Understanding Endometriosis Through a Root-Cause Lens: Why a One-Size-Fits-All Approach Doesn’t Work

Endometriosis is one of the most misunderstood and underdiagnosed conditions in women’s health. Despite affecting an estimated 1 in 10 women—and likely more, considering how often it goes unrecognized—the standard approach to treatment has barely changed in decades. Hormonal suppression, painkillers, and eventually surgery are often offered as the default solutions. But what if these methods aren’t addressing the root cause?

At Movability, we specialize in complex, chronic conditions like endometriosis by asking the right questions and taking the time to connect the dots. Dr. Sina and our team of multidisciplinary experts go beyond symptom control to investigate the underlying biological, hormonal, immune, and structural patterns contributing to a patient’s pain.

What Is Endometriosis?

Endometriosis occurs when tissue similar to the endometrial lining of the uterus is found outside the uterus—on the ovaries, fallopian tubes, intestines, or other pelvic structures. These lesions can cause chronic inflammation, pain, scar tissue, and even fertility challenges. But this is not simply a misplaced tissue problem.

The Anatomy and Pathophysiology

Endometriosis tissue is not identical to normal uterine lining. Studies have shown it expresses different genes, hormone receptors, and immune markers. For example, endometriotic lesions often show increased aromatase activity, meaning they can generate their own estrogen. This creates a self-sustaining cycle of inflammation and hormonal stimulation.

In addition, the tissue tends to be resistant to progesterone, the hormone that normally balances estrogen. These changes explain why traditional hormonal treatments are not always effective and why the condition often recurs after surgical removal.

Symptoms That Are Easy to Miss

Endometriosis is not just bad periods. While severe menstrual cramps are common, the condition can also show up as:

  • Painful bowel movements or urination

  • Chronic lower back or hip pain

  • Pain during or after intercourse

  • Fatigue and brain fog

  • Gastrointestinal issues often misdiagnosed as IBS

  • Infertility without a clear cause

Because these symptoms overlap with other disorders, many patients are dismissed or misdiagnosed. It’s not uncommon for patients to go a decade or more before receiving a proper diagnosis.

Why Conventional Treatments Often Fall Short

Hormonal birth control and pain medications may offer short-term relief but do not reverse or resolve the disease process. Surgery can help, especially when performed by a skilled excision specialist, but recurrence is common if systemic and structural issues aren’t addressed.

The immune system, gut microbiome, and chronic inflammation all play a role in how endometriosis develops and persists. Treating the condition like a hormonal imbalance alone ignores these critical factors.

Movability’s Integrative, Root-Cause Approach

At Movability, we begin every case with a thorough assessment, looking not only at gynecological history but also digestive function, immune markers, biomechanics, hormonal health, and nervous system regulation. Dr. Sina and his team work together to create a personalized care plan that may include:

  • Advanced diagnostic referrals (hormone labs, imaging, or specialist excision consults)

  • Myofascial and pelvic floor therapy to address structural tension and scar tissue

  • Nutritional and functional medicine interventions to reduce systemic inflammation

  • Targeted supplementation based on nutrient deficiencies and genetic factors (e.g. MTHFR)

  • Support for gut health and the microbiome

  • Pain education and nervous system support for central sensitization

Functional Medicine and Body Systems Support

Our naturopathic doctors and functional medicine practitioners play a central role in helping endometriosis patients regulate and support the interconnected systems of the body. Using our Body Systems Support Strategy, we identify how dysfunction in one area (such as poor detoxification or immune dysregulation) may be amplifying endo symptoms. We evaluate:

  • Hormone and liver detoxification pathways

  • Gastrointestinal integrity and inflammation

  • Immune system reactivity and nutrient status

  • Methylation and genetic vulnerabilities

Based on this data, our naturopaths create targeted protocols using nutrition, botanicals, and lifestyle medicine to optimize the internal environment so the body can heal. This systems-based model is foundational to how we care for complex conditions like endometriosis.

Collaboration is key. Our practitioners communicate and co-manage care to ensure that every piece of the puzzle is addressed.

You Deserve a More Complete Approach

If you’ve been told your only options are birth control, painkillers, or a hysterectomy, it’s time for a second opinion. Endometriosis is not just a gynecological problem—it’s a complex, multi-system condition that demands a comprehensive, individualized strategy.

Dr. Sina and the team at Movability have helped countless women navigate this journey with clarity, compassion, and results.

Contact Movability today to book a comprehensive assessment and experience our results-driven approach.

Sina Yeganeh