Everything you need to know about Endometriosis

What is endometriosis?

When the tissue from the lining of the endometrium (inside of the uterus) forms outside of the uterus.

How common is endometriosis

1 in 10 women have endometriosis, most often diagnosed between the ages of 30 and 40.

Where does endometriosis occur?

Endometrial tissue is most often found in the following areas.

  • Peritoneum
  • Ovaries
  • Fallopian tubes
  • Outer surfaces of the uterus, bladder, ureters, intestines, and rectum
  • Space behind the uterus

What problems can endometriosis cause?

Endometrial tissue responds to estrogen, a female hormone.  The tissue will expand and bleed like the endometrial tissue in the lining of the uterus.  This growing tissue can cause the surrounding tissue to become irritated.  It may also form scar tissue.  The scar tissue formed by endometriosis can cause organs to stick together.  This can cause moderate to severe pain at different times in a woman’s cycle.

Is there a link between infertility and endometriosis?

Endometriosis can interfere with the egg’s movement through the fallopian tubes. It may even damage the sperm.  In severe cases, the tubes may be completely blocked by the scar tissue.  Close to 40% of women with infertility have endometriosis.

What are the symptoms of endometriosis?

Endometriosis pain happens before or during a cycle, intercourse, bowel movements, and urination. A woman may experience heavy menstrual bleeding. Many women experience no pain or symptoms.



How is endometriosis diagnosed?

Your healthcare provider will conduct a physical and pelvic exam. Your full medical history will help determine if you have symptoms of endometriosis. Symptoms of endometriosis alone will not diagnose endometriosis. There is no way to diagnose endometriosis without a surgical procedure called laparoscopy. During a laparoscopy, they remove a small amount of tissue. This tissue (biopsy) reviewed by a lab will determine a diagnosis.

How is endometriosis treated?

Treatment depends on the extent of the disease. Treatment includes medication and often surgery. When pain is the primary issue medication is usually tried first. There are many new clinical trials for treatment and medications.

What medications treat endometriosis?

  • Pain Relievers
  • Anti-inflammatory drugs
  • hormonal medications (birth control pills)
  • Progestin medications
  • gonadotropin-releasing hormone agonists

Hormonal medications slow the growth of endometrial tissue. This decreases adhesions from forming. These drugs do not cure endometriosis or get rid of tissue that is already there.

How can surgery treat endometriosis?

Your physician will remove endometriosis implants (adhesions) to relieve pain and improve fertility.

Does surgery cure endometriosis?

Surgery does not cure endometriosis but does give relief from pain. 40-80% of women will experience pain again within 2 years of surgery. The more severe the disease, the more likely it is to return.

What if I still have severe pain that does not go away even after I have had treatment?

A hysterectomy may be a “last resort” option. Ovary removal during a hysterectomy will decrease your chances of future endometriosis-related pain.

Glossary of Endometriosis Terms

Click any of the terms below to view the definition.

Scars that can make tissue surfaces stick together.

A minor surgical procedure to remove a small piece of tissue. This tissue is examined under a microscope in a laboratory.

A hollow, muscular organ in which urine is stored.

A condition in which tissue that lines the uterus is found outside of the uterus, usually on the ovaries, fallopian tubes, and other pelvic structures.

A female hormone produced in the ovaries

Tubes through which an egg travels from the ovary to the uterus.

A substance made in the body that controls the functions of cells or organs.

Surgery to remove the uterus.

The inability to get pregnant after 1 year of having regular sexual intercourse without the use of birth control.

Pain, swelling, redness, and irritation of tissues in the body.

A surgical procedure in which a thin, lighted telescope called a laparoscope is inserted through a small incision (cut) in the abdomen. The laparoscope is used to view the pelvic organs. Other instruments can be used with it to perform surgery.

Organs in women that contain the eggs necessary to get pregnant and make important hormones, such as estrogen, progesterone, and testosterone.

The membrane that lines the abdominal cavity and surrounds the internal organs.

A synthetic form of progesterone that is similar to the hormone made naturally by the body.

A pair of tubes, each leading from one of the kidneys to the bladder.

A muscular organ located in the female pelvis. During pregnancy this organ holds and nourishes the fetus.

How common is endometriosis?

Signature Gyn Services Women's Health Clinical Trials Research Studies Fort Worth Texas

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