, leading to additional discomfort.
Pelvic floor therapy focuses on:
Releasing muscle tension: Gentle techniques like myofascial release help relax tight pelvic muscles and alleviate pain.
Improving mobility: Stretching and manual therapy can restore flexibility to tissues affected by adhesions.
Reducing pain signals: Therapists use strategies to calm overactive nerves, which often play a role in endometriosis pain.
Many people with endometriosis find that pelvic floor therapy reduces the intensity of their symptoms and improves their ability to manage flare-ups.
How Pelvic Floor Therapy Helps IC
Interstitial cystitis is often accompanied by pelvic floor dysfunction. Painful bladder symptoms, urgency, and frequency can cause the pelvic floor muscles to tense up, creating a cycle of pain and dysfunction.
Pelvic floor therapy can help IC patients by:
Easing tension: Relaxation techniques and biofeedback reduce muscle tightness that contributes to bladder pain.
Improving bladder function: Therapists teach techniques to coordinate pelvic muscles during urination, reducing incomplete emptying and discomfort.
Addressing trigger points: Gentle manipulation of trigger points in the pelvic floor can reduce localized pain and improve mobility.
For many with IC, pelvic floor therapy is a key part of managing the bladder-brain connection that drives their symptoms.
What to Expect in Pelvic Floor Therapy
If you’re new to pelvic floor therapy, here’s what you can expect during sessions:
Assessment
Your therapist will evaluate your pelvic floor muscles through external and (sometimes) internal exams to identify areas of tension, weakness, or dysfunction.
Manual Therapy
Therapists use hands-on techniques like massage, myofascial release, or trigger point therapy to relax tight muscles and improve circulation in the pelvic area. If this feels worrisome for you, know that you are in the driver's seat and can decide when and if you are comfortable for manual therapy.
Guided Exercises
You’ll learn stretches and movements to improve pelvic floor mobility and reduce tension. These may include gentle yoga poses or breathing techniques.
Biofeedback Training
In some cases, biofeedback is used to help you become more aware of how your pelvic floor muscles are working, so you can learn to relax or engage them more effectively.
Home Care Plan
Yep, you’ll have homework. Your therapist will provide exercises and techniques you can practice at home to maintain progress between sessions.
The Benefits of Pelvic Floor Therapy
For those with endometriosis or IC, pelvic floor therapy offers:
Pain relief: Targeting tight or dysfunctional muscles helps reduce chronic pelvic pain.
Improved bladder control: Relaxing and retraining the muscles involved in urination can ease urgency and frequency.
Better sexual health: Reducing muscle tension and improving flexibility often decreases pain during intercourse.
Emotional relief: Learning how to manage your body’s responses can reduce stress and anxiety tied to chronic pain.
Finding a Pelvic Floor Therapist
Not all physical therapists specialize in pelvic health, so it’s important to seek out someone trained in pelvic floor therapy. Look for certifications or specialties in women’s health, pelvic pain, or urology.
Your doctor or gynecologist can often recommend a trusted therapist in your area.
Taking the First Step
Pelvic floor therapy isn’t a quick fix, but it’s a powerful tool for long-term relief. It works best as part of a comprehensive care plan that may include diet changes, stress management, and medical treatments.
If you’re living with endometriosis or IC and feel like you’ve tried everything, don’t give up hope. Pelvic floor therapy could be the missing piece in your pain management journey.
Feb 20, 2025
3 min read
A Letter To The Girl Newly Diagnosed With Endometriosis
Victoria Gasparini
You have known it was not normal for many years. If you’re reading this, you already know something’s off.
Periods are not meant to debilitate you for more than a week every single month. In some ways knowing you have endometriosis can be empowering for your health and also your fertility.
So, you’ve got the diagnosis. Endometriosis
If your story is anything like mine, you were dismissed, told it’s “just bad periods,” handed a heating pad and an anti-inflammatory that barely touched the pain.
Sound familiar?
I remember the day I got my first period. It was 6th grade, I came home for lunch and saw the blood. I was handed a thick pad and walked back to school for the afternoon.
OK it was the 90’s.
Within months, the gut-wrenching, curl-up-in-a-ball cramps, headaches, GI issues and brain fog started. I begged my mom to give me a pill to make this end forever.
I was a dancer. Manoeuvring what to wear became difficult. It was embarrassing wearing my tight fitted leotard with the bloating visible from all the inflammation.
