A show, a library, a community
Nobody
Warned US
Lyndsey and Nikki. Endometriosis. Interstitial cystitis. A sigmoidocele. A rectum that telescopes toward the uterus until the cervix drops. Each finding called mild. Together, a life — and a door for anyone still being told theirs is normal.

“Wait, that’s not normal?”
A recurring segment for the symptoms that get billed as anxiety, hygiene, heavy periods, or IBS — until a defecogram, a pelvic floor exam, or a surgeon who actually looks says otherwise.
A segment from Nobody Warned Us
Statistics
The scale of “not that common”
1 in 10
reproductive-age women with endometriosis
7–10
years
average wait to an endometriosis diagnosis
1 in 4
U.S. women with at least one pelvic floor disorder
20.3%
of IC/BPS patients also report endometriosis
The stack
One pelvis, several waiting rooms
IC is not “just the bladder.” A grade-1 sigmoidocele is not “nothing.” Internal rectal intussusception can press through a deep cul-de-sac toward the uterus and drop the cervix. A hypertonic floor multiplies all of it. Medicine slices this into urology, gynecology, and colorectal. Your body did not.
01
Pain starts
Endo, inflammation, or a bladder that never quiets.
02
The floor guards
Muscles clench. Kegels make it worse. Nobody checks.
03
Emptying fails
You strain. A sigmoidocele and a telescope take the space.
04
The apex drops
Pressure from behind. A cervix that does not stay put.
Conditions
Named, not minimized
Tissue that does not belong, pain that does.
Endometriosis
Tissue similar to the uterine lining grows outside the uterus — on ovaries, peritoneum, bowel, bladder, ligaments. It is not “bad periods.” It is a chronic inflammatory disease that still takes, on average, seven to ten years to name.
Read the mapThe UTI that never cultured.
Interstitial cystitis / bladder pain syndrome
A chronic bladder pain condition: pressure, urgency, frequency, and pain that often eases after you void — with urine cultures that keep coming back negative. It is frequently mislabeled as “recurrent UTIs,” anxiety, or “just drinking too much water.”
Read the mapA muscle group nobody taught you existed — until it hurt.
Pelvic floor dysfunction
The pelvic floor is a bowl of muscle, fascia, and nerves that holds bladder, uterus, and rectum, and has to both contract and fully relax. Dysfunction is not one thing: the floor can be too tight, too weak, poorly timed, or all three in different layers.
Read the mapWhen the colon drops into a space it should not occupy.
Sigmoidocele
The sigmoid colon descends into the rectovaginal space (the pouch of Douglas). It is a posterior-compartment prolapse that ordinary speculum exams and static ultrasounds often miss. Grade 1 means “mild” on a ruler. It does not mean mild in a body.
Read the mapThe rectum telescopes into itself — and sometimes toward the uterus.
Rectal intussusception / internal rectal prolapse
The rectal wall folds and slides into the lumen below it, like a sleeve pulled into itself. When the leading edge aims anteriorly, that telescope can press through a deep cul-de-sac toward the vagina, uterus, and cervix. External prolapse is the version you can see. Internal is the version people are told is in their head.
Read the mapA cervix that does not stay where you left it.
Cervical descent & uterine support
The uterus and cervix are hung by the cardinal and uterosacral ligaments and the endopelvic fascia. When those supports yield — or when something behind them keeps pushing — the cervix drops. You might feel it on a tampon, on a finger, during sex, or as a low ache that was billed as “normal anatomy.”
Read the mapStudies
What the literature actually says
Guidelines first, then the overlap papers. Saved locally on this device if you want to take them to an appointment.
Open the studies tab2022 · guideline
ESHRE guideline: endometriosis
This is the document to carry into an appointment when someone says they “can’t treat you until you have surgery.” Average diagnostic delay remains 7–10 years; this guideline is one of the few system-level attempts to shorten it.
2022 · guideline
Diagnosis and treatment of interstitial cystitis / bladder pain syndrome
Pelvic floor PT is the only IC treatment with an AUA evidence grade of A. If your workup has been cultures and a shrug, this guideline is the script for a better visit. Also: counsel on macular risk if pentosan polysulfate is on the table.
2025 · guideline
2025 CUA guideline: selected treatment recommendations for IC/BPS
Useful when U.S. care feels stuck on a 2010s stepwise ladder. Newer selected treatments are named, with the evidence strength attached so you can ask why — or why not.
Resources
Organizations, guidelines, people who do this
EndoFound
Endometriosis Foundation of America
Education, advocacy, surgical training, and the ENPOWR school program. A first stop for endo literacy that does not treat period pain as a personality.
ICA
Interstitial Cystitis Association
The U.S. patient organization for IC/BPS: education, diet starting points, provider search, associated-conditions pages (including endometriosis and pelvic floor).
AUGS
American Urogynecologic Society
The professional home of urogynecology. Patient education plus a “find a provider” path for prolapse, incontinence, and pelvic-floor fistulas.
IPPS
International Pelvic Pain Society
The society for clinicians who treat pelvic pain as a real field. Provider locator and educational meetings. A better random-directory roll of the dice than “gyn who does a little pain.”
Community
Bring the sentence you were told not to say
Lyndsey and Nikki built this so other people with endometriosis, IC, prolapse, and a pelvic floor that will not stand down can hear it sooner. Watch the show. Comment. Stitch. Tell a piece of your chart — only as much as you want the internet to hold.
Read their stories
If they said it was normal, start here.
Tap the symptoms you were told to live with. See which conditions keep showing up. Take the list — and the questions — into the room.
Open the segment