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Endometriosis - Symptom, Treatment And Causes

What is Endometriosis?

Endometriosis is an extremely painful disorder where the tissues which lines the inside of the uterus (endometrium) starts growing on the outside of the uterus (womb). Endometriosis usually includes the tissues lining the pelvis, fallopian tubes and our ovaries. During Endometriosis, the endometrial tissues breaks down and bleeds as it normally would. This tissue doesn’t have any way to exit from the body so it gets trapped. Endometriosis causes chronic pain during your periods. Sometimes, fertility can also be affected and it might create issues during conceiving a baby.

What causes Endometriosis?

The exact cause of Endometriosis is not yet known but studies suggest that it can be caused due to some factors such as:

  • Retrograde menstruation- In this condition, menstrual blood that contains endometrial cells usually flow back into the pelvic cavity through the fallopian tubes instead of passing out from the body. These endometrial cells stick to the pelvic organs and pelvic walls where they thicken and start bleeding over the course of the menstrual cycle.
  • Changing of the peritoneal cells- This is also called induction theory. Endometriosis can be caused due to the transformation of peritoneal cells.
  • Embryonic transformation of cells- Hormones like estrogen can transform embryonic cells in the early stages.
  • Surgical scar implantation- After a surgery like C-section or hysterectomy, the endometrial cells can attach itself to a surgical incision.
  • Endometrial cells transport- The tissue fluid (lymphatic) or blood vessels can transport the endometrial cells to other body parts.
  • Immune system disorder- If there is a problem with the immune system, it may make the body impossible to destroy and recognize the endometrial tissue which grows outside the uterus.

Risk factors that make you more susceptible in developing Endometriosis is:

  • Not giving birth.
  • Starting your period very early in life.
  • Having your menopause at a very old age.
  • Menstrual cycle less than 27 days.
  • High levels of estrogen in your body or exposure to a high level of estrogen produced by your body.
  • Low body mass
  • Excessive Alcohol consumption
  • One or more family members having Endometriosis.
  • A medical condition which avoids the passage of menstrual blood out of the body.
  • Abnormalities in the uterus (womb).

The symptoms of Endometriosis can end permanently if you experience menopause and can end temporarily if you get pregnant. Taking estrogen supplements can also trigger Endometriosis in some women.

Treatable by medical professional Require medical diagnosis Lab test always required Chronic: can last for years or be lifelong
Pain in lower abdomen. Lower abdomenal cramps. Menstrual irregularities.

Popular Health Tips

Endometriosis - How It Is Affecting Your Life?

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Endometriosis - How It Is Affecting Your Life?

Endometriosis is a disease in which cells that form the lining of the uterus grow at abnormal locations. These cells grow on organs like ovaries, urinary bladder or rectum. 

Symptoms that can be accompanied with this condition are as follows: 

  1. Pelvic pain or cramps before or during menstrual period 
  2. Pain during or post sex 
  3. Pain at the time of ovulation 
  4. Pain during bowel movements 
  5. Rectal bleeding during period 
  6. Pain during urination 
  7. Lower back pain 
  8. Infertility 
  9. Spotting in between periods and bloating 

It has been observed by researchers that an estimated three to five million American women are seen to suffer from endometriosis. This disease is particularly prevalent in the age group of 30-40 years. However, it can also begin in the late teens and early twenties. 

Endometriosis and Infertility 
It is an established fact that about 40% of patients suffering from endometriosis will in all possibilities experience some degree of infertility. The primary cause of infertility due to endometriosis is because of blockage by scarring and adhesions in the tubes. These adhesions prevent the meeting of the egg and sperm and thus hinder the process of fertilization

Endometriosis and miscarriage 
Endometriosis can be a reason for miscarriage. In a recent study by researchers in the United Kingdom, it has been revealed that women suffering from endometriosis are at the risk of experiencing a miscarriage or an ectopic pregnancy. However, this is not supported by some other studies. Women with endometriosis can also be victims of bleeding during pregnancy, as well as preterm birth. In case you have a concern or query you can always consult an expert & get answers to your questions!

2833 people found this helpful

Suffering From Endometriosis - What Are Its Treatment Options?

