Woman with pain radiating from abdomen

Like many diseases associated with the reproductive system, endometriosis tends not to be discussed openly, and yet has a significant impact on the health of millions of women.

Melissa Lyapustina“If you think you have symptoms of endometriosis, see your provider as soon as possible,” stresses Melissa Lyapustina, DNP, a family nurse practitioner at TMCObstetrics. “You can let your provider know if talking about your symptoms or getting a pelvic exam makes you nervous, and they will work with you to make the visit as easy as possible. Ultimately, the sooner you come in, the sooner you can get answers and relief from your symptoms.”

What is Endometriosis

Every month the endometrial tissue that lines your uterus builds up, breaks down and sheds resulting in your menstrual cycle. This is normal. Endometriosis occurs when endometrial tissue is found outside your uterus, building up, breaking down and shedding. This is definitely not normal, and can cause chronic problems.

The endometrial growths can be found on the ovaries, the fallopian tubes, the outer wall of the uterus, the intestines, and throughout the abdomen and pelvic region, sometimes beyond. They shed, like the lining in the uterus, but there is nowhere for the blood and tissue to go, so it irritates the surrounding tissue.

What are the symptoms of endometriosis?

  • Pain wherever the implants are growing, before, during and/or after your period; pain during sex, ovulation or bowel movements
  • Abnormal bleeding, heavy bleeding, bleeding mid-cycle, after sex or with bowel movements or passing urine
  • Difficulty getting pregnant

Your provider may be able to feel endometrial adhesions with a pelvic exam or see a cyst with an ultra-sound, but the only definitive way to know whether you have endometriosis is to undergo laparoscopic surgery.

How can it be treated?

There is no cure for endometriosis, but there are some effective treatments dependent upon the extent and stage of the disease.

  • Pain management with over the counter anti-inflammatory drugs such as aspirin and acetaminophen
  • Hormonal birth control pills and other hormone treatments can control and even shrink the implants and reduce the associated pain
  • Laparoscopic surgery to remove endometrial implants and scar tissue
  • Hysterectomy or oophorectomy for severe endometriosis

Being aware of the symptoms of endometriosis and its impact is a first step in addressing this disease.