Endometriosis
Diagnosis
Endometriosis is a disorder that causes the lining of the uterus to grow outside the uterine cavity. This misplaced tissue usually stays within the pelvic region (though not always), and commonly involves the ovaries and fallopian tubes. It can lead to lower abdominal pain, scar formation, adhesions, and even infertility. It can also cause severe pain during your periods or while having sex. (On the other hand, it can also cause no pain at all—everyone is different!) Endometriosis is estimated to affect about 10% of women during their reproductive years, but the true number is unknown because many women don’t report their symptoms or seek treatment. So if you suspect something’s up, don’t grit your teeth and try to bear the pain alone. You want to seek treatment and support—especially because endometriosis has fertility implications. Talk to a practitioner you trust who will take your concerns seriously and help you get a diagnosis—and be ready to discuss your symptoms. What kind of pain are you having? Where and when does it hurt? The practitioner will do a pelvic exam (mostly to rule out other causes) and imaging tests such as ultrasound or MRI. In some cases, you may be referred to a surgeon for a procedure called a laparoscopy. It’s not as scary as it sounds! The surgeon makes a tiny incision near your belly button in order to insert the laparoscope, which is a tool that will help them see signs of endometrial tissue outside the uterus. Treatment usually includes medications (pain relievers and hormonal meds) and if that doesn’t help, surgery may be necessary. You can try simple things at home like warm baths or heating pads to help relax the pelvic muscles and reduce cramping/pain. Some women have found that natural remedies provide pain relief, including herbs, such as cinnamon twig and licorice root; supplements, such as thiamine (vitamin B1), magnesium, and omega-3s; and acupuncture. Remember, it’s fairly easy to minimize your pain when it’s related to your period or sex, so don't ignore it!
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