Diploma In Obstetrics & Gynaecology, FCPS - Mid. & Gynae
Gynaecologist, Mumbai
Suffering From Endometriosis - What Are Its Treatment Options?

Endometriosis is a condition in which the endometrial cells lining the inside wall of the uterus begin to grow outside the uterus. In a majority of the cases, the growth is on the ovaries, the Fallopian tubes, or the tissues around the uterus. In rare cases, it occurs in other body parts. Normally, women in the age group of 30 to 40 years are prone to developing this condition and genetics is believed to be the reason behind this disorder. It is a serious medical condition if it causes discomfort to the woman.

Signs and Symptoms:  The signs and symptoms of endometriosis include chronic pelvic pain, pain during menstruation, urination, and intercourse, longer periods, bleeding between menstrual cycle, bloody urine or stool, and urinary and bowel problems.

Treatment methods:  In many cases, endometriosis goes undiagnosed and it can only be diagnosed through biopsy. If the biopsy confirms endometriosis, then it can be treated in the following ways:

  • Hormonal treatment: Hormonal treatment includes birth control pills, placement of the intrauterine device, Gonadotropin-releasing hormone, and Danazol or Medroxyprogesterone (Depo-Provera).
  • Pain medication: Pain killers with anti-inflammatory properties are prescribed to those who suffer from painful menstruation.
  • Surgery: This is the last treatment option and only advised to those who did not find relief from medicines and hormonal treatment. Surgeons try to remove the areas affected by endometriosis but in severe cases, the ovaries might need to be removed completely.

Complications: It is important to treat endometriosis on time as delay can lead to complications. The complications arising out of endometriosis include the following:

  • InfertilityThe scarring and distortions caused in the reproductive organs due to endometriosis and the endometriotic cysts can make a woman infertile.
  • Scarring: The bleeding and the inflammation caused by endometriosis leads to scarring of the tissues of ovaries.
  • Ovarian cysts: Sometimes, the abnormal growth of endometrial cells outside the uterus spreads to the ovaries and starts growing over there, leading to cysts.

Prevention: As it been mentioned before, in many cases, endometriosis goes undiagnosed but it can be prevented or its symptoms managed effectively if one is cautious. One should do the following:

  • Exercise regularly: Exercise increases immunity and also reduces the level of estrogens, which slows down the progression of endometriosis. It also provides relief from pain.
  • Eat nutritious dietA diet rich in vitamin and minerals ensures good health of the reproductive organs and a fine immune system. This helps to fight the symptom of endometriosis and keeps the disorder in check.

Endometriosis is known to affect a large number of women and since the early symptoms are mild or confusing, most of the time they go undetected. Nevertheless, a woman can avoid it and the complications arising out of it by being mindful of the symptoms. They should also undergo a regular pelvic exam and follow the instructions of their gynecologist. This would ensure timely detection of the disorder and if this is ensured, the management also becomes easy.

Endometriosis - How IVF Is Beneficial In This Case?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
IVF Specialist, Navi Mumbai
Endometriosis - How IVF Is Beneficial In This Case?

Every woman desires to experience the sweetness of motherhood but unfortunately, some fail to get it. It is because either they have low fertility or because they have developed a disease or disorder like endometriosis and Polycystic Ovary Syndrome (PCOS) due to which they fail to conceive.

Endometriosis is always associated with infertility. To get relief from troublesome problem is to get pregnant earliest may be by IUI if tubes are patent or by IVF. Endometriosis is conditions which lead the womb cells (endometrial cells) to develop in other parts of the body because of which women experiencing this disease fail to release the menstrual blood and also fail to conceive. But these days nothing is impossible it this medical advancement era. There are many ways and methods by which one can conceive.

So here we are providing a useful set of information on some of the best Fertility treatments.

  • Intrauterine Insemination or Artificial InseminationIt is a normal process in which the sample of a prepared sperm from the husband or the partner is injected directly into woman’s uterine cavity during ovulation.
  • In Vitro Fertilization: In this process, specific medication is used for the stimulation of the ovaries which lead them to produce more eggs in a while. Then eggs are then removed and fertilized with the husband or partner’s sperm in a laboratory. The fertilized eggs are placed for 3-5 days to develop an embryo and then the embryo is transferred to woman’s uterus.

