Endometriosis is a common disease in which the tissue that is similar to the lining of the uterus grows outside it in other parts of the body. They can be found mainly in the pelvis, however not limited to and found in other parts of the body.

The aetiology is not fully understood and under further research. Affecting 2-10% of women worldwide and 10% of Australian women.

Endometriosis is one of the leading causes of pelvic pain, hysterectomy, infertility and hospitalisation. The extent of endometriosis has been shown not to correlate with symptom experiences. Symptoms of endometriosis is widely variable which is one main reason for its delay in diagnosis. Common symptoms can include but not limited to increasingly painful periods, deep pain with intercourse, cyclic pain progressing to constant, painful defecation, difficulty conceiving or back pain.

Management of endometriosis requires medical management to assist with hormonal control and removal of adhesions. Non-surgical management involves physiotherapy assessment and appropriate management aimed to improve urinary, bowel, sexual and lumbo-pelvic dysfunction.

At Women in Focus Physiotherapy a detailed musculoskeletal assessment will identify non-optimal strategies and diaphragm function. An internal pelvic floor assessment will identify pelvic floor dysfunction. This whole-body screening allows us to establish your contributing factors and plan a pathway individualised for you.


  • Pelvic floor down training and desensitisation

  • Defecation dynamics

  • Manual therapy

  • Optimal breathing patterns

  • Exercise prescription

  • Neural tissue mobilisation and down regulation of central nervous system drivers



Whilst Physiotherapy cannot reduce or  ‘cure’ the woman from Endometriosis, it can make a significant different to pain, discomfort, function and quality of life.