One of the most painful patterns I see in my practice is this: a patient knows something is not right in their body, yet their concerns are minimized or brushed off. Sometimes the stakes are small. Other times—like in the case of missed cancer diagnoses—the cost can be devastating. As a physical therapist who has worked with patients for more than 25 years—and as someone who has walked this path personally—I know how critical it is to trust your body and speak up, even when it feels uncomfortable. I’ve learned that trusting your body and advocating for yourself is not just important—it can be lifesaving.
Why This Happens
Healthcare providers are under pressure. Appointments are short, and medical systems are stretched thin. Sometimes symptoms that don’t fit a standard pattern are often minimized or attributed to stress, age, or “normal changes.” Research shows women, in particular, are more likely to have their symptoms minimized, delayed, or overlooked. Pelvic pain, bloating, fatigue, or bleeding are often normalized or attributed to hormonal imbalance rather than investigated. You know when something feels “off,”
But here’s the truth: you live in your body every day. You know when something has changed or feels “off”, even if a lab result or imaging study doesn’t capture it right away.
Steps to Advocate for Yourself
1. Trust Your Inner Voice
That persistent gut feeling that something isn’t right? It’s worth listening to. Clinical studies confirm that patients often detect subtle shifts long before labs or imaging do.
2. Document Everything
Write down your symptoms: what they are, when they occur, how long they last, and what makes them better or worse. This transforms your story from “a vague feeling” to clear evidence that’s harder to dismiss and review with your provider. Example of what to journal about your symptoms:
- What you feel
- When it happens
- How long it lasts
- Any triggers or patterns of what makes them better or worse.
3. Ask Specific Questions
Instead of “Am I okay?” try:
- “What else could cause these symptoms?”
- “What tests would rule out something more serious?”
- “At what point should I return if symptoms don’t improve?”
- Use the portals to capture your discussions with your providers
4. Request a Second (or Third) Opinion
You’re not being difficult—you’re protecting your health by being thorough. Another set of eyes may see what the first one didn’t. A second or even third perspective may catch what the first one missed.
5. Bring Support
Take a friend, partner, or family member to appointments. Having someone else hear the conversation can validate your concerns and help you remember details.
6. Don’t Apologize for Speaking Up
You are not “overreacting.” You are advocating for your health. It’s your right to push for answers.
I’ve seen what happens when subtle signs are overlooked. I’ve lived it. What I wish every person could hear is this: your voice matters. If you keep hitting walls, keep knocking until someone listens. Self-advocacy doesn’t mean you don’t trust doctors—it means you’re willing to be an active partner in your care. The truth is, no one knows your body like you do.
If you feel something is wrong, don’t stop until you get the answers you deserve.
At Full Circle Pelvic Health, we believe in listening deeply, validating concerns, and guiding patients toward the next best step—because every story, and every symptom, matters.
In Health,
Melissa Nassaney