It is considered as one of the best and last stop infertility solution which proves to be a boon for a sterile couple. As in this process, fertilization takes place outside the body because of which there is no problem of conception even in the condition of any blockage and also minimizes the risk of endometriosis-related infertility. The endometriotic deposits produce and releases toxin into the uterus, fallopian tubes and ovaries thus the egg gets toxic and fail to fertilize the sperm. 

In such condition, many patients rush for many other infertility treatments like fertility medications, intrauterine insemination, etc and when they lose hope of getting the desired result then they find a ray of hope by this ultimate treatment. There are five times more chances of conceiving by this method regardless of the age of women and the stage of endometriosis. The treatment is a boon not only for woman grappling with endometriosis but also for other critical issues like severe male infertility factor, blocked fallopian tubes, and reduced ovarian reserves. In such cases instead of wasting the money on other treatments doctors advice for IVF.

IVF minimizes the chances of miscarriage and also increases the chances of having a healthy baby. So if you are grappling with any such infertility issue than this informative guide may aid you in the journey from infertility to hearing child squeal at your home. In case you have a concern or query you can always consult an expert & get answers to your questions!

2783 people found this helpful

Endometriosis - Signs & Symptoms That Indicate It!

MBBS, MS - Obs and Gynae, MRCOG(London), DNB, Fellowship In Uro Gynaecology
Gynaecologist, Mumbai
Endometriosis - Signs & Symptoms That Indicate It!

What is endometriosis?

Endometriosis is a common condition where cells of the lining of the womb (the endometrium) are found elsewhere, usually in the pelvis and around the womb, ovaries and fallopian tubes. It mainly affects women during their reproductive years. Endometriosis is not an infection and it is not contagious.

What are the symptoms?

The main symptoms of endometriosis are pelvic pain, pain during or after sex and painful, sometimes heavy periods. It may cause problems with getting pregnant. It can affect many areas of a woman’s life including her general physical health, emotional wellbeing and daily routine. Many women may have no symptoms. It is a long-term condition. Some women with endometriosis become pregnant easily while others have difficulty getting pregnant.

What causes endometriosis?

Endometriosis occurs when the cells of the lining of the womb are found in other parts of the body, usually the pelvis. Each month this tissue outside the womb thickens and breaks down and bleeds in the same way as the lining of the womb. This internal bleeding into the pelvis, unlike a period, has no way of leaving the body. This causes inflammation, pain and damage to the reproductive organs. Less commonly, endometriosis may occur on the bowel and bladder, or deep within the muscle wall of the uterus (adenomyosis). It can also rarely be found in other parts of the body.

The symptoms of endometriosis are common and could be caused by a number of other conditions such as irritable bowel syndrome (IBS) and pelvic inflammatory disease (PID).

  • There is no simple test for endometriosis.
  • Your gynaecologist may examine your pelvic area, this will include an internal examination.
  • You may be offered a scan. This can identify whether there is an endometriosis cyst in the ovaries. A normal scan does not rule out endometriosis.
  • For most women, having a laparoscopy is the only way to confirm endometriosis; because of this, it is often referred to as the ‘gold standard’ test. This allows the gynaecologist to see the pelvic organs clearly and look for any endometriosis.

Several factors may influence your decision about treatment. These include:

  • How you feel about your situation
  • Your age
  • Whether your main symptom is pain or problems getting pregnant

What treatment can I get?

The options for treatment may be:

Pain relief

Hormone treatments: There is a range of hormone treatments to stop or reduce ovulation (the release of an egg) to allow the endometriosis to shrink or disappear. The hormonal methods below are contraceptives and will prevent you from becoming pregnant:

  • The combined oral contraceptive (COC) pill or patch. These contain the hormones estrogen and progestogen and work by preventing ovulation and can make your periods lighter, shorter and less painful.
  • The intrauterine system (IUS): this is a small T-shaped device which releases the hormone progestogen. This helps to reduce the pain and makes periods lighter. Some women get no periods at all.
  • The hormonal methods below are non-contraceptive, so contraception will be needed if you do not want to become pregnant:
  • Use of hormonal progestogens or testosterone derivatives
  • GnRH agonists are drugs that prevent estrogen being produced by the ovaries and cause a temporary and reversible menopause.

