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Pelvic Pain Programs

Chronic Pelvic Pain Programs

There are pain programs across Canada and USA that offer an interdisciplinary approach to chronic pelvic pain that includes a combination of pain education, pelvic floor physiotherapy, counselling, and medical management to help us better manage our symptoms and improve our quality of life.
  • CANADA
  • USA
Ontario

Chronic Pelvic Pain Program | Michael G. DeGroote Pain Clinic

The TAPMI Hub | Women’s College Hospital

Pain Management Program | St. Joseph’s Healthcare London

The Ottawa Hospital Pain Clinic

Atlantic Provinces

Endometriosis & Chronic Pelvic Pain Clinic at the IWK Health Centre 

Manitoba

St. Boniface Hospital Pelvic Pain Clinic

Persistent Pelvic Pain Group | Women’s Health Clinic

Saskatchewan
LiveWell with Chronic Pain Workshops | Saskatchewan Health Authority
Alberta

Chronic Pelvic Pain Program | Lois Hole Hospital for Women

British Columbia

Centre for Pelvic Pain & Endometriosis | BC Women’s Hospital + Health Centre

Pelvic Rehabilitation Medicine

Center for Endometriosis and Chronic Pelvic Pain | Cleveland Clinic

Chronic Pelvic Pain Program | Loyola Medicine

Chronic Pelvic Pain Program | UCLA Health

Pelvic Pain Program | Beaumont Health

Chronic Pelvic Pain Consultative Clinic | University of Michigan Von Voigtlander Women’s Hospital

 
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For any additional programs I may not be aware of, please email

michelle@thehappypelvis.ca

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Michelle The Happy Pelvis

Meet Michelle
Michelle is a peer health navigator and the voice behind The Happy Pelvis. Driven by a deep passion for pelvic health awareness shaped by lived experience, Michelle collaborates with community members to develop initiatives that support and empower those affected by chronic pelvic pain and illness. Through The Happy Pelvis, their mission is to provide resources, guidance, and tools to help individuals navigate their health journeys, advocate for themselves and build strong partnerships with healthcare providers to make informed treatment decisions.

peer health navigator certificate
Women's College Hospital Patient Advisor

the.happy.pelvis

#chronicpelvicpain + helping bridge the gaps in pelvic health awareness & education. My Life w/ENDO, BPS, PFD, LUPUS, Et al.
Free resources + links ⤵️

(PSA: my dad doesn’t know more than a doctor but h (PSA: my dad doesn’t know more than a doctor but he does know a lot about endometriosis) Had no idea my phone was recording in my hand but watching/listening to this back, I’m so glad it was!

This was a conversation with my amazing dad on the way to a pain clinic appointment for my first piriformis injection. One of those medical days. We started talking about endometriosis excision surgery (the gold standard of treatment) and how hard we still have to fight to access a skilled and trained surgeon.

Hearing him talk about why this matters while just trying to get me to yet another appointment… it hit me again: this fight doesn’t just affect me. It affects the people who love us, who show up, who carry this alongside us.

Spring / Easter = action season
We’re coming out of hibernation, gathering with family, seeing people we don’t always see… and that makes this the perfect time to turn conversations into change.

Here’s what you NEED to know 👇

🖊️ There are TWO 🇨🇦 petitions and both matter:

1. Federal Petition (Canada-wide)
✔️ Takes 30 seconds
✔️ You can sign it digitally
✔️ Link is in my bio

2. Ontario Provincial Petition
✔️ Must be printed
✔️ Must be signed with physical ink signatures to actually get our petition tabled in the House, they won’t accept a digital click. They need original, physical ink signatures. It’s the only way they’ll legally recognize our demand for better care.

🌷 Your Easter / Spring To-Do List:
• Sign the federal petition (link in bio)
• Print the Ontario petition
+ Follow @advocate.well 

Bring it to Easter dinner/family gatherings. Pass it around... yes, right beside the mashed potatoes. Get your cousins, your aunts and your friends to sign while you’re catching up. Let’s turn the “How are you doing?” conversations into “Here, sign this to help me get better.”

