Endo vs. a “Bad Period”—Why They’re Not the Same
- Dr. Sasha Speer, PT, DPT
- 4 minutes ago
- 2 min read
Let’s talk about periods. For many people, monthly cramps, mood swings, and bleeding are just part of the package—sometimes uncomfortable, sometimes downright awful. But when does a “bad period” cross the line into something more serious?
Enter: endometriosis, or “endo” for short. Although it shares some symptoms with your average period pain, endo is very different—and understanding that difference can be a game-changer for your health and wellbeing.

What is Endometriosis?
Endometriosis happens when tissue similar to the lining of the uterus grows outside the uterus—on your ovaries, fallopian tubes, or other pelvic organs.
This misplaced tissue responds to your menstrual cycle hormones, leading to inflammation, pain, and sometimes scarring. It’s estimated that 1 in 10 people with periods have endo, yet many go undiagnosed for years because the symptoms can be mistaken for a “normal” heavy or painful period.
Why “Bad Period” and Endo Aren’t the Same
Sure, cramps are common. But endo often causes pain that’s more intense, lasts longer, or shows up at unexpected times—not just during your period.
People with endo may experience:
Severe pelvic or lower back pain
Pain during or after sex
Painful bowel movements or urination, especially during periods
Heavy or irregular bleeding
Fatigue and digestive issues
If your symptoms go beyond the usual period cramps and interfere with your daily life, it’s time to listen closely and consider that it might be more than a “bad period.”
Why Getting a Proper Diagnosis Matters
Because endo symptoms overlap with other conditions, it can be tricky to diagnose. But getting an accurate diagnosis is key to managing your symptoms effectively. The right treatment—whether it’s pelvic floor therapy, medication, surgery, or a combination—can make a huge difference in your quality of life.
How Pelvic Floor Therapy Can Help
Endometriosis doesn’t just affect the pelvic floor muscles—it can also cause inflammation and adhesions between the organs (called the viscera). These adhesions make the organs stick to one another or to surrounding tissues, which can reduce mobility and increase pain.
This is where pelvic floor therapy, especially visceral mobilization, plays a crucial role.

Pelvic floor therapy helps relax and retrain tight or weak muscles, while visceral mobilization gently works to release adhesions and restore movement in the pelvic organs.
Together, these techniques can reduce pain, improve bladder, bowel, and sexual function, and give you more control and comfort in your body.
When to Talk to Your Healthcare Provider
If your periods are regularly disrupting your life, or if you have any of the symptoms listed above, don’t hesitate to seek medical advice. You deserve answers and relief. Early intervention can help you take control of your health and feel more like yourself again.
Periods can be complicated, but you don’t have to suffer in silence—or confusion. Understanding the difference between a “bad period” and endometriosis is the first step toward getting the care you need.
Auria Pelvic Health
8929 S Sepulveda Blvd., Ste. 412
Los Angeles, CA 90045
Phone: 213-699-3996
Website: www.theaurialife.com

Article Written By Dr. Sasha Speer, DPT
#PelvicTherapy #PelvicHealth #PelvicFloorTherapy #PelvicPain #PelvicFloorExercises #PelvicRehabilitation #PelvicWellness #PelvicCare #WomenHealth #MenHealth #PhysicalTherapy #TherapeuticExercises #HolisticHealth #PelvicFloorDisorders #PostpartumHealth #IncontinenceTreatment #PainManagement #RehabilitationTherapy #BodyPositive #FunctionalMovement #SexualHealth #Postpartum #Pregnancy #CSection #PostpartumHealing #Endometriosis #BadPeriod #MenstrualHealth #VeniceBeach #Westchester #ElSegundo #BeachCities #SouthBay #LosAngeles #California #SouthernCalifornia