PATTERN 01 · PSOAS
"I feel cramping around my ovary."
Often a tight psoas and iliacus, referring into the groin and lower belly.
1:1 MOVEMENT COACHING FOR MANAGING ENDOMETRIOSIS
Gentle, cycle-synced work on the pelvic floor and fascia, the muscles that often drive the pain.
5-minute intake · then a free 20-minute call
your pelvic floor is a co-driver of endo pain.
pain is not the enemy.
it's information.
Menstrual · Days 1–5
your body
Prostaglandins are elevated. The pelvic floor is at peak reactivity, and trigger points can feel far more intense than at other times.
what we work on
Decompression only. Diaphragmatic breathing, pelvic rest positions, gentle sacral release. No loading.
Follicular · Days 6–13
your body
Estrogen is rising and inflammation is clearing. Fascia becomes more pliable and the body responds better to therapeutic input.
what we work on
Begin myofascial release: psoas and obturator internus work, pelvic floor coordination with an emphasis on release. Build tolerance gradually.
Ovulatory · Days 14–16
your body
Estrogen peaks. Tissue is at its most extensible all cycle, and the pelvic floor and fascia respond best to release work.
what we work on
The deepest release work of the month. Ideal for psoas, obturator internus and piriformis techniques.
Early luteal · Days 17–22
your body
Progesterone is rising. Joints may feel slightly looser, so stability matters more as ligament support decreases.
what we work on
Shift to coordination and stability. Continue myofascial release. Deep core (transversus abdominis) work without loading the pelvic floor.
Late luteal · Days 23–28+
your body
Pelvic floor tension climbs toward its monthly peak. Pelvic congestion increases and the nervous system amplifies pain signals.
what we work on
Return to decompression. Circulation focus: pelvic drainage, with breathing as the main tool.
Pain literacy
PATTERN 01 · PSOAS
"I feel cramping around my ovary."
Often a tight psoas and iliacus, referring into the groin and lower belly.
PATTERN 02 · OBTURATOR
"It's like sciatica down my leg."
Often obturator internus trigger points, sharing fascia with the pelvic floor.
PATTERN 03 · TAILBONE
"My tailbone hurts when I sit for too long."
Often coccygeus and the back pelvic floor, pulling on the tailbone.
PATTERN 04 · BLADDER
"I feel like I always need to pee."
Often the front pelvic floor, pressing on the base of the bladder.
Not a diagnosis, and it doesn't rule out lesions. Muscle tension can keep driving pain even after surgery.
release first. strength later.
The approach
Usually too tight, not too weak. We start by letting it drop. No Kegels.
Deeper work when your body is ready. Rest and decompression when it isn't.
Name your patterns and their likely sources, so you know what to do.
The 12-week program
15–30 min a day, at home
WEEKS 1–4
Your pain map, five daily techniques, and the pelvic floor drop.
WEEKS 5–8
Cycle-matched movement, a new release each week, a safe return to exercise.
WEEKS 9–12
Practice on your own, with a flare protocol and a one-page maintenance plan.
The language of your pain
Cycle fluency
A 15-minute flare protocol
Safe movement for every phase
A one-page maintenance plan
A different relationship with your body
behind Pelvactiv.
I'm Naba Ahsan. I lived with painful periods, cramps and bloating for over 11 years before I was diagnosed with stage 4 endometriosis. Surgery gave me a diagnosis. It didn't give me a way to manage my pain day to day.
Pelvactiv is the program I went looking for.
More about NabaNo diagnosis needed. Works alongside your medical care.
Pelvactiv is coaching, not medical care.
Plans · CAD
$45
One 60-minute session. Credited in full if you join a program within 14 days.
Book a sessionRECOMMENDED
$695 or 3 × $231
Everything in Foundation, plus three video calls, ongoing reviews, a flare protocol and a maintenance plan.
Apply for the programFounding clients: the full program for $550, in exchange for keeping a tracker and three check-ins.
Insurance and receiptsone.
Fill in the intake. About five minutes.
two.
A free 20-minute call: a safety check and a recommendation.
three.
Choose a plan. Get your tracker and first techniques.
No. It’s coaching built on physiotherapy research. There are no internal exams; if you need internal work, I’ll point you to a pelvic health physio.
No. It helps whether endo is confirmed, suspected or still unknown.
Online by video. Your daily practice is 15 to 30 minutes at home, and reviews are written.
It shouldn’t. The work is gentle and matched to your cycle, and we ease off on bad days.
With endo the pelvic floor is usually too tight. Strengthening it can make pain worse.
Yes. It works on muscle and fascia. After surgery we wait for clearance, then add scar work once you’ve healed.
It stays private. Using anonymised data needs your separate, optional consent. See the privacy notice.
Usually not by extended health plans, though some health spending accounts allow it. You’ll get receipts.
Physio, gynecologist or researcher? Join the advisory circle or become a referral partner.
Join the advisory circle