When you live with endometriosis or persistent pelvic pain, it’s easy to feel like your body is working against you- especially when people don’t often discuss the pelvic area. And then you get referred to Pelvic Physiotherapy, and have no idea what to expect!

Many clients arrive at their first Pelvic Physiotherapy session feeling anxious. Some are scared it’s going to hurt and others are worried that something about their vulva, labia, or vagina isn’t “normal.” I’ve lost count of how many people have nervously asked: “Is it okay down there?” or whispered, “Sorry, I haven’t waxed…”

So let’s discuss this and clear things up- with kindness, facts, and zero shame.

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.

Living with endometriosis can feel isolating. That’s why we created the Matilda Circle- a supportive, validating community where you’re seen, heard, and never alone.

The words we use in endometriosis care can either build trust or cause harm. In this blog, clinician Jo shares how subtle shifts in language can help avoid medical gaslighting, validate lived experience, and foster safer, more compassionate care for people with endometriosis.