It is an often painful disorder in which tissue similar to the tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus.
• Pain in your lower tummy or back (pelvic pain) – usually worse during your period.
• Period pain that stops you doing your normal activities.
• Pain during or after sex.
• Pain when peeing or pooing during your period.
• Feeling sick, constipation, diarrhea, or blood in your pee during your period.
Doctors don’t know exactly what causes endometriosis. Some experts think menstrual blood that contains endometrial cells may pass back through your fallopian tubes and into your pelvic cavity, where the cells stick to your organs. This is called retrograde menstruation. Research shows that it tends to get worse from one generation to the next.
Infertility may also be the presenting complaint. Infertile patients often have no painful symptoms, and their disease is only uncovered in the course of the diagnostic work-up for infertility. The reason for this divergence in clinical manifestations is unknown.
Physicians consider several factors when determining the best treatment for endometriosis symptoms, including:
• Your age
• How severe your symptoms are
• How severe the disease is
• Whether you want children
Not all treatments work well for all women with endometriosis. Also, endometriosis symptoms may return after the treatment is stopped or, in the case of surgery, as more time passes after the procedure.