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Pelvic pain after endometriosis surgery can feel like the cruelest plot twist: you found the specialist, went through excision, did the recovery work, and you still do not feel right. When that happens, most of us get pushed toward the same conclusion: the endometriosis must be back. I sit down with my close friend Chelsea Taylor to explore a different possibility that too many endometriosis patients never hear about, vascular compression syndromes and how they can mimic, worsen, or even drive chronic pelvic pain.

Chelsea shares her lived experience with May-Thurner syndrome, nutcracker syndrome, and the long road from years of gaslighting to the right imaging, the right referrals, and finally treatment that restored her day-to-day function. We get specific about what symptoms can overlap with endometriosis, including pelvic heaviness, leg pressure, fatigue, brain fog, pain with standing still, bladder sensitivity, and back or flank pain. We also talk through what a venogram is, why MRV and specialized evaluation matter, and what it is actually like to have venous stents and follow-up care.

We zoom out to the bigger picture of pelvic pain generators: endometriosis, pelvic floor dysfunction, nerve issues, central sensitization, connective tissue disorders like EDS, and dysautonomia or POTS-like symptoms that can muddy the waters. You will leave with practical language to bring to your doctor, a few clues that may suggest a vascular component, and a reminder that better outcomes often come from asking better questions, not rushing into another surgery.

If this helped you, subscribe, share it with someone stuck in the loop of “maybe it’s just endo again,” and leave a review so more people can find the conversation. What symptom are you rethinking after listening?

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