Del Forno S, Arena A, Pellizzone V, et al. - Researchers aimed at ascertaining how pelvic floor physiotherapy affects changes in the area of levator ani muscle hiatus under Valsalva maneuver determined with transperineal ultrasound in women with deep infiltrating endometriosis suffering from superficial dyspareunia. In this randomized controlled trial, they enrolled 34 nulliparous women diagnosed with deep infiltrating endometriosis and associated superficial dyspareunia and assigned them (1:1) to no intervention (control group, 17 women) or treatment with five individual sessions of pelvic floor physiotherapy (study group, 17 women). Evaluation of pain symptoms and transperineal ultrasound were performed prior to randomization and 4 months after the first examination. Findings suggest the effectiveness of pelvic floor physiotherapy in improving superficial dyspareunia, chronic pelvic pain, and pelvic floor muscle relaxation in women with deep infiltrating endometriosis, resulting in an increase in levator hiatal area under Valsalva maneuver observed by 3D/4D transperineal ultrasound.