Self-reported efficacy of pelvic floor physical therapy in endometriosis patients before and after surgery: A cross-sectional study

Jenny M. Niedenfuehr, David M. Stevens
In: Journal of Endometriosis and Pelvic Pain Disorders · 2026 · doi:10.1177/22840265251411726 · W7125793491
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This cross-sectional study found that pelvic floor physical therapy (PFPT) had minimal self-reported efficacy and satisfaction for endometriosis patients before and after surgery, with many reporting no change or worsening of symptoms.

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The provided text contains only metadata, access options, and citation information for a study titled "Self-reported efficacy of pelvic floor physical therapy in endometriosis patients before and after surgery: A cross-sectional study," but lacks the actual abstract or full paper content. Consequently, it is impossible to summarize the study's methods, population, key findings, or limitations as these details are not present in the input. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Introduction: Among individuals with endometriosis, pelvic floor physical therapy (PFPT) is a recommended treatment, despite limited clinical evidence. This study aimed to evaluate whether PFPT is efficacious in patients with endometriosis, both before and after surgical intervention when surgery was performed. Methods: An anonymous online cross-sectional survey was administered to participants through convenience sampling (March 2024 to March 2025) to understand the self-reported efficacy of PFPT as a treatment for endometriosis before and after surgery. Measures included sociodemographics, Patient Global Impression of Change (PGIC) scores, and satisfaction scores. Results: Among our 198 participants, 83.8% had undergone excision or ablation surgery. Of the 165 responses, 9.7% of patients had completed PFPT before surgery, 40.6% had completed PFPT after surgery, and 49.7% had participated in both before and after surgery. The average PGIC scores were 4.8 before surgery and 5.1 after surgery, indicating no change or minimal improvement in symptoms of endometriosis pain. Satisfaction scores were also relatively low, averaging 5.8 before surgery and 6.5 after surgery, indicating minimal satisfaction. Additionally, 33.1% and 32.4% reported worsening of symptoms or no change before and after surgery, respectively. On average, participants required 5.6 PFPT sessions to first notice improvement in symptoms after surgery. Comorbidities, including adenomyosis (45.3%), migraines (68.7%), Ehlers-Danlos Syndrome (22.0%), and vulvodynia (24.7%), were highly prevalent, suggesting the need for more tailored approaches to care. Conclusion: Based on self-reported results, PFPT is a minimally effective and potentially harmful treatment, defined as worsening of symptoms, for those with endometriosis, regardless of surgery.
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Data availability statement Authors Author contributions Metrics and citations Metrics Journals metrics This article was published in Journal of Endometriosis and Pelvic Pain Disorders. View All Journal MetricsPublication usage* Total views and downloads: 70 *Publication usage tracking started in December 2016 Publications citing this one Receive email alerts when this publication is cited Web of Science: 0 Crossref: There are no citing articles to show. Figures and tables Figures & Media Tables View Options Access options If you have access to journal content via a personal subscription, university, library, employer or society, select from the options below: loading institutional access options Alternatively, view purchase options below: Purchase 24 hour online access to view and download content. Access journal content via a DeepDyve subscription or find out more about this option.

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endometriosisadenomyosis

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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