Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, causing pain and potentially leading to fertility issues. This misplaced tissue behaves like endometrial tissue, thickening, breaking down, and bleeding with each menstrual cycle, but unlike the regular menstrual flow, this blood has no way to exit the body

Symptoms

The symptoms of endometriosis vary widely but commonly include:

Pelvic Pain: This is the most prevalent symptom, often severe during menstrual periods. Pain can also occur during intercourse, bowel movements, or urination.

Heavy Menstrual Bleeding: Many women with endometriosis experience excessive bleeding during their periods or spotting between periods.

Infertility: Endometriosis is found in 20-40% of women who are infertile.

Other Symptoms: Fatigue, diarrhea, constipation, bloating, and nausea, especially during menstruation, are also common.

Causes

The exact cause of endometriosis is not clear, but several theories exist:

  1. Retrograde Menstruation: Menstrual blood flows backward through the fallopian tubes into the pelvic cavity instead of leaving the body, causing endometrial cells to implant outside the uterus.
  2. Embryonic Cell Transformation: Hormonal changes during puberty may transform embryonic cells into endometrial-like cells outside the uterus.
  3. Surgical Scars: Endometrial cells may attach to surgical incisions from procedures like a hysterectomy or C-section.
  4. Immune System Disorders: Issues with the immune system may prevent the body from recognizing and destroying endometrial-like tissue outside the uterus.

Treatment

Treatment for endometriosis focuses on symptom relief and improving quality of life:

Medications: relievers, hormonal therapies, and birth control can manage pain and reduce endometrial tissue growth.

Surgery: Laparoscopic surgery can remove endometrial implants and scar tissue. In severe cases, a hysterectomy may be necessary.

Lifestyle Changes: Regular exercise, a balanced diet, and stress management can help alleviate symptoms.

Alternative Therapies: Acupuncture and herbal treatments may provide relief for some women, though more research is needed.