Endometriosis Management

A SYSTEMS-BASED GUIDE

TO ENDOMETRIOSIS

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Understanding Endometriosis

Endometriosis is a chronic condition in which tissue similar to the lining of the uterus grows outside the uterine cavity. This often results in pain, inflammation, digestive issues, and, in some cases, infertility. Common symptoms include pelvic pain, heavy menstrual bleeding, bloating (“endo belly”), and pain during intercourse.

THERE IS NO CURE FOR ENDOMETRIOSIS, BUT WE CAN HELP YOU MANAGE IT!

Our ELYSARA team understands that endometriosis affects more than just the reproductive system—it impacts the body, mind, and quality of life. Our integrative model blends advanced medical therapies with supportive wellness strategies to reduce pain, support recovery post-surgery, and improve long-term quality of life.

Our integrative & collaborative
Approach

Whether you are 2–3 months post-excisional surgery or navigating chronic symptoms, our goal is to support healing, minimize recurrence, and help you reclaim comfort and vitality.

1

hormonal balance & Bioidentical Hormone Replacement Therapy (BHRT)

Customized BHRT protocols are designed to restore hormonal balance, address estrogen dominance, improve mood, and help reduce endometrial tissue stimulation. Our approach is individualized based on comprehensive hormonal profiling to optimize sustained relief.

2

Low Dose Naltrexone (LDN)

LDN is used to modulate immune function, reduce chronic inflammation, and relieve persistent pain. At low doses, it offers a non-addictive strategy to help regulate immune response and support long-term symptom control.

3

IV Vitamin Infusion Therapy

Administered directly into the bloodstream for optimal absorption, our targeted nutrient infusions (including Vitamin C, magnesium, and B-complex) support: • Inflammation reduction • Enhanced cellular energy • Tissue healing and resilience

4

Anti-Inflammatory Dietary & Lifestyle Support

We provide structured guidance on shifting toward an anti-inflammatory diet rich in antioxidants, omega-3 fatty acids, and fiber — an evidence-based strategy that can help mitigate systemic inflammation and ease symptoms.

Specialized Services for Comprehensive Recovery

5

Acupuncture (by MSK WELLCARE)

Acupuncture reduces pain, inflammation, and fatigue, while supporting hormonal balance and fertility. It's a natural, gentle therapy that promotes physical and emotional healing, often improving quality of life significantly for endometriosis patients.

6

Pelvic Floor Therapy by Lotus Physical Therapy

Pelvic floor dysfunction often contributes to persistent pain and dysfunction after surgical or chronic endometriosis. Specialized pelvic floor therapy helps: • Restore muscular function • Reduce pain and spasm • Improve bladder, bowel, and sexual function

7

Emotional & Energetic Healing Support

We believe healing must include the emotional body. That’s why we partner with:

Francesca Caputo, Life Coach – Helping you navigate emotional recovery, build resilience, and reconnect with your personal power after surgery.
Maria Ronallo, Reiki Practitioner – Using energy healing to reduce stress, release emotional blockages, and restore inner harmony.

8

Mindfulness & Meditation

Functional medicine helps manage endometriosis by targeting root causes like hormone
imbalance and inflammation. This approach focuses on:

Hormone Balance
Reducing Inflammation
Supporting Detox
Personalized Care Plans

Together, these help ease symptoms naturally and improve overall quality of life.

Our integrative & Holistic Practitioners

Colleen Petruzzi

YOUniverse Therapy

Rachelle Bojer

Pelvic Floor Therapy

Francesca Caputo

Health & Life Coach

Lori Davis, DNP

Sex Therapy

April Tymecki, RN, IBCLC

Lactation Therapy

Maria Ranallo

Integrative Pain Relief (Fascia release and shock therapy) and Reiki Master

Katie Pacinelli, DC

Integrating Chiropractic Medicine with Endometriosis Management

Colleen Petruzzi - youniverse THERAPY & Neuroplasticity

Neuroplasticity is the brain’s remarkable ability to adapt and reorganize itself throughout life. This means your brain can form new connections, strengthen existing ones, and even rewire pathways in response to experiences, learning, or injury. Thanks to neuroplasticity, we can develop new skills, recover from setbacks, and change unhelpful thought patterns—proving that personal growth and healing are always possible at any age.

Rachelle Bojer - Pelvic Floor Therapy for Endometriosis Patients

Rachelle Bojer is a skilled pelvic floor therapist who specializes in helping endometriosis patients manage pelvic pain and improve pelvic function. Endometriosis often causes pelvic floor muscle tightness, spasms, and dysfunction, which can worsen pain and affect daily activities.

What Rachelle does for endometriosis patients:

Assessment & individualized treatment: She evaluates pelvic floor muscle health, identifying areas of tightness, trigger points, and weakness related to endometriosis and surgical scar tissue.

Pelvic floor relaxation techniques: Using manual therapy, biofeedback, and therapeutic exercises, Rachelle helps relax and lengthen tight muscles, reducing spasms and pain.

Pain management: Targeted therapies reduce pelvic pain, dyspareunia (painful intercourse), and urinary or bowel discomfort often experienced by endometriosis patients.

Post-surgical rehabilitation: She guides patients through gentle rehabilitation after excision surgery to restore pelvic floor strength and function safely.

Education and empowerment: Rachelle teaches patients self-care techniques, posture correction, and relaxation methods to manage symptoms between sessions and improve quality of life.

Through her personalized and compassionate approach, Rachelle Bojer supports endometriosis patients in regaining pelvic comfort and function, helping them reclaim an active, pain-reduced lifestyle.

