Endometriosis is a disease that occurs when the cells that line the inside of the uterus start to grow outside of the uterus. Most commonly, these cells are on other pelvic structures, such as the outside lining of the uterus, the ovaries, fallopian tubes and ligaments that support these structures. It can also grow outside of the pelvis and coat other structures like the bowel (large intestine), diaphragm and other major organs.
Endometriosis can be a very painful disease that is often hidden or unrecognized. If you think you notice symptoms of endometriosis, make sure you urge your doctor to examine these further. Before treatment can take place, a diagnosis will need to be determined with imaging studies or surgery.
Some women are completely asymptomatic and have endometriosis with no presenting symptoms. Others may have a range of symptoms, such as:
- Bladder syndromes
- Chronic pelvic pain
- Debilitating pain (outside and during your period)
- Infertility issues or difficulty getting pregnant
- Pain or discomfort with intercourse
Watch for these symptoms and be sure to ask your doctor about treatment options if you are diagnosed or think you have endometriosis.
Because there is no cure, women may unfortunately experience endometriosis for a lifetime, even with treatment. Symptoms most often ease or disappear after menopause, as estrogen naturally reduces in your body.
With your doctor, you can manage symptoms and flare-ups with these approaches, which may vary depending on your age:
- Immediate treatment from pain relievers that alleviate pain and inflammation, such as ibuprofen
- Hormonal medication and treatments that help reduce estrogen which can slow the growth of affected endometrial tissue and relieve pain during your menstrual cycle.
- Intrauterine devices (IUDs)
- Surgery in severe cases