Fast forward to my 20’s - the work meetings were the worst, long winded bosses while I prayed my tampon did not leak and hoping the anti-inflammatory would kick in soon all while pretending to not be distracted.
Why didn’t we talk about our pain?
It wasn’t until I wanted kids that the full impact of this thing hit me like a truck. Turns out, it wasn’t just “bad periods.” It was a full-time job trying to conceive, research, advocate for myself, and fight for the care I deserved.
The good news is we have come a long way since the 90’s in managing the symptoms and impacts of endometriosis. I am lucky to have two amazing kids however the road to this point was not easy or mapped out for me. Endometriosis is a tricky condition that is different for everybody.
Demand the care you deserve. You’re not alone in this fight—there’s a whole army of us out here!
Steps to Take Back Control
Managing endometriosis isn’t easy, but there are actionable steps you can take to regain some power over your health:
1. Eat an Anti-Inflammatory Diet
Nutrition plays a significant role in managing endometriosis symptoms. Some foods can ease inflammation and reduce pain during flare-ups:
Turmeric: Add this anti-inflammatory powerhouse to tea or almond milk.
Leafy Greens: Spinach, kale, and Swiss chard are rich in magnesium, which helps with muscle cramps.
Omega-3 Fatty Acids: Found in salmon, walnuts, and chia seeds, these fats combat inflammation.
Berries and Citrus Fruits: Packed with antioxidants to strengthen your body’s defenses.
2. Heat and Castor Oil
Heat is incredibly helpful in managing your pain. Try adding Castor Oil packs to your abdomen with the heat to relieve cramping and GI pain.
3. Plan for Fertility—Your Way
If you want children—or even if you’re undecided—take charge now. Schedule an appointment or get a referral to a speciality clinic to understand your options. Diagnostics can help you plan for the future, whether you’re ready for kids now or just want to keep the door open.
4. Advocate for Your Care
Push for answers. Demand the care you deserve. It’s not “just bad periods.” Endometriosis is real, and you have the right to proper treatment.
You’re Not Alone
You are not alone, you are part of a larger community building awareness and advocating for better and sooner treatment options. It is no longer acceptable for women to quietly exit from their life for a week each month in order to manage this condition. There are options for you to take control now as well as plan for the future.
Feb 20, 2025
3 min read
PCOS And Me: Learning To Listen To My Body
Victoria Gasparini
When I first heard the words “You have PCOS,” it felt like a mix of relief, confusion and fear. Relief because I finally had an answer to years of irregular cycles, unexplained weight changes, and frustrating acne. Confusion because I had no idea what it actually meant, or where to go from there, and fear because the online space is filled with scary information, most of which was inaccurate.
Looking back, I wish someone had told me that this diagnosis wasn’t just about my ovaries or a condition to “fix.” PCOS is a window into how my body works, a signal to pay closer attention to its needs. Here’s what I’ve learned through trial, error, and self-discovery.
Your Symptoms Are Valid, Even If They Don’t Fit the Textbook
The thing about PCOS is that it doesn’t look the same for everyone. Some women struggle with hair loss, while others deal with hirsutism (hair growth in places we don’t want hair, like our chin and upper lip). Some can’t seem to lose weight no matter how hard they try, while others are lean and still face hormonal imbalances.
It’s easy to feel like your experience isn’t “bad enough” or “typical enough” to count. But your symptoms, and your feelings, are valid. Learning to honor my experience, instead of comparing it to others, was the first step in taking control of my health.
It’s Not About Perfection, It’s About Balance
I used to think managing PCOS meant I had to overhaul my entire life overnight: cut out carbs, never miss a workout, and somehow keep my stress in check while juggling work, family, and everything in between.
The truth is, there’s no one-size-fits-all solution. It’s about finding small, sustainable habits that make you feel better. Maybe that’s swapping out sugary snacks for high-protein options, prioritizing sleep, or incorporating gentle movement like yoga or walking. Consistency matters more than perfection.
Advocate for Yourself at the Doctor’s Office
PCOS often feels like an uphill battle, especially when you’re navigating the healthcare system. I’ve been brushed off, misdiagnosed, and even told that losing weight was the only solution. If I could go back, I’d remind myself that I have every right to ask questions, request specific tests, and seek a second opinion when something doesn’t feel right.
The right healthcare team, one that listens and supports your goals, makes all the difference.