Some women find that recreational exercise improves their wellbeing, which may help to improve some symptoms of endometriosis.

SurgerySurgery can be used to remove areas of endometriosis. There are different types of surgery, depending on where the endometriosis is and how extensive it is. How successful the surgery is can vary and you may need further surgery.

  • Laparoscopic surgeryThe gynaecologist removes patches of endometriosis by destroying them or cutting them out.
  • Laparotomy: If the endometriosis is severe and extensive, you may be offered a laparotomy. This is major surgery which involves a cut in the abdomen, usually in the bikini line.
  • HysterectomySome women have surgery to remove their womb (a hysterectomy) with or without the ovaries. Depending upon your own situation, your doctor should discuss hormone replacement therapy (HRT) with you if you have your ovaries removed.

What if I am having difficulty getting pregnant?

Getting pregnant can be a problem for some women with endometriosis. Your doctor should provide you with full information about your options such as assisted conception. If you become pregnant, endometriosis is unlikely to put your pregnancy at risk. In case you have a concern or query you can always consult an expert & get answers to your questions!

4439 people found this helpful

Ovarian Cysts And Pregnancy - Understanding The Connection!

Gynaecologist, Chandigarh
Ovarian Cysts And Pregnancy - Understanding The Connection!

Are you aware of the connection between ovarian cysts and pregnancy? A woman’s ovaries produce eggs and sex hormones, namely estrogen and progesterone. Sometimes, a sac filled with fluid may develop on one of your ovaries. Ovarian cysts are common and are experienced by all women in their lifetime. Commonly, these cysts are painless, accompanied by no specific symptoms. As the cysts grow, symptoms such as swelling or bloating, painful bowel movements, painful sexual intercourse, and pelvic pain during menstrual periods are indicated. Other symptoms like breast tenderness, lower back and thigh pain, nausea and vomiting are also likely.

Link between ovarian cysts and pregnancy
Ovarian cysts are connected to pregnancy as they are associated with a woman’s fertility. Some ovarian cysts which can affect your fertility and hence pregnancy include the following:

• These are ovarian cysts, which are associated with complications in fertility and occur on account of endometriosis. This is a health condition in which the normal tissue lining around your uterus or the endometrium starts growing outside your uterus.

Ovarian cysts occurring because of polycystic ovary syndrome
• Polycystic ovary syndrome (PCOS) is featured by the development of several small cysts on the surface of your ovaries.

• Irregular menstrual periods and the increase in levels of certain hormones are indicated.
• This condition is associated with fertility. It results in irregular ovulation that causes complications in fertility in many women.

Ovarian cysts which only affect fertility after becoming large
There are some types of ovarian cysts, which do not affect fertility unless they become very large. They are as follows:

Functional cysts

  • These cysts include corpus luteum cysts and follicular cysts. These are the most common forms of ovarian cysts.
  • Functional cysts from a usual menstrual cycle do not contribute to infertility in any way. Instead, they indicate the functions, which lead to fertility.


  • These are developments or growths in your ovaries. They usually occur from the surface of your ovaries.
  • These cysts require treatment, but do not affect fertility in any negative way.

Dermoid cysts

  • These are solid cysts containing tissues similar to skin, teeth and hair instead of fluid content.
  • These cysts too are not related to infertility problems during pregnancy.

If you are diagnosed with ovarian cysts and are concerned whether they will affect your pregnancy, it is important for you to consult your doctor. You will be able to discuss the various treatment measures, which revive your pregnancy chances. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

4145 people found this helpful

Popular Questions & Answers

I and my recent sonography on 13 day of my cycle, shows endometrium is thickened 15 mm. Can mensorite help me for this n can I take this Syrup during my cycle. Thanks.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Noida
Hello, day 13 endometrial thickness of 15mm is way high. pLease get an endometrial biopsy done to rule out any chances of early uterine cancer.

Hi, My wife suffering endometriosis disease last 9 years. Its a curable disease? We have no kids. How much treatment cost at your organizations?

