Ever heard of a disease that affects 1 in 10 women but still goes undiagnosed for years? That is, endometriosis is usually called the “missed disease.” Study says “In India alone, over 42 million women suffer from this painful condition, yet many continue without proper diagnosis or treatment”.
In this blog, we will explain what endometriosis is, why it often gets missed or wrongly diagnosed, the common symptoms and causes, and how it can be managed or treated effectively.
Endometriosis is a long-term condition where tissue similar to the lining of the uterus grows outside it. This tissue can grow on:
- Ovaries
- Fallopian tubes
- Pelvic lining
In rare cases, other organs like the intestines or bladder
Unlike normal endometrial tissue that sheds during menstruation, this misplaced tissue cannot exit the body, causing pain, inflammation, and scarring over time.
“We see so many women who have silently suffered with endometriosis for years, thinking it’s just normal period pain. Early diagnosis is key, not only to ease the pain but also to protect fertility. At Miracles Apollo Cradle, we use the latest techniques to offer timely diagnosis and the best possible care.” Says Dr. Punita Arora, Renowned Gynaecologist in Gurgaon, Miracles Apollo Cradle
- Delayed Diagnosis: Studies show that it takes 7 to 10 years on average to diagnose endometriosis.
- Normalizing Pain: Menstrual pain is usually brushed off as “normal,” leading women to suffer silently.
- Lack of Awareness: Many women and even some healthcare providers are not fully aware of the symptoms.
- Limited Access to Specialists: In many areas, gynecological care is not readily accessible.
Endometriosis symptoms vary from female to female, but some of the most common include:
- Severe menstrual cramps
- Chronic pelvic pain
- Pain during intercourse
- Painful bowel movements or urination (especially during periods)
- Heavy or irregular periods
- Fatigue
- Infertility or difficulty getting pregnant
- Gastrointestinal symptoms like bloating, constipation, or diarrhea
Note: Some females with endometriosis may have no symptoms at all, making it difficult to detect.
If you are experiencing any of these warning signs, consult a gynae doctor near you today for an expert evaluation and timely diagnosis.
While the exact cause isn’t fully known, several theories exist:
- Retrograde menstruation: This happens when menstrual blood flows backward into the pelvic area instead of exiting the body through the vagina.
- Hormonal Imbalance: Estrogen may promote the growth of misplaced endometrial-like tissue.
- Genetic Factors: Endometriosis may run in families.
- Immune System Disorders: A weak immune system may fail to destroy misplaced tissue.
- Surgical Scars: Endometrial tissue may attach to surgical incisions, e.g., after a C-section.
Endometriosis is a major but often overlooked cause of infertility. The condition can damage reproductive organs, block fallopian tubes, or create inflammation that interferes with ovulation and fertilization. In some cases, it may also affect the quality of eggs or the uterine environment needed for implantation.
Women who are trying to conceive and experience symptoms like severe cramps, pelvic pain, or irregular periods should not delay seeking medical advice. Early diagnosis and treatment can significantly improve the chances of natural conception or the success of fertility treatments. Struggling to conceive? Schedule a consultation with an infertility specialist near you at Miracles Healthcare today. We offer expert diagnosis, advanced treatment options, and compassionate care to support your journey to parenthood.
Diagnosis usually involves:
- Medical History Review
- Pelvic Examination
- Ultrasound or MRI
- Laparoscopy (gold standard): A minor surgical procedure to view and biopsy abnormal tissue
At Miracles Apollo Cradle, we offer state-of-the-art diagnostic tools, including advanced ultrasound and laparoscopic evaluation, to ensure early and accurate diagnosis.
Although there is no permanent cure for endometriosis, various treatments can help reduce symptoms, relieve pain, and enhance fertility. The right treatment depends on the severity of the condition, your symptoms, age, and whether or not you are planning to have children.
1. Medication
Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen are usually the first line of protection to relieve menstrual cramps and chronic pelvic pain associated with endometriosis.
- Hormonal Therapy: Hormonal treatments help regulate or stop the menstrual cycle to prevent the growth of endometrial-like tissue. Common options include:
- Birth Control Pills: Help lighten periods and reduce pain.
- Progestins: May stop menstruation entirely, slowing the growth of abnormal tissue.
- Gonadotropin-releasing hormone (GnRH) Agonists: Temporarily put the body into a menopausal state, reducing estrogen levels and shrinking lesions.
These treatments are usually effective for symptom control, but they do not eliminate the endometrial tissue that has already formed.
2. Surgical Treatment
- Laparoscopic Surgery: This is the most effective surgical method for diagnosing and treating endometriosis. During the procedure, small incisions are made in the abdomen to insert a camera and surgical instruments. The surgeon can then remove or destroy endometrial implants and scar tissue. This minimally invasive surgery usually provides significant relief and improves fertility outcomes.
- Hysterectomy: In extreme cases where pain is severe and other treatments have failed, a hysterectomy (removal of the uterus) may be considered. This is generally a last resort, especially for women who wish to preserve fertility.
3. Fertility Treatments
For women who are trying to conceive and are affected by endometriosis-related infertility, the following options can be explored:
- Ovulation-Inducing Medications: These medications stimulate the ovaries to release eggs, increasing the chances of conception.
- Intrauterine Insemination (IUI): It is a procedure in which sperm is placed into the uterus at the time of ovulation to increase the possibility of pregnancy.
- In Vitro Fertilization (IVF): IVF is usually recommended when other fertility treatments have not worked and tends to have a higher success rate for women with moderate to severe endometriosis.
4. Lifestyle Changes & Diet
- Regular Physical Activity: Moderate exercise can help reduce inflammation and alleviate pain by releasing endorphins, the body’s natural painkillers.
- Anti-Inflammatory Diet: A healthy diet that includes plenty of fruits, vegetables, whole grains, and omega-3 fats (like those found in fish and flaxseeds) can help reduce inflammation and ease endometriosis symptoms.
- Stress Management: Chronic pain can take a toll on your mental health. Techniques such as yoga, meditation, acupuncture, and breathing exercises can promote relaxation and pain relief.
If you are experiencing chronic pelvic pain, heavy periods, or struggling to get pregnant, don’t dismiss it as just “part of being a woman.”
Endometriosis may be a silent condition, but the effect it has on a woman’s physical, emotional, and reproductive health is anything but invisible. From chronic pain to fertility struggles, it can take a serious toll on quality of life if left undiagnosed or untreated.
With timely diagnosis, advanced treatment options, and personalized care, endometriosis can be managed effectively. Don’t let endometriosis hold you back. Book an appointment today with the best gynecologist near you at Miracles Healthcare and take the first step towards a pain-free, healthier future.