ME
NU

Holistic Approach to Endometriosis: Supporting Fertility, Preconception and Pelvic Pain

Dr. Kayla Borchers Collagen Benefits for Women's Health

hi, i'm dr. kayla!

DPT & mama of three who is passionate about proactive, root-case women’s health care.

JOIN OUR EMAIL LIST

Understanding Endometriosis Beyond Period Pain

Endometriosis is a chronic inflammatory condition that affects one in ten women (likely more) and is a leading cause of pelvic pain, infertility, and digestive dysfunction. A holistic approach to endometriosis is necessary for women to optimize health across the lifespan. While commonly associated with painful periods, endometriosis impacts the whole body, influencing hormonal balance, the nervous system, and musculoskeletal function.

For women trying to conceive, endometriosis can create additional challenges by affecting ovarian function, implantation, and pelvic organ mobility. A holistic, whole-body approach can be key in supporting fertility, reducing pain, and optimizing preconception health.

How Endometriosis Affects Fertility and Preconception

Many individuals with endometriosis experience difficulty conceiving due to:

  • Pelvic adhesions and scar tissue restricting organ mobility
  • Inflammation and immune dysfunction interfering with egg quality and implantation
  • Hormonal imbalances disrupting ovulation
  • Pelvic floor dysfunction causing pain and muscle tightness

These factors contribute to an environment where conception and implantation may be compromised. Chronic inflammation can also impair egg quality and sperm receptivity, further complicating fertility efforts. Additionally, the presence of scar tissue and adhesions can alter the positioning of the uterus and fallopian tubes, affecting the ability of the egg to travel and implant properly.

Addressing these issues through a holistic approach to endometriosis with pelvic health care can create an optimal internal environment for conception and overall well-being. Rather than focusing solely on symptom suppression, a whole-body approach considers the root causes of endometriosis and how they impact fertility.

The Role of Pelvic Floor Therapy in Managing A Holistic Approach to Endometriosis and Enhancing Fertility

Pelvic floor therapy is often associated with postpartum recovery, but it is also essential for managing chronic pelvic conditions like endometriosis. A targeted approach can address key dysfunctions that contribute to both pain and fertility challenges.

  • Releasing pelvic floor tightness that restricts blood flow to reproductive organs
  • Improving scar tissue mobility to enhance uterine and ovarian function
  • Supporting hormonal balance through nervous system regulation
  • Reducing inflammation and pain by optimizing musculoskeletal function
  • Enhancing digestion and bowel function, essential for hormone detoxification and absorption

The pelvic floor muscles are intricately connected to the core, hips, and lower back. When these muscles become overly tight or dysfunctional, they can contribute to pain, digestive disturbances, and even hormonal imbalances. Manual therapy, myofascial release, dry needling, and breathwork can all play a role in restoring balance and reducing restrictions that may be impacting fertility.

Pelvic floor therapy also helps with the regulation of the autonomic nervous system, which is often dysregulated in individuals with chronic pain conditions. A dysregulated nervous system can lead to increased inflammation and stress hormone production, both of which can negatively impact fertility outcomes. Restoring a sense of safety and relaxation in the body through targeted therapeutic interventions can improve overall reproductive health.

Nutrition, Lifestyle, and Mind-Body Support for Endometriosis and Fertility

A holistic approach to endometriosis also includes targeted nutrition, movement, and nervous system support to enhance reproductive health. Since endometriosis is influenced by systemic inflammation, gut health, and hormonal fluctuations, addressing these areas can improve both symptoms and fertility outcomes.

  • Anti-inflammatory diet: Reducing inflammatory foods such as gluten, dairy, and processed sugars while increasing nutrient-dense options can help regulate the immune system and support hormone balance. Nutrients such as omega-3 fatty acids, magnesium, and vitamin D have been shown to reduce inflammation and support reproductive health.
  • Gut and liver support: The body processes and eliminates excess estrogen through the liver and digestive system. Endometriosis is often linked to estrogen dominance, making detoxification pathways critical. Ensuring proper bowel movements, hydration, and liver support through foods like cruciferous vegetables, fiber-rich fruits, and herbal teas can aid in hormonal balance.
  • Stress and nervous system regulation: Chronic pain and inflammation create a heightened stress response, affecting hormone levels and blood flow to reproductive organs. Breathwork, meditation, and nervous system regulation techniques can be powerful tools in reducing stress-related fertility challenges.
  • Corrective exercise and movement: Strengthening and stabilizing the core, hips, and pelvic muscles can help alleviate compensations and improve mobility for better reproductive function. Exercises that promote circulation to the pelvic region, such as yoga, Pilates, and functional strength training, can support both pain management and fertility.

A combination of these interventions provides a comprehensive approach to addressing endometriosis-related fertility concerns. Many conventional treatments focus solely on hormonal suppression or surgical intervention. This does not address the functional and metabolic factors that contribute to endometriosis. By integrating our Holistically Well method, individuals can experience improvements in their reproductive health while also enhancing their overall well-being.

The Importance of Individualized Care in Endometriosis Treatment

Every individual with endometriosis experiences the condition differently, which is why a holistic approach to endometriosis care is essential. Factors such as pain levels, fertility goals, digestive function, and musculoskeletal health all play a role in determining the most effective treatment plan.

Traditional medical interventions such as hormonal birth control or laparoscopic surgery may provide relief for some individuals. However, these may not fully address the underlying imbalances that contribute to symptoms. Working with a provider who specializes in a holistic approach allows for a personalized treatment plan that takes into account the whole body, rather than just the reproductive system.

Pelvic floor therapy, in combination with nutritional guidance, lifestyle modifications, and targeted interventions, provides a sustainable and proactive approach to managing endometriosis. Rather than simply managing symptoms, this method seeks to restore balance and optimize the body’s natural ability to heal.

At Holistically Well Physical Therapy, this is our specialty. We take a whole body, root-cause approach to care and develop a plan specific to your goals in this life season. You can book with us directly for one-on-one Physical Therapy Evaluation and Treatment at our Online Booking Portal. Appointments are available in-person at our Sidney, Ohio office or Virtually from the comfort of your own home.

Taking the Next Step: A Whole-Body Approach to Endometriosis and Fertility

If you are experiencing pelvic pain, irregular cycles, or struggling with fertility, it is important to explore a root-cause approach that supports your entire body. Pelvic floor therapy, combined with holistic lifestyle strategies, can be a game-changer for endometriosis and preconception health.

At Holistically Well, we offer one-on-one orthopedic and pelvic health physical therapy, both in-person and virtual, to help individuals navigate their endometriosis journey. Our goal is to help individuals move beyond symptom management and toward lasting healing and optimal reproductive health.

If you are wondering if this approach is right for you, we invite you to book a free 15-minute consultation. Dr. Kayla or Dr. Lauren are available to discuss your unique needs and goals.

Click the link below to schedule your consultation and take the first step toward holistic healing and fertility support.

Click here to schedule your free consult

Endometriosis is complex, but healing is possible with the right support. By addressing the body as a whole, individuals can improve their symptoms, enhance fertility, and regain control of their health.

you deserve to be supported

before, during and after pregnancy.

Looking to feel empowered and inspired along your perinatal journey? All things movement, nourishment and holistic lifestyle wellness – delivered to your inbox every Tuesday. Sent directly from an Orthopedic & Pelvic Health Doctor of Physical Therapy.

I'm Dr. Kayla Borchers!

A Holistic Orthopedic and Pelvic Health Physical Therapist, Prenatal and Postpartum Corrective Exercise Specialist, Certified Yoga Teacher and mama of three who is passionate about proactive, root-case women’s health care.