One signature matters.
A stack of signatures? That’s pressure they can’t ignore. 💪🎗️

#endometriosisawareness #excisionsurgery #fatherdaughter #obgyn #endowarrior
UTIs have never been “just a UTI” for me. They don UTIs have never been “just a UTI” for me. They don’t just stay in my bladder bc it’s like they ripple through my entire body. I’m talking pelvic floor flares, my nervous system going into overdrive and pain that sticks around after the infection is technically “gone.”

For a lot of us this isn’t some isolated issue; it’s a whole dang body experience. Learning about things like muscle guarding was a total lightbulb moment for me. It finally gave a name to what I was actually feeling.

I know I’m not the only one dealing with this, either. Reading Meaghan’s story over at @liveutifree felt way too familiar bc it explained so much about why these flares are so complex. If this hits home, you should definitely give it a read (link in my bio! ).

I’m also so honoured to be collaborating with Live UTI Free to help share more stories from this community. The more we talk about this, the less alone we all feel.

If your experience feels way bigger than what doctors have told you...You’re not imagining it. You’re not alone. Your body is responding, not overreacting.

(Just a reminder: I’m sharing my personal journey here, not medical advice. Always chat with a professional for your own health plan!)

If you feel like sharing your own story, send a DM to @liveutifree to find out how.

#pelvicfloor #chronicuti #chronicpelvicpain
Happy 36th birthday to Dylan 🫶🏻Your first birthday Happy 36th birthday to Dylan 🫶🏻Your first birthday as my husband and I’m feeling extra grateful for you today. Thank you for always being there for me, for the little things that mean so much like bringing home treats just because you know I’ll smile or cleaning my hair out of the shower drain 🤢 lol but really…for building this life with me even when it hasn’t been easy. You’ve been my rock through the messy days and my partner in all the good ones and I’m constantly in awe of how much love and patience you bring to our life together. I appreciate everything you do, everything you are and everything we’re creating together. Here’s to celebrating you and to all the adventures, love and memories still ahead. Love you forever 💛
Did you know the two most common surgical treatmen Did you know the two most common surgical treatments for endometriosis are excision and ablation… but one is far more effective than the other?

Ablation surgery burns the surface of endometriosis lesions but often fails to remove the deeper roots. Since endometriosis can implant deeply, this technique leaves the roots behind, increasing the likelihood of recurrence.

Excision surgery on the other hand is the gold standard for endometriosis treatment. This technique involves surgically cutting out the entire lesion, including its roots, through small laparoscopic incisions. Excision is far less likely to damage surrounding tissue and has a higher chance of providing longterm relief.

For cases of deeply infiltrative endometriosis (D.I.E.), excision is critical. It’s the only way to fully remove deeply embedded lesions and improve quality of life.

Surgery isn’t the only answer when managing endometriosis, but if you’re considering it, make sure you consult with a specialist trained in excision surgery. Expertise is key to ensuring lesions are removed properly and minimizing recurrence risks.

And here’s a vital reminder: Endometriosis is NOT the endometrium. It’s a complex, systemic chronic condition requiring interdisciplinary specialized care. 🎗

Sources:
PMID: 32272239
PMCID: PMC6662945

•
Not medical advice. Please talk to your healthcare providers before making any decisions about your health.
•
•
#endometriosisexcision #endometriosissurgery #1in10 #endoawareness
In my Epsom salt bath as I create this post tonigh In my Epsom salt bath as I create this post tonight! (trying to get some relief before period starts tonight or tomorrow ugh!) Swipe for your weekly serotonin boost 😂🤦🏻‍♀️

#fridayfunnies #labour #washingmachine #epsomsalt #bathtime
In Ontario (and honestly, most places), obstetrics In Ontario (and honestly, most places), obstetrics + gynecology share the same funding pool. And while bringing life into the world absolutely deserves support… grouping childbirth with chronic, lifelong disease? That’s where patients lose.

Endometriosis and so many conditions under the CPP umbrella are left fighting for scraps while managing a whole body disease. There is no dedicated provincial funding stream for endo.

