Endometriosis is a gynecological condition that affects up to 1 out of every 10 women. In today’s blog post, we hope to answer some of the most frequently asked questions we receive from patients about this common health condition.
What is endometriosis?
Endometriosis is a condition in which the endometrium, tissue that normally lines the uterus, grows in other areas of the body, causing pain, irregular bleeding, and frequently infertility.
The tissue growth typically occurs in the pelvic area, outside of the uterus, on the ovaries, bowel, rectum, bladder, and the delicate lining of the pelvis, but it can occur in other areas of the body as well.
What are some common signs & symptoms of endometriosis?
- Pelvic pain and cramping
- Lower back and/or abdominal pain
- Heavy bleeding during menstruation
- Bleeding and/or pain between menstrual periods
- Pain during or after intercourse
- Discomfort during urination or bowel movements
- Chronic fatigue
- Digestive issues including diarrhea, constipation, nausea, or bloating
- Infertility
How is endometriosis diagnosed?
Because many of the symptoms of endometriosis mimic those of other health conditions, such as pelvic inflammatory disease (PID), ovarian cysts, or irritable bowel syndrome (IBS), an accurate diagnoses is needed for treatment. One or more of the following tests will be performed to diagnose endometriosis:
- Physical exam & assessment of family history
- Ultrasound
- Magnetic resonance imaging (MRI)
- Laparoscopy
What are the treatment options for endometriosis?
While endometriosis has no cure, there are several treatment options available to help manage symptoms. Medication or surgery are currently the most common treatment options. The treatment option you and your doctor choose will ultimately depend on the severity of your symptoms, risk factors, and whether or not you are trying to conceive.
Medication:
- Hormonal contraceptives
- Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
- Progestin therapy
- Aromatase inhibitors
- Nonsteroidal anti-inflammatory drugs
Surgery:
- Laparoscopy
- Hysterectomy
We hope this post has helped clarify some of your questions about endometriosis. If you have any other questions, or are experiencing any of the symptoms listed above, please call our office at 630.882.0264 to schedule an exam.
References:
- American College of Obstetricians and Gynecologists. “Endometriosis.” ACOG, American College of Obstetricians and Gynecologists, June 2020, https://www.acog.org/womens-health/faqs/endometriosis. 
- Mayo Clinic Staff. “Endometriosis.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 24 July 2018, https://www.mayoclinic.org/diseases-conditions/endometriosis/symptoms-causes/syc-20354656. 

