Woman laying in bed in pain
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Endometriosis and Chronic Pelvic Pain

How Endometriosis can cause or contribute to chronic pelvic pain, and what pelvic floor therapy can do to help alleviate it

Endometriosis is a condition where endometrial-like tissue grows outside of the uterus (endometrial tissue is tissue that usually grows inside of the uterus and sheds each month). The most common area for it to grow is in the abdominal cavity, where it can implant on the surface of other structures including the ovaries, bladder, rectum, and along the walls of the abdomen and pelvis. Endometriosis of the ovaries is called an endometrioma. Endometriosis of the uterus is called adenomyosis.

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American Native Indian, Alaskan Native (AI/AN) populations and Black women are more than three times more likely than white women to die from pregnancy-related complications in the US, according to the Centers for Disease Control and Prevention (CDC). The CDC attributes the disparities to unequal access to care, structural racism and implicit biases in the health care system that also can lead to a higher prevalence of underlying health conditions that complicate pregnancy.

Social inequality gets embodied through adaptational responses that negatively impact biological function and contribute to population differences in disease burden (Krieger). African American households rank behind all major racial/ethnic groups in annual household earnings, are at the highest poverty rates and uninsured at higher levels, a major social factor that contibutes to health disparities.

Pelvic Health and Orthopaedic Services
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Transgender and Gender Nonconforming Physical Therapy Services

Transgender patients that are prepping for, or have undergone gender confirmation surgery (also termed gender affirmation surgery or gender reassignment surgery), will require comprehensive, skilled services.

The transgender population needs the support of our community, and from a young age. Gender identity, gender expression and sexual orientation as portrayed by society may conflict with how adolescents are perceiving themselves. This can have devastating consequences, including suicide. The transgender population has an alarmingly high suicide rate – 41% at some point in their lives, compared with 4.6% of the general population (from American Foundation for Suicide Prevention and the Williams Institute from results analyzed from the National Transgender Discrimination Survey). 98% of respondents of that survey that had experienced four instances of violence and discrimination that year had thought about suicide, and 51% had attempted suicide in that year. Providers need to educate themselves and be sensitive to these challenges that are faced, and access to services is essential to their physical and mental health.


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