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You suspect you may have endometriosis or adenomyosis

Can pelvic floor dysfunction cause bladder urgency or constipation?

Topic:Symptoms
Affected areas:pelvicbladderbowel

Yes. When the pelvic floor muscles are overactive, tight, or not coordinating well, they can interfere with how the bladder and bowel empty. This can show up as bladder urgency, frequent trips to the bathroom, hesitancy, or a feeling of incomplete emptying.


The same muscle “mis-timing” (often called dyssynergia) can make stool harder to pass, contributing to constipation, straining, or a sense that you can’t fully evacuate. Because pelvic floor dysfunction can also overlap with conditions like endometriosis or adenomyosis, we often evaluate the full picture rather than treating urinary or bowel symptoms in isolation. If these symptoms are persistent or cyclical, reach out to schedule a consultation so our team can help pinpoint what’s driving them and map out next steps.

An illustration of a female sitting down, hunched over in discomfort.

Think You Might Have Endometriosis?

If you suspect endometriosis or adenomyosis may be causing your symptoms, our specialists can provide expert evaluation and guidance on next steps.

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Have a question?

Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420