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Women's health

Endometriosis

Period pain that interferes with your life is not something you have to accept.

What is Endometriosis?

Endometriosis is a common condition where tissue similar to the inner lining of the uterus—known as the endometrium—grows in places outside of the uterus. It most frequently forms on the ovaries, fallopian tubes, outer uterine wall, or other organs inside the pelvis. During a typical menstrual cycle, your uterine lining thickens, breaks down, and bleeds out through your period. The tissue affected by endometriosis behaves the exact same way—it thickens and bleeds with your monthly hormonal changes. The main issue is that because this tissue is outside the uterus, the blood has no way to leave your body during a period. As a result, the trapped blood leads to swelling, local inflammation, and painful irritation. Over time, this chronic inflammation can cause severe internal scar tissue (adhesions) or fluid-filled sacs on the ovaries (endometriomas) that stick organs together.

Who gets Endometriosis?

Endometriosis affects roughly 10% of women and individuals with a uterus worldwide, primarily during their reproductive years (from their first period until menopause). While anyone who menstruates can develop it regardless of background, certain biological factors increase a person's overall risk. For instance, individuals who have a mother, sister, or aunt with endometriosis are significantly more likely to develop it themselves, indicating a strong genetic link. Other risk factors include starting your period at a young age, going through menopause at an older age, having shorter menstrual cycles (fewer than 27 days), or having heavy periods that last longer than seven days. Medical conditions that block or restrict the normal flow of menstrual blood out of the body also increase the likelihood. While researchers are still studying exact causes, evidence suggests it is driven by a mix of genetics, immune system differences, and hormone levels—meaning it is a real physical condition, not caused by anything you did or didn't do.

What are the most common symptoms?

The defining symptom of endometriosis is chronic pelvic pain, which is often tied to the menstrual cycle. People with this condition typically experience menstrual cramps (dysmenorrhea) that are significantly worse than normal cramping and worsen over time, often lasting before, during, and several days after a period. Pain is also very common during or after sexual intercourse, as well as during bowel movements or urination—especially while on your period. Beyond pain, endometriosis frequently causes heavy menstrual bleeding or unexpected spotting between periods. It is also one of the leading causes of difficulty getting pregnant (infertility). Many patients experience ongoing digestive issues such as severe bloating (sometimes called "endo belly"), nausea, constipation, or diarrhea, alongside persistent body fatigue that doesn't go away with rest.

This page is for general information, if you have questions or wondering about possible treatment. feel free to connect, book appointment at WELL Health Medical Centre — Regent