Empowering Women in the Face of Endometriosis

Endometriosis occurs in about 1 in 10 women of reproductive age. It is most often diagnosed in women in their 30s and 40s. Endometriosis is a condition in which the lining from the uterus grows outside the uterus, often causing fertility problems. 

Symptoms can be reflective of where the endometriosis is present (the bladder, the bowel, etc.). Women can also have endometriosis without any symptoms. The most common symptoms include:

• Chronic pelvic pain (especially just before and during the menstrual period)

• Pain during sexual intercourse

• Pain during bowel movements

• Pain during urination

• Heavy menstrual bleeding

Diagnosis and Treatment

To diagnose endometriosis, a physical exam, including a pelvic exam, will be performed. But the only way to tell for sure that you have endometriosis is through a surgical procedure called laparoscopy. Sometimes a small amount of tissue is removed during the procedure and tested in a lab. This is called a biopsy.

Treatment varies based on patient factors, including symptoms, fertility intentions, and the scale of the condition. Treatment approaches are tailored to the severity of symptoms and the woman's reproductive plans. Some common treatments include:

• Pain Management:

  • Over-the-counter pain relievers or prescription medications to manage pain

• Hormonal Therapies:

  • Birth control pills, hormonal patches, or intrauterine devices to help regulate hormonal fluctuations and manage symptoms

• Surgery:

  • We offer minimally invasive surgery with Sentara Martha Jefferson Hospital's da Vinci Surgical System. Laparoscopic surgery to remove endometrial tissue and adhesions may be recommended in severe cases.

• Fertility Treatments:

  • For those trying to conceive, fertility treatments may be explored in collaboration with reproductive specialists.

Does Endometriosis Cause Infertility?

Almost 40% of women with infertility have endometriosis. Inflammation from endometriosis may damage the sperm or egg or interfere with their movement through the Fallopian tubes and uterus. The treatment options mentioned above can help manage the symptoms and improve your chances of getting pregnant.

From medical interventions to patient-centric care, women dealing with endometriosis can find solace and empowerment through comprehensive healthcare approaches. Open communication, informed decision-making, and personalized treatment plans are the cornerstones in the journey toward managing endometriosis effectively.

If you think you may have endometriosis or have any questions about symptoms, diagnostics or treatment, please call us or ask your doctor at your next appointment.