The system wasn’t built for lifelong care… it was built for births.
And it shows.

It’s not that doctors don’t care; it’s that the budget doesn’t.

We’re done competing for leftovers. Everyone impacted by this disease deserves a real seat at the table (patients, advocates, clinicians, researchers and caregivers).

Because that’s how we move the dial: consistent, collaborative action… not just in March, but all year long.

DID YOU KNOW there’s a 🇨🇦 federal petition pushing for change?
Sign it + make your voice heard. link in bio

AND

Comment “OBGYN” and I’ll send you the link to register for:

Virtual Politics & Public Health Town Hall: Endometriosis Edition
Monday, March 23
7 PM EST (Zoom)

Hosted by MPP @kristynwongtam & @dailyapple_to
(Details will be emailed after registration)

#Endometriosis #Endoawareness #patientled #ontpoli #OBGYN

Sources:
Systemic Inequities in Women’s Health: Provider Pay Gaps and the Role of Hospital Operations on Access to Care Leyland, Nicholas A. et al. Journal of Obstetrics and Gynaecology Canada , Volume 47, Issue 9, 103080

Women’s Health Coalition of Ontario Inequities in Gynecology Stakeholder Forum February 11, 2025 - Sukhbir Sony Singh MD, FRCSC, FACOG; Colleen McDermott MD, FRCSC Women’s Health Coalition of Ontario: Alita Fabiano (Chair) Women’s Health Coalition of Canada: Carmen Wyton
The math isn’t mathing for Endo care in Ontario. 🧮 The math isn’t mathing for Endo care in Ontario. 🧮
Ever wonder why it’s so hard to find an endometriosis specialist? Or why the waitlist for surgery is years long? It’s not because the surgeons doing the work don’t care. It’s because the system doesn’t value their time.
Right now a specialist can spend 8 to 10 hours in an OR performing a grueling, complex excision…removing disease from organs, nerves and ligaments. Under our current OHIP codes, they can actually get paid less for that marathon than a surgeon doing a 2-hour general.

When the pay doesn’t match the complexity, we (the patients) lose. Here’s the ripple effect: 1. Specialists leave the province. 2. Surgeons stick to Obstetrics (delivering babies) because the billing is more sustainable. 3. Public waitlists explode. 4. Privatization starts to look like the only “solution.”

When the pay doesn’t match the complexity we lose our doctors. This is a cycle we can break if the Ministry of Health updates the billing codes.
🔗 Comment on this post with the word “MATH” to get my full deep dive blog post and register for a virtual Politics and Public Health Town Hall: Endometriosis edition

🗓 Monday, March 23 @ 7 PM EST via Zoom Hosted by MPP Kristyn Wong-Tam @kristynwongtam & Lesley Stoyan @dailyapple_to in partnership with @advocate.well 

Once registered, details to join the call will be emailed to participants closer to the date.

AdvocateWell is a new 2026 initiative I’m proud to be collaborating on with Lesley on to support complex health conditions like endometriosis and the comorbidities so many of us patients face.

#ontariohealth #endometriosisawarenessmonth #onpoli #gynaecologist #advocacymatters 

Sources:
Systemic Inequities in Women’s Health: Provider Pay Gaps and the Role of Hospital Operations on Access to Care Leyland, Nicholas A. et al. Journal of Obstetrics and Gynaecology Canada , Volume 47, Issue 9, 103080

Women’s Health Coalition of Ontario Inequities in Gynecology Stakeholder Forum February 11, 2025 - Sukhbir Sony Singh MD, FRCSC, FACOG; Colleen McDermott MD, FRCSC Women’s Health Coalition of Ontario: Alita Fabiano (Chair) Women’s Health Coalition of Canada: Carmen WytoN
Let me know in the comments 👇🏻 : Where was endomet Let me know in the comments 👇🏻 : Where was endometriosis found during your last surgery? 

