Filling in the Gaps ™:
Endometriosis & Chronic Pelvic Pain
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.
Case-based | 10+ CME hours | Self-paced
Course Philosophy
Most pelvic pain training teaches you one pathway. Suspect endometriosis, order an ultrasound, start hormonal suppression, refer to gynecology if it fails.
Then a real patient sits down.
A 26-year-old with ten years of bad periods, three normal ultrasounds, and a problem list that says IBS and anxiety. A patient whose pain came back eight months after a laparoscopy that burned some spots. A 16-year-old missing school every month on maximum-dose ibuprofen. A patient with hypermobile joints, hives, and dizziness on standing who also has cyclic pelvic pain, and nobody has connected the four.
The pathway doesn't cover any of that. And refer to gyn isn't an answer when gyn has already sent her back.
This course teaches the clinical reasoning underneath the pathway: a systems-based differential, an exam that finds the pain generator, labs and imaging ordered with intent, and treatment that addresses inflammation, immune dysregulation, receptor resistance, and central sensitization instead of suppressing estrogen and hoping. Built on cases, graded against the actual evidence, and honest about where the evidence runs out.
You've told a patient her ultrasound was normal, watched her face fall, and you're done doing that
You've started suppression, watched it underperform, and had no explanation for why a patient isn't responding to treatment
You've never checked a Carnett's sign or done a single-digit pelvic floor exam, and you suspect you've been missing something for years
Your patient has IBS, migraines, hypermobility, hives, and pelvic pain on her problem list, and you're treating five conditions instead of one mechanism
You've inherited a patient with persistent pain after excision surgery and everyone upstream has shrugged
You want to know when to refer for surgery, to whom, and what to ask before you do
You want the functional medicine lens applied with an evidence standard, not a supplement stack with EHR templates
Whether you're building a pelvic pain practice or just refusing to be the fourth clinician who tells her it's IBS, this course changes what you can offer, and stops you from being one more provider your patient had to educate.
What You'll Learn
Upon completion of this course, you will be able to:
Build a systems-based differential for chronic pelvic pain using FIGO-IPPS categories, and name the never-miss diagnoses
Take a history that discriminates and perform an exam that covers the abdominal wall, pelvic floor, uterosacral ligaments, and central sensitization, instead of a bimanual and a shrug
Diagnose endometriosis clinically and start empiric treatment without waiting for laparoscopy, with documentation that supports the decision
Order labs and imaging with intent, interpret them through the FiGs Framework, and explain to a patient why a negative ultrasound does not rule out disease
Sequence a treatment plan that layers anti-inflammatory foundations, hormone modulation, gut and mast cell interventions, pharmacology, and nervous system retraining, in parallel rather than one at a time
Refer with precision: excision surgery, pelvic floor PT, reproductive endocrinology, and mental health, at the right time and with a letter that gets the right treatment
Course Curriculum
MODULE 1: Reframing Endometriosis
MODULE 2: The Differential
MODULE 3: The Workup
MODULE 4: Endometriosis, The Deep Dive
MODULE 5: Treatment I, The Anti-Inflammatory Foundation
MODULE 6: Treatment II, Hormonal and Pharmacologic Options
MODULE 7: Nervous System and Pain Modulation
MODULE 8: Collaboration and the Team
OPTIONAL: Live Integration Cases
Course Resources
What Makes This Course Different
Case-Based, Start to Finish
Every module closes with a patient, and one patient runs the length of the course. You'll work three ultrasounds that missed it, a post-excision pain that shouldn't be there, and a two-year fertility timeline with real numbers before you're done.
Two Lanes, One Patient
An iCareBetter-vetted endometriosis specialist teaches the disease. A functional medicine nurse practitioner teaches the lens. Neither lane gets watered down to fit the other, and the framework only appears where it changes a decision.
Evidence-Honest
GnRH agents get their trial data and their counterargument. Supplements get evidence tiers and doses, and a list of which to cut first. Red light therapy gets its evidence tier stated plainly. Compounded suppositories name the drugs and keep sourcing generic. No ideology masquerading as science, from any direction.
The Framework Earns Its Place
The FiGs Framework asks four questions of every patient: where estrogen is being made, how it's transported, whether the receptors are listening, and how it's cleared. Applied to endometriosis, those four questions explain aromatase in lesions, progesterone resistance, the estrobolome, and why your labs are normal keeps failing these patients.
Clinic-Ready
An intake template, a differential table, an exam checklist, referral letters that get the right treatment, and a surgeon vetting list you can hand a patient Monday.
Your Remedy Meducators®
Lillian Medhus,
DNP, WHNP-BC, CNM, MSCP
Lillian Medhus is a doctorally prepared, dual-certified women's health nurse practitioner and certified nurse-midwife with over 15 years in women's health, and a Menopause Society Certified Practitioner. She serves as faculty in a university-based Women's Health Nurse Practitioner program, where she trains the next generation of women's health clinicians.
Stacy Marie Ronquillo,
FNP-BC, AGACNP-BC, IFMCP, MSCP
is a double board-certified nurse practitioner with 18 years in practice, including over a decade in emergency medicine. She is the founder of Remedy Functional Medicine, a telehealth practice licensed in Oregon, Washington, and Nevada, and of Remedy Meducation®, the jointly accredited CME platform behind the Filling in the Gaps™ series. Stacy owns the functional medicine lane: the FiGs Framework, lab interpretation logic, and the foundational, gut, mast cell, and environmental treatment layers.
