Endometriosis

& Adenomyosis

Endometriosis is a chronic inflammatory condition where tissue similar to the uterine lining grows outside the uterus, often causing pelvic pain, painful periods, pain with intercourse, bowel or bladder symptoms, and fertility challenges. Symptoms don’t always match disease severity—so yes, your pain can be real even when imaging is “normal.”

Endometriosis is a chronic condition affecting about 1 in 10 women of reproductive age. It can be especially challenging to diagnose, as imaging like ultrasounds and MRIs often fail to show it. Currently, the most reliable way to confirm endometriosis is through laparoscopy, a minimally invasive surgical procedure.

Although there is no known cure (yet), many women find meaningful relief through individualized, multidisciplinary care focused on symptom management and long-term quality of life.

What is it?

Adenomyosis occurs when uterine lining tissue grows into the muscular wall of the uterus itself, leading to heavy or prolonged periods, severe cramping, pelvic pressure, and a persistently tender or enlarged uterus. It’s often underdiagnosed and frequently overlaps with endometriosis.

Adenomyosis is a common but frequently underdiagnosed condition, estimated to affect up to 1 in 5 women—particularly those in their 30s and 40s, though it can occur earlier. Symptoms often include heavy or prolonged periods, severe cramping, pelvic pressure, and ongoing pelvic pain.

Diagnosis can be challenging. While advances in imaging have improved detection, adenomyosis is still often overlooked or mistaken for other conditions. In many cases, diagnosis is based on a combination of symptoms, clinical findings, and imaging rather than a single definitive test.

There is no one-size-fits-all treatment. Management may include medical, surgical, and conservative approaches aimed at symptom relief and improving quality of life. Individualized, whole-body care is often key; especially for those living with persistent or overlapping pelvic pain conditions.

Treatment at WWPT

Manual Therapy

Hands-on treatment is used to address myofascial restrictions, scar tissue, pelvic and abdominal tension, and mobility limitations that often accompany endometriosis & adenomyosis.

Therapeutic Exercise

Movement is prescribed thoughtfully and strategically, with an emphasis on restoring mobility, strength, coordination, and confidence without triggering flare-ups.

Nutrition

Nutrition support focuses on inflammation modulation, digestive health, hormonal support, and symptom patterns commonly seen with endometriosis and adenomyosis.

Modalities

Select modalities may be used to help manage pain, reduce muscle guarding, and calm irritated tissues during periods of heightened symptoms or flare-ups.

Nervous System Regulation

Chronic pelvic pain conditions are closely tied to the nervous system. Treatment includes strategies to reduce sensitization, improve stress tolerance, and help your brain and body feel safer.

“I struggled with stage IV endometriosis and IC for over 15 years. If I had Dr. Jasia, or someone on par with her, earlier in my journey, I believe things would have been a lot different for me. Dr. Jasia lets you lead, and never does anything outside of your comfort or to cause increased pain. She is warm, welcoming, funny, and she makes something so personal and potentially uncomfortable easily bearable. Better than bearable even. Dr. Jasia has been an answer to many prayers, and I can't recommend her enough. Thank you, Dr. Jasia!”

~ Victoria

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