Endometriosis isn’t just a “period problem” bc it’s a whole body disease found everywhere from the lungs to the brain. 🧠🫁

This is Part 1 of my series on why endo care is stalled in Ontario (and everywhere, really). The glitch? Our healthcare systems are built on “lanes.” If the disease moves outside the pelvis to the diaphragm or nerves for example, the billing codes stop making sense.

We are forcing a systemic disease into a single organ budget just so the funding doesn’t vanish entirely. It’s time to stop shrinking the disease to fit the system.

🔗 Comment on this post with the word “LANE” to get my full deep dive blog post and register for a virtual Politics and Public Health Town Hall: Endometriosis edition

🗓 Monday, March 23 @ 7 PM EST Hosted by MPP Kristyn Wong-Tam @kristynwongtam & Lesley Stoyan @dailyapple_to in partnership with @advocate.well 

@ontariohealthcoalition 
@endoactcanada 
@jillslastword 
@drgraceliumd 

Once registered, details to join the call will be emailed to participants closer to the date.

AdvocateWell is a new 2026 initiative I’m proud to be collaborating on with Lesley on to support complex health conditions like endometriosis and the comorbidities so many of us patients face.

Let’s stop forcing a whole body disease into a single organ budget. Hope to see you there! 

#endometriosis #ontariohealth #endometriosis #onpoli
131 years. That is how long the World Economic Fo 131 years.

That is how long the World Economic Forum says it will take to reach gender parity. In 2026, we’re still fighting a healthcare system that was never designed for us.

Gender bias in medicine isn’t just a “difference in opinion” bc it’s leaving women and gender diverse individuals behind. Here’s the reality:

🔴 1 in 5 women in Canada still face unfair treatment at work or in relationships because of their period. When 1 in 4 people still believe periods are “dirty,” we fuel period poverty and silence those who need care.

🔥 15% of women and gender diverse individuals live with chronic pelvic pain. For too long, this has been dismissed as “normal.” It’s not normal… it’s under-researched and underfunded.

💡 It’s been three years since science finally started testing period products with actual blood instead of blue water. We are finally defining what a “normal” flow looks like, but we have decades of catching up to do.

🚨 Endometriosis affects 10% of our population. While Canada’s $1.6M investment was a start, it doesn’t touch the $1.8 billion annual economic burden of this disease. We need funding that matches the impact.

💪 Health equity isn’t a trend. By sharing knowledge and demanding better, we move toward a future where our health is a priority and not an afterthought.
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.
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#InternationalWomensDay #IWD2026 #womenshealthmatters
TGIF! Anyone else feel like they lived a whole mon TGIF! Anyone else feel like they lived a whole month in the last five days? 😴

I’m leaning on these community screenshots to get me through to the weekend. But the best part of this week is actually just beginning! Tomorrow night, we’re gathering for the CN Tower lighting in honour of Endometriosis Awareness Month.

It’s always such a powerful moment to see the cities across Canada turn yellow for us, thanks to the hard work of @endonetwork_canada and @endoevents .

Don’t go anywhere: I have big news coming regarding an Endometriosis Town Hall later this month for Ontario residents. We’re talking advocacy, education and pushing for change in Ontario. 

- Michelle 

#endoawareness #funnyfriday #endowarrior #threads
Recurrent UTIs aren’t “just infections.” They impa Recurrent UTIs aren’t “just infections.” They impact mental health, work, relationships and antibiotic resistance.

A Canadian cost utility analysis study shows MV140 may be both more effective and less costly than longterm antibiotics.

And personally? I am always in favour of avoiding unnecessary antibiotics whenever possible. After experiencing a serious reaction to ciprofloxacin, I understand firsthand how life altering antibiotic side effects can be. Antibiotics absolutely have their place but prevention strategies that reduce reliance on them matter.

When innovation reduces antibiotic use and improves quality of life it is a win in my books and worth paying attention to.

Would you consider a non-antibiotic prevention option?

#RecurrentUTI #WomensHealth #antimicrobialstewardship #floxed #urinarytractinfection
It’s the weekend and I want to start a series, sha It’s the weekend and I want to start a series, sharing the posts that kept me from retiring from society that week.

