Understanding endometriosis
Understanding endometriosis - ways out of the pain
What conservative therapy can achieve
Endometriosis affects an estimated one in ten women of childbearing age - and yet often remains undetected for years. Many sufferers experience severe pain, feel misunderstood and are severely restricted in their everyday life, sexuality and quality of life. Today, there are effective, conservative treatment approaches - beyond surgery and hormone treatment.
What is endometriosis?
Endometriosis is a chronic inflammatory disease in which tissue that resembles the lining of the uterus grows outside the uterus. These so-called endometriosis lesions react to hormonal fluctuations and can lead to a variety of symptoms:
Chronic or cycle-dependent lower abdominal pain
Pain during sexual intercourse
Bladder or bowel problems
Unfulfilled desire to have children
Fatigue, depressive moods and vegetative imbalances
Important to know: The severity of the pain is not necessarily related to the extent of the endometriosis lesions. This means that even if the extent is small, there can be severe symptoms - particularly due to central pain processing and vegetative involvement.
Conservative therapy - what helps?
While surgical interventions and hormone therapies may be necessary in certain situations, conservative treatment is becoming increasingly important - especially in chronic cases. The focus here is on pain regulation, everyday function and quality of life.
1. Pain therapy for endometriosis: more than just "pelvic floor training"
In modern therapy, the focus is not only on local treatment, but also on the integration of visceral, fascial and neurovegetative connections. Possible treatment goals:
Tension regulation in the pelvic and abdominal area
Decongestion and mobilization of fascial and visceral structures
Improvement of pelvic floor function (both tone reduction and activation)
Pain relief through neuromodulating techniques
At Hockenholz, we combine manual techniques with sensorimotor stimulation, educational elements and mindful movement work.
2. medical yoga & mindful movement
Medical yoga is a valuable part of therapy for endometriosis - especially in terms of vegetative regulation and body awareness. The goals:
Activation of the parasympathetic system (vagus tone)
Gentle mobilization and improvement of blood circulation in the pelvis
Reduction of stress and pain spirals
Mindful interaction with your own body
Our attitude: No performance thinking, no "perseverance" - but a space for relief, self-awareness and stability.
3. Understanding pain - influencing pain
Educational support is a central element of conservative endometriosis therapy. In our pain coaching and further training courses, we show:
How chronic pain develops in the nervous system
how hormonal, psychological and somatic factors influence each other
how pain is exacerbated by fear, stress and loss of control - and how we can break this cycle
Empowerment instead of helplessness: those who understand pain can actively influence it.
4. Interdisciplinary support & psychosomatic aspects
Endometriosis affects the body, psyche and social roles in equal measure. That is why we at Hockenholz work with a biopsychosocial model:
Mindful conversation
Activating resources instead of focusing on deficits
Sexuality and intimacy as part of the treatment
Collaboration with gynecologists, pain therapistsand psychologists
Conclusion: Endometriosis needs more than a standard solution
Chronic pain in endometriosis is real - and it needs a holistic, evidence-based and empathetic approach to treatment. The combination of modern physiotherapy, medical yoga, educational support and psychosomatic expertise offers many women a path to greater self-efficacy, quality of life and inner stability.
Do you work as a therapist and want to deepen your skills in endometriosis support?
Then find out more about our certified further training:
👉 www.hockenholz.com/weiterbildungen/endometriose
Are you affected yourself and would like support?
Make an appointment at our practice in Berlin - or book a personal online consultation.