Gynaecologist, Noida
Implications of endometriosis depends on it's grade. Grade 3 or 4 endometriosis can't be treated fully but it's symptoms can be alleviated by various medicines and hormones. Also fertility is badly affected by it .A diagnostic and palliative laparoscopy can be planned to restore normal anatomy and fulgerate as much of the bulk of the disease as possible but the outcome of this surgery on fertility is not that promising and in most cases IVF may be needed depending on the case.
1 person found this helpful

Hi, I have endometriosis in my overy and I had 6 months Rumiguest. Now 1 month back my medicine course over but still my period are not start. After medicine over when will start my period. I am worried about this.

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune
Since you were on rumigest for 6 months, your periods are delayed. Once your cycles become ovulatory, you will get your periods.
1 person found this helpful

I'm 32 years old. I have twins child through IVF. I have problems in my left abdomen it's paining before and after my period its pain almost 20 days I'm not able to stand. I consult Dr. They say I have endometriosis problem. It should treated to stop my period forever. I ask one question that stop period forever are any side effects in my health in future or not.

MS - Obstetrics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Only menopause can stop your periods forever which could be natural or surgical. There are many treatments for endometriosis both surgical and medical. Follow the advise of your doctor because treatment depends on the size of endometriosis, Symptoms, age and fertility. No drug can stop your periods forever.

I am 27 year old and my endometrial thickness is 15 mm. What should I do? Need to worry or is it normal? I am hypothyroidism patient.

Endocrinologist, Delhi
Normal endometrial thickness is considered to be up to 11 mm. In my openion you need not to worry but have regular checkup. Keep controlled your thyroid status.

Table of Content

What is Endometriosis?

What causes Endometriosis?

Risk factors that make you more susceptible in developing Endometriosis is:

Play video
Know More About Endometriosis
Hello Everyone,

This is Dr. Sanket Pisat. I am a consultant Gynecological Laparoscopic surgeon working in Adheri in Mumbai.

And today we are going to talk about endometriosis. Endometriosis, as you may have heard from newspapers or report, is a disease that effects the reproductive track of the females quite commonly. The incidence of endometriosis in the past few years, mainly attributed to a late age of marriage, a late age of pregnancy or sometime because of having no children at all. So what is actually endometriosis? Endometriosis is the abnormal growth of the uterine lining which should normally be growing within the uterus at places where it should not be growing like the other organs within the abdominal cavity for example on the ovaries. What happens that is this endometrial lining causes pockets of blood filled tissues on the other organs like the ovaries or the intestines and result in tremendously painful periods to the patient, also sometimes resulting in infertility. The diagnosis of endometriosis is largely clinical, in a sense that sequelae or a set of symptoms commonly suggest that you may be suggesting from endometriosis. These include very heavy periods, tremendously painful periods or an onset of pain just before the periods but going away as the period start or sometimes just plainly infertility. Other times in some patient it may be a difficulty in sexual intercourse or pain during sexual intercourse and all of these require intensive investigation. Sometimes endometriosis can be diagnosed by an ultrasound examination in which the cyst in the ovary show the presence of endometriosis and these are the patients who require surgery. Endometriosis surgery can nowadays be done by laparoscopy or minimally invasive surgery in which there are hardly three or four cuts take in the abdomen which are less than a centimetre in size and the entire disease of endometriosis can be removed by surgery through these three or four ports. Of course, some pockets of endometriosis which are attached to vital organs within the body may not be removed but these then can be managed by medicines alone. In other patients, endometriosis is not as wide spread, the entire disease can be controlled by medicines alone and the patient can be given long term therapy for about three months or six months to make sure that the endometriosis stays quist and does not grow again. A word of conscience for these patients with endometriosis who are also suffering from infertility is that it is essential to plan pregnancy and child birth early because endometriosis is a disease of recurrence and a disease of progression and as age advances an endometriosis increases in intensity. It becomes more and more to conceive either naturally or by any form of assistive reproductive techniques.

