Endometriosis
Endometriosis is a condition where there is the presence of endometrial tissue (the lining of the uterus) in areas outside the uterus. This commonly presents as painful periods (dysmenorrhoea) or issues with fertility but other symptoms can include bladder and bowel pain and pain during sex. It is estimated that endometriosis affects 1 in 9 women in Australia.
Symptoms of Endometriosis
Pelvic Pain: One of the hallmark symptoms of endometriosis is pelvic pain. This pain can vary in intensity and may occur before, during, or after menstruation. It is often described as a deep, cramping sensation in the lower abdomen.
Painful Menstruation (Dysmenorrhea): Women with endometriosis frequently experience more severe menstrual cramps compared to others. These cramps can be debilitating and may interfere with daily activities.
Painful Intercourse: Pain during sexual intercourse, known as dyspareunia, is another common symptom. This discomfort can be felt as deep pelvic pain or abdominal pain during and after sex.
Painful Bowel Movements or Urination: Endometrial tissue growth can affect the bowel and bladder, leading to pain and discomfort during bowel movements or urination, particularly during menstruation.
Infertility: Endometriosis is a leading cause of infertility. It can impact fertility by causing structural damage to the reproductive organs or disrupting the menstrual cycle.
What to do if you think you may have endometriosis
Consult a Healthcare Provider: If you are experiencing any of these symptoms and suspect you may have endometriosis, it's crucial to consult a healthcare provider. They will take a detailed medical history, perform a physical examination, and may recommend further diagnostic tests. IWWH now has a dedicated Endometriosis Clinic available for women of all ages.
Diagnosis: The most definitive way to diagnose endometriosis is through a laparoscopy, a minimally invasive surgical procedure involving a camera to look inside the pelvis. However, modern ultrasound techniques mean that a laparoscopy is not always necessary. Treatment to reduce pain and prevent symptoms is usually started before considering laparoscopy to see if it is possible to delay or avoid surgery. Each person's circumstances and goals are different, so decisions about what tests and treatments are appropriate for you requires discussion and collaboration.
Treatment Options: Treatment for endometriosis may include pain management strategies, hormonal therapy, or surgical intervention to remove the abnormal tissue. The specific treatment plan will depend on the severity of your condition and your fertility goals.
If you are struggling with pelvic pain and suspect that endometriosis may be the cause, it's essential to seek medical attention promptly. Early diagnosis and management can help alleviate symptoms, preserve fertility, and improve your overall quality of life.
Remember, you are not alone in this journey, and there are resources available to support you in managing endometriosis effectively.