Chronic illness update: still here. Still inflamed. Still screenshotting strangers for 2026 emotional survival.

Save in case your nervous system also needs free internet therapy.

#fridayfunnies #internethumor #screenshotsaturday #screenshot #fridayfavorites 

Ps: go Canada go! 🇨🇦
Something I’ve learned along the way: big happy mo Something I’ve learned along the way: big happy moments can temporarily quiet our pain. 

Our wedding season + honeymoon energy plus all the sunshine and walking. My body was running/walking on adrenaline and distraction. I can’t believe we nearly did 40k steps one day!!! Then I came home, got really sick with a bad virus from th cruise and life slowed down. And now pain has crept up again. Not because anything I did “went wrong“ but because my nervous system finally felt safe enough to speak. This adrenaline can mask symptoms but ultimately rest reveals what’s already there: a chronically ill body just trying to live. 

This is why flareups often come after the good stuff not necessarily during it and why trying to rest and respond earlier isn’t weakness. It’s really self trust! 

- Michelle 

#pacing #honeymoontrip #adenomyosis #endometriosis #lupusproblems
My betrayal list 📋 endometriosis: your body will b My betrayal list 📋 endometriosis: your body will betray you in the most creative ways.

#betrayal #chronicillnesslife #healthadvocacy #endometriosissupport #chronicpainwarrior #pelvicpain
I still remember googling “lichen sclerosus” and “ I still remember googling “lichen sclerosus” and “v@ginismus” in 2004 after my first gyn appt and finding almost nothing… except one terrifying line that said my “v. opening might close up.”

That sentence lived in my head for years because there was barely any real info, no community and no evidence based guidance. Just fear and confusion. Especially for a 14-15 yo. For anyone who doesn’t know, lichen sclerosus is a chronic inflammatory skin condition that often affects the vulv@, causing pain, itching, tearing and long term scarring if not treated properly. And it can come along with v@ginismus too. Which is involuntary tightening up during any insertion. There was No online pelvic floor resources or information. Back then, it was barely talked about especially for young people.

Talking with Penny on her podcast this month brought all of that back and reminded me exactly why I share what I share today. If you think it is weird or gross, this space isn’t for you.

I’m not a doctor and I’m not an expert. I’m just someone who grew up with conditions no one talked about and learned firsthand how painful misinformation and silence can be.

My goal is to translate what I’ve lived, learned and researched into something human, relatable and supportive for anyone on a similar path. ❤️

If @wellbeing.by.penny ’s  episode helps even one person feel less alone, it’s worth every vulnerable moment. Check out her Pelv1c Power Podcast for more great episodes. 💖

#LichenSclerosus #chronicpaincommunity #invisibleIllness #vaginismus #pelvichealth
After months of wedding planning, long hours on my After months of wedding planning, long hours on my computer and juggling way too many projects, stressful Blue Jays world series games lol… my body has officially started talking back. 😩 The tension, the stiffness, nerve pain, the spicy bladder, the heaviness. Eugh. It’s all my body’s way of saying, “Hey, remember me?”. So this November, I’m giving myself permission to slow down to trade the “hustle” for healing. I’m committing to showing up for myself through @wellbeing.by.penny Pelvic Floor Yoga classes each week. 

This isn’t about doing more or pushing harder. It’s about creating space for my body to unwind, my mind to breathe and my nervous system to reset before my honeymoon. So I'm as present and healthy as I can be to enjoy myself.

💛 Penny’s not only an incredible pelvic floor yoga instructor, she’s also my friend. I’ve watched how much love and intention she puts into helping people feel safe in their bodies again and I’m genuinely proud to support her small business as an affiliate.

If your body’s craving calm too. If you’ve been feeling the effects of sitting too much, holding stress in your shoulders or carrying tension in your pelvis: I’d love for you to join me this month. (also wouldn’t it be a great choice to re-centre and reset before the crazy holiday season approaches?!)🎅🏻🕎🎄

Link in bio to learn more about Penny’s pelvic health yoga program.

