Is my pelvic pain from pelvic floor dysfunction or endometriosis?

Pelvic floor–driven pain often has a different pattern than active endometriosis pain. It may flare with sitting, penetration, or after bowel movements, and it’s commonly described as burning, tightness, spasm, heaviness, or pressure rather than a deep cyclic ache.

A hands-on pelvic exam can help separate these possibilities by checking for muscle tenderness, trigger points, and how well the muscles relax and coordinate. When pressing on specific pelvic floor muscles reliably reproduces your pain, that strongly suggests the muscles are a major pain generator—even if you also have endometriosis. Our team can evaluate your symptoms and exam findings together and help you decide what next step makes the most sense for lasting relief.