Endometriosis Care
Understanding pelvic pain, painful periods, and other symptoms associated with endometriosis can be an important step toward finding appropriate gynecologic care.
When pelvic pain deserves a closer look
Endometriosis is a gynecologic condition in which tissue similar to the lining of the uterus grows outside the uterus. This tissue can respond to hormonal changes during the menstrual cycle and may contribute to inflammation, pelvic pain, painful periods, and other symptoms.
Symptoms can vary considerably from one woman to another. Some women experience significant pain, while others may have relatively mild symptoms or no obvious symptoms. Because symptoms can overlap with other gynecologic conditions, an appropriate medical evaluation is important.
What women should know
Pelvic Pain
Pelvic pain is one of the most common symptoms associated with endometriosis, although pain severity does not always reflect the extent of disease.
Painful Periods
Menstrual pain that interferes with daily activities may warrant further evaluation rather than simply being accepted as normal.
Individual Symptoms
Endometriosis can present differently among women, making a personalized evaluation especially important.
Long-Term Management
Treatment and management depend on symptoms, reproductive goals, age, medical history, and other individual considerations.
What can endometriosis feel like?
Symptoms can range from mild to severe and may change over time. Some women experience symptoms primarily around their menstrual periods, while others experience symptoms throughout the month.
Menstrual pain that is unusually intense or interferes with normal daily activities.
Pelvic discomfort or pain that may occur during or between menstrual periods.
Pain during or after sexual intercourse can occur in some women with endometriosis.
Some women may experience bowel-related pelvic discomfort, particularly around menstruation.
Urinary discomfort, especially around menstruation, may occur depending on the location of endometriosis.
Changes in menstrual bleeding can occur and should be discussed with a gynecologic provider.
Persistent fatigue can accompany chronic pain and inflammation and may affect quality of life.
Endometriosis can be associated with infertility or difficulty becoming pregnant in some women.
When should you talk with a gynecologist?
Consider scheduling a gynecologic evaluation if menstrual or pelvic pain repeatedly interferes with work, school, exercise, sleep, relationships, or other everyday activities.
You should also discuss persistent pelvic pain, pain during intercourse, unusual menstrual bleeding, bowel or urinary symptoms associated with your period, or difficulty becoming pregnant.
Why does endometriosis develop?
The exact cause of endometriosis is not completely understood. Researchers have identified several possible mechanisms and contributing factors, but there is no single explanation that applies to every patient.
Factors that may be associated with endometriosis include family history, menstrual characteristics, reproductive history, and other biological factors.
How is endometriosis evaluated?
Diagnosing endometriosis often begins with a detailed discussion about symptoms and medical history. Your provider may then recommend an examination or additional testing depending on your individual circumstances.
Medical History
Your provider may ask about menstrual cycles, pain patterns, bleeding, fertility history, medications, and previous treatments.
Pelvic Examination
A pelvic examination may help identify tenderness, masses, or other findings that could contribute to symptoms.
Imaging
Ultrasound or other imaging may be recommended to evaluate pelvic structures and look for certain findings.
Additional Evaluation
Depending on symptoms and clinical findings, your gynecologist may discuss additional evaluation or referral when appropriate.
Endometriosis treatment is individualized
There is no single treatment approach that is appropriate for every woman. Treatment decisions may depend on symptoms, severity, reproductive plans, age, medical history, and personal preferences.
Pain Management
Depending on your medical history, medications may be considered to help manage menstrual or pelvic pain.
Hormonal Therapy
Hormonal treatments may be used to reduce or suppress menstrual cycling and help manage symptoms in appropriate patients.
Surgical Treatment
In selected situations, surgery may be discussed as part of an individualized treatment plan.
Fertility Planning
Women who are trying to become pregnant may require a treatment strategy that takes fertility goals into consideration.
Fertility concerns deserve personalized attention
Endometriosis can affect fertility for some women. The condition may be associated with inflammation, pelvic anatomy changes, adhesions, or other factors that can make conception more difficult.
If you are trying to become pregnant and have symptoms associated with endometriosis, discussing your reproductive goals with a gynecologist can help determine appropriate next steps.
Discuss your concernsPeriod pain isn't always "just normal"
Menstrual discomfort is common, but severe or persistent pain should not automatically be dismissed. Symptoms that significantly affect your quality of life deserve appropriate evaluation.
- Mild to moderate cramps
- Usually manageable with routine measures
- Does not significantly interfere with daily activities
- Generally improves as the period progresses
- Severe or worsening menstrual pain
- Missing work, school, or activities because of pain
- Pain during intercourse
- Persistent pelvic pain
- Pain with bowel movements or urination
- Difficulty becoming pregnant
Endometriosis questions answered
What is endometriosis? +
What are the most common symptoms of endometriosis? +
Is severe period pain normal? +
Can endometriosis cause infertility? +
Can endometriosis be treated without surgery? +
Can endometriosis come back after treatment? +
Does endometriosis always cause pelvic pain? +
Can endometriosis affect periods? +
When should I see a gynecologist for pelvic pain? +
Can an ultrasound diagnose endometriosis? +
Don't let pelvic pain become your normal.
If painful periods or persistent pelvic symptoms are affecting your life, talking with a gynecologic provider can help you understand your options.
Endometriosis care in Riverside County
Magnolia Women Medical Center provides comprehensive obstetric and gynecologic care for women in Riverside and surrounding communities. If you are experiencing painful periods, pelvic pain, or other symptoms that concern you, our office can help you understand the next steps in your care.
Riverside, CA 92503