Waitlist Open Filling in the Gaps™ Series Collaborative Course

Endometriosis & Chronic Pelvic Pain

The Multisystem Workup

For the clinician who can order the ultrasound and start the pill, but was never taught what to do when the ultrasound is clean and the pill isn't enough.

Join the Waitlist

Waitlist members get details first and priority registration at the launch price.

At a Glance

8

modules

CME

submitted for accreditation, pending

On demand

plus an optional live case session

$997

launch price

WHY THIS COURSE

The pathway works until a real patient sits down.

 

Most pelvic pain training teaches one pathway: suspect endometriosis, order an ultrasound, start hormonal suppression, refer to gynecology if it fails. Then you meet her.

The 26-year-old

Ten years of bad periods, three normal ultrasounds, and a problem list that says IBS and anxiety.

The post-surgical patient

Pain that came back eight months after a laparoscopy that burned some spots.

The 16-year-old

Missing school every month on maximum-dose ibuprofen.

The unconnected four

Hypermobile joints, hives, dizziness on standing, and cyclic pelvic pain. Nobody has linked them.

The pathway doesn't cover any of them. And "refer to gyn" isn't an answer when gyn has already sent her back.

JOIN THE WAITLIST

7 to 10

years to diagnosis, on average

The Problem

Most of those years are spent in primary care and women's health. When a patient with pelvic pain books a visit, you are choosing between normalizing her dysmenorrhea, ordering another ultrasound that will come back clean, or starting suppression and hoping.

None of that is exotic medicine. It's primary care. But nobody taught you the version where the differential has eleven categories and a normal ultrasound doesn't close any of them.

This course is for you if

01

You've told a patient her ultrasound was normal, watched her face fall, and you're done doing that.

02

You've started suppression, watched it underperform, and couldn't explain why.

03

You've never checked a Carnett's sign or done a single-digit pelvic floor exam, and suspect you've been missing something.

04

Her problem list has IBS, migraines, hypermobility, hives, and pelvic pain, and you're treating five conditions instead of one mechanism.

05

You've inherited a patient with persistent pain after excision, and everyone upstream has shrugged.

06

You want to know when to refer for surgery, to whom, and what to ask first.

Not for you if

You want a supplement stack to hand every pelvic pain patient without a workup.

You want a gynecology refresher. This course assumes you know what an OCP is and asks what to do when it isn't enough.

You want functional medicine buzzwords instead of evidence-graded physiology.

CURRICULUM

Eight Modules, Plus an Optional Live Session.

This Course Is For You If...

Module 1

Reframing Endometriosis

The multisystem model: inflammation, immune dysregulation, the hypermobility, MCAS, and POTS cluster, and what the gynecology-only paradigm costs patients.

Module 2

The Differential

A FIGO-IPPS map of pelvic pain with one discriminating feature per category, the trap in each, and the never-miss list.

Module 3

The Workup

History that discriminates, an exam that includes the abdominal wall and pelvic floor, a lab panel where every tube answers a question, and the imaging rule: a negative ultrasound never excludes endometriosis.

Module 4

Endometriosis, The Deep Dive

Pathophysiology, adenomyosis, clinical diagnosis without laparoscopy, and fertility timing.

Module 5

Treatment I: The Anti-Inflammatory Foundation

Sequenced foundational treatment: dietary pattern, sleep, movement dosed for the sensitized patient, supplements with evidence tiers and doses, gut and mast cell interventions, and endocrine disruptor reduction without detox theater.

Module 6

Treatment II: Hormonal and Pharmacologic Options

Progestins vs progesterone, combined contraception, GnRH agents placed where the evidence puts them, LDN, GLP-1s, compounded suppositories, centrally acting agents, and why opioids have no role.

Module 7

Nervous System and Pain Modulation

Central sensitization as a primary target: pain neuroscience education, pelvic floor PT referrals that get the right treatment, evidence-graded adjuncts, and why this work runs in parallel, not last.

Module 8

Collaboration and the Team

Excision vs ablation, vetting a surgeon, reading an operative report, REI timing, mental health referrals, and coordinating the long game.

