What is Endometriosis?

Effecting 7-10 million US women, endometriosis occurs when tissue similar to the lining of the uterus (endometrium), is found outside of the womb, where the tissue should not be. As the tissue responds to the monthly fluctuations of a woman's menstrual cycle, inflammation occurs. Women often experience a decade-long delay in diagnosis. At this time, there is no known cause or cure.

Pain in the pelvis, abdomen, or back

Painful cramps during menstruation

Heavy/long periods

Bleeding between menstrual cycles

Painful intercourse

Bladder problems

Bowel problems (diarrhea and constipation)

Abdominal bloating

Nausea and vomiting

Headaches

Chronic fatigue

Infertility

Recurrent miscarraige

Asymptomatic (i.e., silent endometriosis)

1.

Uterus

2.

Fallopian tubes

3.

Ovaries

4.

Uterosacral ligaments

5.

Peritoneum

6.

Spaces between the bladder, uterus, vagina, and rectum

7.

Bowel, intestines, appendix, or rectum

The Impact of Endometriosis

Watch Georgie and other women talk about the impact of endometriosis as seen on CBS This Morning.

How is Endometriosis Diagnosed?

WHAT YOU NEED TO KNOW

1

Laparoscopic Surgery

Diagnostic laparoscopy is the only way to verify endometriosis. If found during the procedure, it can be removed at that time.  However,  it is the pathology report that provides ultimate confirmation via the biopsy specimens from surgery.  Given the complexity of endometriosis surgery, finding an expert is critical.

2

In-Office Exam /

Imaging Tests

Critical to know is doctors may conduct imaging tests like computed tomography (CT), magnetic resonance imaging (MRI), or ultrasounds. While these, along with  pelvic and rectovaginal exams, may indicate suspicion of endometriosis (or miss signs of it), they cannot provide confirmation. It is, however, common to obtain a pelvic ultrasound and MRI before undergoing the laparoscopy.

3

Endometrial Biopsy

High levels of BCL6 indicates inflammation usually associated with endometriosis.  If trying to conceive, this limits the ability of the embryo to stick to the endometrial lining.  ReceptivaDx™ can accurately detect inflammatory conditions on the uterine lining likely to cause implantation issues. 

Find an Expert

Unfortunately, there are limited experts in endometriosis given that proper research is lacking, doctors receive minimal training, and it is a complex condition.  Check out this article that provides important details and helpful tips to inform your search.

Managing your Endometriosis Symptoms

Every patient will benefit differently from each treatment. What may work for one woman, may not for another. Endometriosis is a disease that still requires much more research and knowledge. It is crucial for each patient to trust her own judgment, work with her physician, and find the pain management strategy that works best for her if she decides to explore alternative treatment measures.

—  Endometriosis Foundation of America (EndoFound)

Treatments to Manage Your Symptoms

There is no magic pill, but there are options.  Educate yourself so you and your clinician can weigh the pros and cons to decide what's right for you. 

Medications/Supplements

Lifestyle/Alternative