Blood Sugar Is a Bigger Deal Than You Think
I never realized how closely PCOS and blood sugar are linked until I started paying attention to my diet. It’s not about cutting carbs completely, but about eating in a way that keeps your energy and hormones stable. Simple swaps like pairing carbs with protein or healthy fats, and eating regularly throughout the day, have helped me feel more in control of my symptoms. Choosing whole grains and complex carbohydrates is a great way to get those key nutrients, while supporting healthy blood sugar management.
Your Mental Health Deserves Care Too
PCOS isn’t just a physical condition, it takes a toll on your mind too. From body image struggles to the emotional rollercoaster of hormonal fluctuations, it’s easy to feel overwhelmed. Therapy, journaling, and even connecting with others who have PCOS have been game-changers for me. Remember, it’s okay to ask for help.
You Are So Much More Than Your Diagnosis
PCOS may be a part of your life, but it doesn’t define you. There’s no shame in having this condition, and you don’t have to navigate it alone. Looking back, I wish I’d been kinder to myself, celebrated my wins (even the small ones), and trusted that progress is still progress.
If you’ve just been diagnosed with PCOS, take a deep breath. You’ve got this, and there’s a whole community here to support you.
Feb 20, 2025
3 min read
To The Girl Who Feels Alone With IC: You Are Not Invisible
Victoria Gasparini
I know how it feels to sit in silence, consumed by pain no one else seems to understand. To hear people dismiss your symptoms as "just a bladder infection" or tell you to "drink more water" as though it’s that simple. I know the frustration of explaining, over and over, what it’s like to live with interstitial cystitis, a condition that affects every part of your life but remains invisible to everyone around you.
If you’re reading this and feeling unseen, unheard, or alone, I want you to know: You are not invisible.
Living with IC is More Than Just a Diagnosis
IC isn’t just about frequent trips to the bathroom or the burning, stabbing pain that takes your breath away. It’s the missed plans because you’re too uncomfortable to leave the house. It’s the fear of eating a meal that might trigger hours, or days, of agony. It’s the isolation of feeling like no one truly gets it.
Living with IC can make you feel like your body is working against you, but it’s not your fault. You didn’t cause this, and you don’t have to go through it alone.
The Emotional Toll of IC Is Real
People rarely talk about how conditions like IC affect your mental health. The anxiety of not knowing when the next flare will strike, the frustration of trying treatment after treatment without success, the guilt of feeling like a burden, it all weighs heavy.
But let me tell you this: Your feelings are valid. It’s okay to feel overwhelmed. It’s okay to cry, to get angry, to grieve the parts of your life that IC has made harder. What you’re going through is tough, and it’s okay to acknowledge that.
You Deserve to Be Heard
For years, I felt like I was screaming into the void, trying to convince doctors, family, and even myself that my pain was real. IC is often called an “invisible illness” because it doesn’t show up on standard tests, and that can make you feel invisible too.
But your pain is real, even if others can’t see it. You deserve to be listened to, believed, and supported. If a doctor dismisses your concerns, don’t hesitate to seek another opinion. If friends or family don’t understand, share resources to help them learn. And if you’re struggling emotionally, consider talking to a therapist or counselor who can help you process what you’re going through.
You’re Not Alone, Even When It Feels Like It
There’s a whole community of people living with IC who understand what you’re going through. They’ve been in your shoes, navigating the same challenges, and they’ve found ways to manage, cope, and even thrive despite the pain.
Connect with support groups online or in your local area. Hearing from others who’ve walked this path can remind you that you’re not alone, and that it’s possible to find relief and build a fulfilling life with IC.
Small Wins Are Still Wins
When you’re living with IC, it’s easy to feel like you’re fighting a losing battle. But every small step you take, whether it’s finding a food that doesn’t trigger symptoms, trying a new treatment, or simply making it through a tough day, is a victory. Celebrate those wins because they matter.
You are resilient, even when you don’t feel strong. You are doing your best, even when it feels like it’s not enough. And you are so much more than this condition.
Your Story Matters
To the girl who feels alone with IC: I see you. I see your strength, your perseverance, and your courage to keep going even when it feels impossible. You’re not invisible, and your story matters.
Take it one day at a time. Lean on those who understand. And most importantly, remind yourself that you are not defined by your diagnosis.
You are not alone.
Feb 20, 2025
3 min read
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