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Endometriosis

Endometriosis is one of the most common causes of debilitating pelvic pain in women, affecting up to 1 in 10 women. With endometriosis, the endometrial cells from the uterus's inner lining are found outside of the uterus, in the pelvis. These endometrial cells, also called implants, can spread and grow on the ovaries, fallopian tubes, bowel, and bladder. In rare cases, these cells can also be found outside of the pelvis.

Endometriosis cells outside the uterus are affected by the hormones of your menstrual cycle, causing pain and inflammation. Over time, this inflamed tissue can thicken and eventually break down and become trapped in the pelvic area. If untreated, endometriosis can cause irritation, adhesions that bind pelvic organs, scarring, and occasionally even infertility. Our OB/GYN providers at Plano Women's Healthcare are experienced at endometriosis care and have many options to provide women of all ages with relief from their symptoms.

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How is Endometriosis Diagnosed?

Endometriosis is often diagnosed based on symptoms, ultrasound testing, and exam findings. In severe cases, the pelvic organs may feel “stuck” or have tenderness. An ultrasound may also reveal an endometrioma, an endometriosis-filled cyst on the ovary. It’s important to note that having a normal ultrasound does not exclude endometriosis. Many women with endometriosis have “normal” ultrasounds as endometriosis implants may be small and undetectable.

The only way to definitively diagnose endometriosis is with a surgical procedure called a diagnostic laparoscopy. During this procedure, a small camera is placed in the abdomen and the pelvic organs are evaluated for signs of endometriosis. Most women can be treated for endometriosis based on exam findings and symptoms alone without the need for surgery. However, if other endometriosis treatments have not worked, your OB/GYN may suggest surgical options.

What are Some Symptoms of Endometriosis?

Women with endometriosis may experience severe discomfort during their menstrual cycles, affecting their quality of life and missing important events and activities. Deep internal pain with intercourse, pain with bowel movements during menses, heavy or irregular periods, low back pain, and chronic or daily pelvic pain are other indications that a woman may have endometriosis.

What are the Treatment Options for Endometriosis?

Pain management, generally with NSAIDs such as ibuprofen or naproxen, and hormonal birth control are usually the first-line treatment options for endometriosis. This treatment is usually very effective, but if these measures do not provide relief, your OB/GYN may discuss other medication options and surgery. Our physicians at Plano Women’s Healthcare are well-versed in endometriosis treatment options, including minimally invasive surgery.

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How Does Endometriosis Affect Fertility?

Up to half of women with infertility issues have endometriosis. Inflammation from endometriosis can interfere with the function of your reproductive system, including your ovaries, eggs, fallopian tubes, and uterus. When scar tissue develops from endometriosis, it can cause blockages of the fallopian tubes that render them unable to transport eggs after ovulation has occurred.

Is Endometriosis the Same Thing as Cancer?

Absolutely not. Endometriosis is not cancer, however, if you have endometriosis, you may be at higher risk of developing specific gynecologic cancers. Our specialists at Plano Women’s Healthcare can help answer any questions you may have about this possibility.

Have More Questions About Endometriosis?

If you are experiencing any of the symptoms of endometriosis, including pelvic pain, help is just an appointment away. Our experts at Plano Women’s Healthcare can help correctly diagnose and treat endometriosis in a safe, secure environment. We provide individualized care to help our patients resolve their symptoms as quickly as possible.

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Call us today at 972-596-2470

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