Endometriosis and Constipation

Endometriosis and constipation frequently occur together, and the connection is often misunderstood.

Chronic pelvic pain associated with endometriosis can cause protective muscle guarding. Over time, this guarding increases pelvic floor tension. Because the pelvic floor must relax to allow normal bowel emptying, persistent tightness can lead to difficulty evacuating, increased straining, and worsening pelvic tension.

This creates a self-perpetuating cycle of constipation and pain.

Pelvic floor physical therapy addresses muscle coordination, relaxation, and bowel mechanics — not just dietary fiber and hydration. In many cases, persistent constipation in endometriosis is not solely a gastrointestinal issue but a pelvic floor dysfunction issue.

Видео Endometriosis and Constipation канала My Core Harmony