Optional

Live Integration Cases

Complex phenotypes worked start to finish with both faculty. Non-accredited bonus session.

CLINIC-READY TOOLS

What you can use on Monday.

 

Every tool is included with the course and built for a real visit.

Intake template

FIGO-IPPS differential table

Lab quick-reference

Exam checklist

Referral letter templates

Surgeon vetting list

Patient handouts

Optional live integration session

What Makes This Course Different

Built on real presentations

A hematocrit of 54, a potassium of 5.3, and a cyclic pelvic pain differential, worked through rather than listed.

Evidence-honest

Off-label is labeled off-label. Low evidence is labeled low evidence. The functional medicine content is held to the same standard as everything else.

Beyond the binary, literally

An entire module on microdosing, partial effects, cycling, and nonhormonal affirmation, because those patients are already in your waiting room.

Charted defensibly

Every module closes with a documentation exercise, because knowing it and charting it are different skills.

Your Remedy Meducators®

Two Clinicians, Two Lanes

Women's Health NP
Lillian Medhus

Lillian Medhus

DNP, WHNP-BC, CNM, MSCP

Women's health NP and certified nurse-midwife with 15+ years in the field. University WHNP faculty and founder of Aspire Women's Wellness based in Minnesota, a specialty practice for endometriosis and complex pelvic pain.

Functional Medicine Lens
Stacy Marie Ronquillo

Stacy Marie Ronquillo

FNP-BC, AGACNP-BC, IFMCP, MSCP

Double board-certified NP with 18+ years in healthcare, including over a decade in emergency medicine. Founder of Remedy Functional Medicine Clinic based in Portland, OR and creator of the Filling in the Gaps™ series. Owns the functional medicine lane: lab interpretation and the foundational, gut, and mast cell treatment layers.

JOIN THE WAITLIST

WAITLIST OPEN 

Be the first in line when it opens.

Waitlist members get course details first and priority registration at the launch price $997.

JOIN THE WAITLIST
Included
  • 8 modules, on demand
  • Optional live integration session
  • 8+ hours, CME
  • Intake template, differential table, lab reference, exam checklist
  • Referral letters, surgeon vetting list, patient handouts

QUESTIONS

Before You Join.

No. The differential, history, exam, imaging logic, and referral criteria apply whether you prescribe, refer, or coordinate. That said, Modules 5 and 6 are prescriber-depth treatment content, so prescribers and those working toward prescribing will get the most from the full curriculum.

Partly. Adolescent presentations, including NSAID-refractory dysmenorrhea and school absence as a screening flag, are covered in Module 1 and the optional live session as recognition and referral skills. This is not a pediatric course; treatment content assumes adult patients.

YES! Most of the course is history, differential, labs, imaging, treatment sequencing, and referral. Module 3 teaches the exam so you know what to ask for when you refer, and so a normal exam elsewhere doesn't end the workup.

The parts the pathway skips: the FIGO-IPPS differential, Carnett's sign and pelvic floor assessment, the imaging rule, progesterone resistance as the reason suppression underperforms, the anti-inflammatory and mast cell layers, central sensitization as a primary target, and how to read an operative report.

This course stands alone. But the framework it applies to endometriosis is taught in full in the flagship, FiGs: A Functional Framework for Peri/Menopause. Here you see it applied to one disease; there you learn to apply it to any hormone patient who walks in. The two were built to reinforce each other.

Other FiGs courses are cross-referenced where they go deeper: Female Sexual Health, MCAS, Gut & Metabolic Health, GLP-1s. Gender Affirming Care covers recognizing endometriosis on testosterone; the full workup lives here.

One Year. Work at your own pace and revisit any module whenever you need it.

Accreditation has been submitted to Pinnacle Conference, LLC for joint providership (ACCME, ACPE, ANCC) and is pending. We expect 8+ contact hours, but credit is not guaranteed until it is confirmed. If you enroll before approval, you will be notified of the decision and can claim credit at completion once it is finalized.

Course opening details will be announced.