| Condition/context | Core concept | Massage reasoning |
|---|---|---|
| Dysmenorrhea | Painful menstruation | Menstruation is not a contraindication; comfort/preferences and cause matter. |
| Endometriosis | Endometrial-like tissue outside uterus associated with pain/inflammation | Massage may support comfort but does not remove lesions or treat disease itself. |
| PCOS | Endocrine/metabolic reproductive syndrome with ovulatory and androgen-related features | Not itself a massage contraindication; avoid hormonal/fertility cure claims. |
| Fibroids | Benign uterine smooth-muscle tumors | Symptoms/size/pregnancy/surgery status matter; do not attempt to “break up” fibroids. |
| Pregnancy | Normal physiological state with major body changes | Adapt positioning, pressure and risk screening. Not automatically high-risk or contraindicated. |
| Preeclampsia concern | Pregnancy hypertensive disorder that can be serious | Concerning symptoms/high-risk presentation require medical management, not massage as treatment. |
| Pregnancy DVT concern | Pregnancy/postpartum increase venous thromboembolism risk | Unilateral leg swelling/pain/warmth requires prompt medical evaluation. |
| Postpartum | Recovery period after birth with vascular, hormonal and tissue changes | Consider delivery type, bleeding, infection, DVT risk, fatigue and positioning. |
| Cesarean recovery | Major abdominal surgery | Respect healing stage, incision/scar status and medical restrictions. Scar work only after appropriate healing/training. |
| Mastitis | Breast inflammation, sometimes infectious, often during lactation | Systemic illness/infection requires appropriate healthcare; breast work requires specific scope, consent and training. |
| Pelvic inflammatory disease | Infection/inflammation of upper female reproductive tract | Acute infection requires medical treatment, not abdominal massage. |
Massage therapists can adapt comfort and musculoskeletal care around reproductive health. They do not diagnose pregnancy complications, perform internal reproductive examinations, or make fertility/hormonal treatment claims outside scope.