#NovemberResetChallenge #PelvicFloorYoga #NervousSystemReset #SelfCareJourney  #challengeyourself
Feeling blocked? Let’s talk about the magic of ‘mo Feeling blocked? Let’s talk about the magic of ‘mooing’ for your pelvic floor or shall i say "Boo-ing" 👻? This simple vocal exercise isn’t just silly... it actually helps relax your pelvic floor muscles, which can ease constipation and make bowel movements smoother.

Weird, I know!

But here’s the process:
1️⃣ Sit comfortably or elevate your feet
2️⃣ Take a deep breath in through your nose.
3️⃣ Exhale slowly while making a low, drawn-out “BOO or MOO” sound.
4️⃣ Focus on relaxing your pelvic floor as you exhale.
5️⃣ Repeat a few times, letting your body release tension.

Why it works: When your pelvic floor is tight your bowels can get “stuck.” Booing encourages relaxation that lets  everything flow more easily. 

💛 Give it a try!
After my last post about hydrodistension, I was re After my last post about hydrodistension, I was reminded of something I want to make sure the IC/BPS community knows about.

A long-time Canadian IC advocate and friend (Thanks ann!) shared what they’d heard in one of Dr. Curtis Nickel’s webinars that repeated or high pressure hydrodistensions can harm the bladder, sometimes causing scarring or shrinkage leading to bladder removal and that they have seen this many times in their practice.

At the same time, recent research from USA shows hydrodistension can help some patients, especially when done gently and carefully and on patients without widespread pain and fall under bladder focussed disease. 

So here’s the reality: hydrodistension isn’t “good” or “bad.” Some people find relief, others flare and it really depends on the bladder and the technique of the urologist.

I share this to help people see both sides: the positives and the caution. So you can feel more informed when talking to your care team.

⚠️ Quick reminder: I’m not a medical professional. This is for informational purposes only and doesn’t replace personalized medical guidance. Always talk with your doctor about what’s right for you.

Have you ever had a hydrodistension? Or been offered one? What was your experience like?

#InterstitialCystitis #BladderHealth
Game 3 baby! Unclench that jaw, drop those shoulde Game 3 baby! Unclench that jaw, drop those shoulders and exhale.
Because holding tension for 9 innings straight? Your pe1vic floor says no thanks 😂

#worldseries #BlueJays #torontosports
IC/BPS patients often ask: “Will hydrodistension h IC/BPS patients often ask: “Will hydrodistension help me?”
This carousel breaks down what recent research says about who’s most likely to benefit and how long relief might last.

Knowledge is YOUR power.

*I’m not a medical professional, just a peer sharing what I’ve learned to help others navigate their health journey. Always discuss your options and any treatments with your medical provider.

Ref:  Wolff, Dylan T., et al. "Correlates of Positive Response to Therapeutic Hydrodistension in Interstitial Cystitis/Bladder Pain Syndrome." Neurourology and Urodynamics (2025)

#ICBPS #BladderPainSyndrome #PainManagement #PatientEducation #PelvicHealth #ChronicPainSupport #ICAwareness #SelfAdvocacy #TheHappyPelv
Follow on Instagram

Community Events & Advocacy in Action
EndoExpo 2024 - June Rowland's Park
MPP Jill Andrew sharing endometriosis awareness posters to be placed on every MPPs desk in Queen's Park in Toronto
Endo Connect In Person Support Group 2024
friENDO Social and Below The Belt Screening 2023
Endometriosis Petition Tabling brought forth by Endometriosis Events 2023
Endometriosis and Wellness Day 2024 at Loft Cycle Club
friENDO Social and Below The Belt Screening 2023
Endometriosis and Wellness Day 2024 at Loft Cycle Club
Unite for Endometriosis: Political Action Rally @ Queen's Park in Toronto in October 2023
friENDO Social and Below The Belt Screening 2023
Endometriosis and Wellness Day 2024 at Loft Cycle Club

Disclaimer: This site shares personal experiences and research from both the author and the community. Be sure to do your own research and check in with your healthcare team. Nothing on this website is meant to diagnose or treat any condition—always talk to a medical professional before trying anything new!

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