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You suspect you may have endometriosis or adenomyosis

Can pelvic floor dysfunction worsen pelvic pain?

Topic:Symptoms
Affected areas:pelvicbowelbladder
An illustration of a female sitting down, hunched over in discomfort.

Yes. When the pelvic floor muscles are tight, overactive, or stuck in a guarding pattern, they can significantly amplify pain signals and make pelvic pain feel more intense and constant.


This can show up as worsening pain with sex, bowel movements, urination, or even sitting, and it may persist even after the original trigger has quieted down. In our experience, treating pelvic pain often means addressing both the underlying condition and the muscle dysfunction it can drive. If pelvic floor symptoms sound familiar, our team can help you sort out what’s contributing to your pain and discuss next steps.

Is Your Pelvic Pain Worse Than It Should Be?

Pelvic floor dysfunction can intensify your pelvic pain, making daily activities painful. Our specialists can help identify and treat these muscle issues to ease your discomfort.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420