The endometrium (inside lining of the uterine cavity) responds to hormones by thickening in preparation for pregnancy. In absence of fertilization, it sloughs and becomes your period.

Endometrial tissue grows outside the uterine cavity, It can implant on the fallopian tubes, ovaries, the external surface of the uterus, the rectum, intestines, and urinary organs. The implants can become inflamed, irritated, and scarred. the adhesions can cause organs to stick together, which can be painful. Affecting around 10 percent of women in their childbearing years mostly diagnosed between the ages of 30-40.

Signs & Symptoms of Endometriosis:

  • Chronic pelvic pain
  • Heavy bleeding
  • Painful intercourse
  • Painful bowel movements or urination (if implants are affecting these organs)
  • Infertility


  • Laparoscopy & biopsy: Definite
  • History & Exam plus Imaging: Suggestive

Endometriosis & treatment options:

  • Hormonal Therapies: birth control pills, GnRH agonists, and progestin medications.
  • Surgery & excision or fulguration: With fertility desires.
  • Hysterectomy