Endometriosis is a chronic condition where the tissue of the uterine lining grows outside of the uterus, such as on the bladder or other reproductive organs. Some women experience symptoms like pelvic pain or unusual bleeding, while others have no symptoms. Here are several ways to know if you have endometriosis:
Chronic Pelvic Pain
With endometriosis, you may feel lower abdominal pain that persists and gets worse over time. This occurs as the endometrial-like tissue outside the uterus continues to respond to hormonal fluctuations, leading to cyclical inflammation and scar tissue formation. The pain may also be sharp and can spread to other areas, such as the back. Note when the pain occurs and discuss it with your doctor. They will help diagnose your condition using your detailed medical history, a physical examination, and a minimally invasive laparoscopy.
Painful Periods
Endometriosis menstrual cramps are often more severe than normal period pain. These cramps can begin before your period and may last for several days after it ends. The pain may be deep and stabbing-like, particularly in the lower abdomen and back. Some doctors use imaging tests like ultrasounds or MRIs to help identify whether the source of the pain is endometriosis.
Pain During Intercourse
Sex can be painful if endometriosis tissue extends to the ovaries, fallopian tubes, vagina, and cervix. This discomfort may make sexual intimacy uncomfortable, potentially affecting relationships and emotional well-being. The pain also lasts for hours or even days after intercourse for some women. Discussing this discomfort with a doctor allows you to determine the cause of your pain, whether from endometriosis tissue or something else like an infection.
Pain With Bowel Movements or Urination
Intense pain during bowel movements or while urinating, particularly related to menstruation, can be a sign of endometriosis. This pain may present as cramping or sharp sensations and can mimic symptoms of other conditions, such as irritable bowel syndrome. You may also notice blood in your stool or urine during your periods. If a doctor suspects endometriosis rather than another gastrointestinal issue, a laparoscopy may be necessary for a proper diagnosis.
Heavy Menstrual Bleeding
Endometriosis can result in heavy periods characterized by significant blood loss and long-lasting bleeding. You may notice blood clots large enough to require more frequent changes of sanitary products than usual. For some women, the menstrual cycle becomes unpredictable, and spotting occurs between periods. The heavy bleeding can contribute to fatigue or hemorrhagic anemia, making symptoms worse. If you experience significant menstrual bleeding, ask your gynecologist about ways to manage your symptoms. They can recommend various treatment options, including hormonal therapies or surgical interventions.
Ask Your Doctor About Endometriosis
Endometriosis can cause various symptoms, from chronic pelvic pain to heavy menstrual bleeding. It can also impact fertility. Early intervention allows you to manage symptoms and reduce the chances of complications, such as the development of ovarian cysts. When visiting a gynecologist, share your complete family history and record of symptoms to help you get a proper diagnosis. See a healthcare professional for an assessment if you are experiencing signs of endometriosis.