If you have any further question in regards please feel free to contact me via Lybrate. Thank you.
Play video
PCOD & Endometriosis
PCOD & Endometriosis
Play video
Infertility Treatment
Namaskar, main Dr Pradnya Aptikar hoon. Thane mein main 16-17 years se practice kar rahi hoon as an ayurvedic gynaecologist. Ayurvedic gynaecology may be a new concept for you all. So ayurvedic gynaecology kis tarike se kaam karta hain? Jo classical Ayurved ki jaankari rakhte hain, aur modern science ki bhi jaankari hain, under one roof, I am working as an ayurvedic gynaecologist. Jis disease main Ayurved acchi tarike se kaam karta hain, usme ayurvedic medicines ki tarike se hum kaam karte hain. Aur jis diseases mein humein modern technology ki zarurat padhti hain diagnosis ke liye, jaise ki infertility ki baat hum lete hain, jisme hume X-ray, yap hire laparoscopy, hysteroscopy or surgery ki zarurat padti hai. In sab cheezon ko dhyan humein rakhte huye hume kaam karna padhta hain. Toh ayurvedic gynaecology hone ke bawajood, main baaki medicines or ayurvedic medicines ki bhi jaankari rakhti hoon. Jaise ki diabetes hai, thyroid disorders hai, endocrinological disorders hai, us me hum kaam karte hain. Aur yeh sab kaam ayurvedic medicines ke zariye kiya jaata hain. Ayurved jo hain, who alag tarike se kaam karta hain.

Aj hum infertility ke baare mein pehle baat karenge. Jaise ki by definition infertility ka matlab hain ki patient, ya couple agar ek saal se conceive nahi kar paa raha hain, phir toh hum unhein infertile bolte hain. Jaise ki the couple is trying for a baby for one year with unprotected sex, still they are not getting success, then the couple is defined as an infertile couple. Toh uske liye hum kaam karte hain. Toh agar apko dekha jay, toh isko hum anatomy apko mein batati hoon.

Isme yeh aap dekhte sakte hain ki yeh body of the uterus hain, yeh ovaries hain, and fallopian tubes hain. Toh isme agar PCOD jaise conditions hain, jaise ki ovaries mein agar anda taiyar nahin ho raha hain, har mahine mein period aate hain, to periods start hone k 14th or 16th day ek ek anda right ya left ovaries se nikalta hain. Lekin agar ye nahi nikalta hain, ya phir immature nikalta hain, ya phir ovarian cyst taiyar ho jata hain, wo anda puri tarike se bahar nahi nikalta. Toh, yeh anda poori tarike se nikalne ke baad, yeh naliye usme kaam karte hain. Naliya usko jaise kheech leti hain. Then agar sperms acchi quality ke hain, toh ye upar swim karke aate hain, and yeh. Accha sperm is helpful in fertilizing the ovum, and the embryo is formed in the fallopian tube, and that get implanted in the uterine cavity.

Aisi tarike se fertilization hoke, implantation hoke, pregnancy hoti hain. Lekin ye kisi bhi factor mein agar problem hai, toh infertility hoti hain. Jaise ki maine kaha ki ovarian cyst hain, PCOS hain, endometriosis hain, ya phir tubal blockage hain, toh phir humein success nahin milta hain, or humein infertility ka samna karna padhta hain. Toh is tarike mein, is mamle mein, ayurved kaise help karta hain?

Toh is mamle mein humein purification process rehti hain panchakarma se. Anda normal ya mature anda taiyyar hone mein hum kaam karte hain. Aur male partners mein agar sperm ki quality achchi nahi hain toh usme bhi hum panchakarma processes kar ke, hum sperm ki quality acChi tarike se badhate hain. Aur jis jis mein tubal blockages hain ya phir endometriosis hain, use bhi hum gynaceological panchakarma rehte hain. Jaise jise hum _____ bolte hain, aur uterus ki peeling process karke hum us mein kaam karte hain. Is me tubal blockages bhi nikal aatein hain, aur implantation ki chances badh jaate hain. Endometrium ki quality hum badhatein hain. IUI aur IVF jaise jo artificial reproductive techniques hain, isme bhi yeh karne se pehle agar hum panchakarma aur ye agar process karte hain, toh humein achchi tarike se results milte hain.

And further information ke liye, you can contact me via Thank you.
Having issues? Consult a doctor for medical advice