If you live with endometriosis or persistent pelvic pain, you probably already know that pain doesn’t follow a neat, predictable schedule. Some days are manageable. Others are overwhelming. And many days fall somewhere in between.

One of the most common questions I hear from patients is:
"Can I do Pilates if I have endometriosis?"

And the answer is: there is absolutely no rule against it.

Research confirms what many patients have known for years: endometriosis is associated with significantly higher rates of insomnia, poor sleep quality, and daytime fatigue compared to those without the condition.