Francesca Caputo, Life Coach — Supporting Endometriosis Patients

Living with endometriosis can be physically and emotionally challenging. Francesca Caputo, a compassionate and experienced life coach, empowers endometriosis patients to navigate these challenges with resilience and confidence.

What Francesca does for endometriosis patients:

Emotional support: She helps patients process the complex emotions that often accompany chronic pain and diagnosis, including anxiety, frustration, and grief.

Stress management: Using proven coaching techniques, Francesca guides patients to develop effective coping strategies that reduce stress, a key factor in managing symptoms.

Goal setting & motivation: She assists patients in setting realistic, personalized wellness and lifestyle goals — whether related to nutrition, exercise, self-care, or work-life balance — and supports them in staying motivated.

Mindset transformation: Francesca works with patients to cultivate a positive, empowered mindset that fosters healing and improves quality of life.

Navigating life changes: From managing flare-ups to adjusting daily routines, she helps patients adapt to the evolving nature of endometriosis with grace and strength.

Through her tailored one-on-one coaching sessions, Francesca provides a safe space for patients to gain clarity, build resilience, and reclaim control over their health journey.

Maria Ranallo — Holistic Pain Relief for Endometriosis Patients

Maria Ranallo provides specialized healing therapies designed to ease the complex pain associated with endometriosis, including upper and lower back pain, abdominal discomfort, leg pain, and nerve pain such as sciatica. Her integrative approach combines Reiki, Fascia Release Massage, and Shockwave Therapy to address both physical and energetic aspects of pain.

reiki therapy for Endometriosis Patients

Reiki is a gentle, restorative therapy that helps reduce stress, ease pelvic tension, and support your body’s natural healing process. For many women with endometriosis, it offers deep relaxation and a sense of control alongside medical and surgical care.

Where healing begins with balance.

FASCIA RELEASE MASSAGE

This therapy is particularly beneficial for:

Upper and Lower Back Pain

Releases tight fascia and muscle knots that contribute to chronic back pain.

Abdominal Pain

Loosens fascial adhesions around the pelvic and abdominal organs, reducing discomfort and improving mobility.

Leg Pain and Sciatica

Fascia restrictions can irritate nerves like the sciatic nerve. Releasing these restrictions helps alleviate nerve compression and pain radiating down the legs.

By restoring flexibility and improving circulation, fascia release massage helps decrease pain and enhances function in affected areas.

Shockwave Therapy for Pain Relief

Shockwave therapy uses focused sound waves to stimulate tissue repair and relieve chronic pain. For endometriosis patients, shockwave therapy can:.

Break down scar tissue and adhesions that cause mechanical pain and limit movement.
Improve blood flow to inflamed or damaged tissues, promoting faster healing.
Reduce nerve irritation, helping to alleviate neuropathic pain like sciatica.
Decrease inflammation and muscle tightness, contributing to overall pain relief.

This non-invasive treatment complements Maria’s other therapies, providing a multi-faceted approach to managing the complex pain patterns associated with endometriosis.

Chiropractic Medicine & Endometriosis management

Dr. Katie Pacinelli, a New York State Board Certified Chiropractor for over 20 years integrates your chiropractic therapy as part of our endometriosis management program

***ENDOMETRIOSIS AFFECTS MORE* *THAN JUST THE PELVIS.***

Hip Flexor Therapy – Releasing tight hip flexors reduces pain and stiffness in the pelvic area.

Medical Massage – restore Tissue Mobility, release low back, abdominal and hip tensions.

Active Release Technique – precision treatment for deep pain patterns

Chiropractic Therapy – restore alignment, reduce pain, improve function

All services are coordinated to reduce pain, restore mobility, and support long-term balance—alongside your medical or surgical care.

LORI DAVIS, DNP - Clinical Sexologist

As a Doctorate in Nursing, Dr. Lori specializes in sex relationship counseling bringing this important field into the 21st century. Her practice, passion and approach to this personal science allows for her patients to heal and enhance their relationship while managing their physical challenges. Her credentials as a Nurse Practitioner & AASECT Certified Sex Counselor Supervisor in Training are world-class.

Ideal Candidates for Our Program

Patients 2 months prior to excision surgery to optimize their body to facilitate their recovery.
Patients 2–3 months post-excision surgery seeking continued healing support.
Individuals experiencing persistent symptoms like bloating, pelvic pain, or fatigue.
Anyone seeking a collaborative integrative approach to managing long-term endometriosis including natural, holistic, and collaborative methods.

Before & After

Before & Aftercare Recommendations

Before Your Appointment:

After Your Appointment:

Self-Care Strategies for At-Home Support

Stress Management

Meditation, therapy, and journaling help regulate emotional triggers.

Gentle Exercise

Yoga, walking, and swimming support circulation and reduce pain.

Pelvic Floor Exercises

Maintain strength and mobility between therapy sessions.

Nutritional Supplements

Vitamins D, C, E, and curcumin may aid inflammation under guidance.

Support Networks

Community and emotional connection are key to sustained healing.

Pain Relief Tools

Use heating pads, TENS units, or topical relief methods as needed.

Wear Comfortable Clothing

Looser clothes help reduce endo belly discomfort.

Mental Health Care

Counseling is encouraged to support emotional resilience.

Visit Us or Book an Appointment

At Elysara Medical & Wellness, we are committed to helping you revitalize, rejuvenate, and radiate confidence and well-being. Take the first step toward a healthier, happier you today!