03/31/2026
🚨 BREAKING NEWS 🚨
BREAK IT DOWN w/ Dr. Riva:
American College of Obstetricians and Gynecologists updated their guidelines on endometriosis diagnosis… and this is huge.
For YEARS, people have been told the only way to officially diagnose endometriosis was through surgery.
Now? That is changing (!!!)
These new guidelines support diagnosing endometriosis based on symptoms, imaging, and clinical judgment so you can get answers and start treatment sooner without needing surgery first.
This is a massive step forward for the endometriosis community.
If you have been told your pain is normal or brushed off, this is your reminder to keep advocating for yourself.
Watch the full breakdown to understand what this means for you and your care.
Link in bio!
Dr. Riva Preil is a leading NYC Pelvic Floor Physical Therapist helping people answer questions like: Why does it hurt to put in a tampon? Why do I have to p*e all the time? Is pain with s*x normal? How can pelvic floor PT help endometriosis pain or postpartum recovery?
She specializes in pelvic health and pelvic wellness for women and men, treating conditions such as pelvic pain, painful s*x (dyspareunia), vaginismus, vulvodynia, bladder urgency and frequency, interstitial cystitis, constipation, incontinence, pelvic organ prolapse, prenatal and postpartum conditions, and chronic pelvic pain. She also supports patients navigating endometriosis, IBS, and PCOS recovery, and treats pediatric bladder and bowel dysfunction.
Board Certified in Women’s Health Physical Therapy (WCS), Dr. Riva blends evidence-based care with a holistic approach, including advanced manual therapies including Lymphatic Drainage, Craniosacral Therapy and Visceral Mobilization. She’s also the author of This Inside Story: The Woman’s Guide to Lifelong Pelvic Health.
Known for meeting expert knowledge with humor, Dr. Riva makes uncomfortable topics approachable, understandable —and sometimes even funny—so patients and followers feel informed, validated, and less alone in their pelvic health journey.