Your endo pain has a pattern. Let's learn to read it.
Pelvactiv is 1:1 movement coaching for women living with endometriosis and cycle-related pelvic pain. We work on the part of the pain that's almost always there and almost never treated: a tense pelvic floor and the fascia around it.
Five minutes to fill in. Then a free 20-minute call to see if it's right for you.
Your pelvic floor changes across your cycle. So does the work.
Tap a phase to see what we focus on.
- Your pelvic floor
- At its most reactive. Prostaglandins peak, so the same tender spot can feel twice as painful.
- What we do
- Decompression only: breathing, supported rest positions, legs up the wall. No deep stretching or loading.
Pain doesn't always come from where you feel it
Endo pain is chronic pain. Over months and years the nervous system turns the volume up, and muscles that are guarding against pain start sending signals of their own. Those signals often feel exactly like the endo itself.
None of this rules out lesions, and it isn't a diagnosis. It's the piece most care leaves out. Studies of women with endometriosis-associated pelvic pain have found pelvic floor muscle tension and trigger points to be very common, and they can persist even after surgery.
The approach
Pain isn't the enemy. It's information. The goal is to help you hear what it's saying and respond, instead of pushing through on good days and crashing on bad ones.
Pelvic circulation therapy
In endo, the pelvic floor is usually too tight, not too weak. Releasing it changes pressure, circulation and pain across the whole pelvis. That's why we start with letting go, and why Kegels aren't part of the plan.
Cycle-synced movement
Hormones change how tense your pelvic floor is and how much your tissue can stretch. Deeper release work happens when your body is ready for it; decompression and rest happen when it isn't. You're never working against your own biology.
Pain literacy
You'll learn to name your dominant pain patterns and their likely source. "Is this my psoas because I've been sitting for two hours?" When pain has a pattern you can recognise, it becomes something you can respond to.
The 12-week program
A short daily practice that fits around your life, a simple symptom tracker, and a practitioner reviewing your progress every week.
Weeks 1–4
Foundation
- Onboarding call and your personal pain map
- Five foundational techniques, daily
- Learn the pelvic floor drop
- Start tracking pain, energy and cycle
- Weekly written review
Weeks 5–8
Pattern recognition
- Movement matched to each cycle phase
- One new release technique each week
- Exercise brought back in safely
- Connect your pain to your cycle
- Weekly review and a mid-program call
Weeks 9–12
Autonomy
- Self-directed daily practice
- Your personal flare protocol
- A written maintenance plan
- Fortnightly reviews and a closing call
- You respond to your body without instructions
What you leave with
The language of your pain
Not just "pelvic pain", but which pattern is speaking, from where, and why.
Cycle fluency
The ability to read each phase and respond with the right movement, release or rest.
A flare protocol
A 15-minute sequence for your worst days, built from your own patterns and tested during the program.
Safe movement
Phase-specific warm-ups and cool-downs, so exercise stops being a trigger.
A maintenance plan
One page: your daily practice, early warning signs, and a clear way back if things escalate.
A different relationship with your body
From body-as-enemy to body-as-communicator. When pain has a language, it stops being the whole story.
Is this for you?
Pelvactiv is built for you if you have
- Endometriosis or adenomyosis, diagnosed or suspected
- Painful periods, or pelvic pain that follows your cycle
- Pain that stayed after surgery
- Back, hip, leg, bladder or bowel pain that flares with your cycle
- Pain with sex, or a pelvic floor that feels heavy or "always on"
You don't need a diagnosis to start. Pelvactiv works alongside hormonal treatment, surgery and pelvic floor physiotherapy, not instead of them.
See a doctor first if you have
- Sudden, severe pelvic pain, or pain with fever
- Bleeding heavy enough to soak a pad or tampon every hour
- Blood in your urine or stool that hasn't been checked
- Pain that could be pregnancy-related
- Shoulder-tip pain that comes with your period
Pelvactiv is coaching, not medical care. If something needs medical attention, we'll tell you.
Plans
Start small or commit to the full program. Everything begins with a free 20-minute call. Prices in Canadian dollars.
Pain Map Session
One session to understand what's going on
$95
60 minutes, one time
- Review of your intake and pain patterns
- Your likely myofascial sources, explained
- A personalised version of the five foundational techniques
- A one-page plan and the Pelvactiv tracker
- Full $95 credited if you join a program within 14 days
Foundation
Weeks 1–4 of the program
$345
4 weeks
- Onboarding call and personal pain map
- Daily foundational practice
- Tracker set up around your cycle
- 4 weekly written reviews
- Message support between reviews
- Upgrade to the full program and pay only the difference
Full 12-week program
The complete Pelvactiv program
$895 paid in full
or 3 monthly payments of $315
- Everything in Foundation
- Phase-specific movement and weekly release techniques
- 3 one-to-one video calls: onboarding, mid-program, closing
- Weekly reviews for 8 weeks, then fortnightly
- Your personal flare protocol
- Written maintenance plan to keep
Founding clients. We're opening the first places in the program at $645 instead of $895. Founding clients commit to keeping the daily tracker and completing short check-ins at the start, middle and end, so we can measure what's working. You can also choose to let your anonymised results help build the evidence for Pelvactiv. That part is optional and doesn't change your price. Ask about it on your free call.
Not sure which to choose? Fill in the intake and we'll talk it through on a free 20-minute call. Coaching isn't usually covered by health insurance; we'll give you a receipt for every payment.
How to start
Fill in the intake
About five minutes. Your history, your cycle, and how your pain has been this past week.
Have a free 20-minute call
We go through your answers, check Pelvactiv is a safe fit, and recommend where to begin.
Choose your plan and begin
You get your tracker, your first techniques, and a date for your first review.
Questions
Is this physiotherapy?
No. Pelvactiv is a coaching program built on pelvic floor physiotherapy and myofascial research. It doesn't include internal examination or treatment. If you'd benefit from internal pelvic floor work, we'll recommend seeing a pelvic floor physiotherapist alongside the program.
Do I need an endometriosis diagnosis?
No. Many women wait years for a diagnosis. If your pain follows your cycle, Pelvactiv can help, whether your endo is confirmed, suspected, or you're still looking for answers. If anything in your intake needs checking by a doctor first, we'll say so.
Where do sessions happen?
Online, by video. Your daily practice happens at home and takes about 15 to 30 minutes. Reviews are written, so you can read them when it suits you.
Will it hurt?
It shouldn't. Most of the work is gentle release, breathing and positioning. Everything is matched to your cycle phase, and on bad days we do less, not more. If something flares you, we change the load, not your effort.
Why no Kegels?
In endometriosis, the pelvic floor is usually too tight rather than too weak. Strengthening a muscle that can't relax tends to make pain worse. We focus on teaching it to let go first.
Can I do this alongside my medication or after surgery?
Yes. Pelvactiv addresses the muscle and fascia side of pain, which other treatments usually don't. After surgery, we wait until you're cleared for gentle movement and include scar work once you've healed.
What happens to my information?
Your answers are used to plan your care and are kept private. With your separate, optional consent, anonymised results may be used to measure how well Pelvactiv works. Read the privacy notice for the details.
Is it covered by insurance?
Coaching isn't usually covered by extended health plans, though some health spending accounts allow it. We provide a receipt for every payment so you can check with your provider.
Are you a health professional?
Pelvic floor physios, gynecologists, researchers and others can join our advisory circle or become referral partners.