Endometriosis

Endometriosis is a chronic condition where tissue similar to the endometrium (the inner lining of the uterus) grows outside the uterus. While endometrial-like tissue can appear anywhere in the body, it usually occurs in the other reproductive organs in the pelvic area.

The condition varies in severity and can cause cramps, pain, irregular menstrual bleeding, and bowel and bladder problems. Endometriosis may also interfere with fertility. 

Diagnosing endometriosis can be challenging because pain and bleeding can be attributed to other conditions. Laparoscopy is considered to be the gold standard for diagnosis. A pelvic exam, the CA-125 blood test, and imaging tests, such as ultrasound and MRI, may also be used.

The discomfort can be managed with pain medication. Hormone therapy can suppress the growth of endometrial-like tissues. Excision of endometriosis is the best way to slow the regrowth of the lesions. 

According to the U.S. Department of Health and Human Services, endometriosis affects more than 11% of women between age 15 and 44.

Frequently Asked Questions

  • What causes endometriosis?

    Endometriosis is caused by the formation of endometrial-like tissue in the ovaries, fallopian tubes, pelvis, bladder, rectum, intestines, and/or vagina. Often, the out of place endometrial-like cycles between proliferating and breaking down during phases of the menstrual cycle, leading to periodic cramps, swelling, and bleeding. It’s now known what predisposes a woman to develop endometriosis, and it is believed to be associated with environmental and hereditary factors.

  • How is endometriosis diagnosed?

    Endometriosis is considered as a possible cause of episodic cramping, pain, swelling, and/or bleeding, especially when the symptoms are more severe or widespread than expected with menstruation. A pelvic examination or imaging tests like a pelvic ultrasound or computerized tomography (CT) scan can identify endometrial-like tissue outside the uterus, but often, a surgical biopsy is necessary to definitively identify the condition.

  • Is endometriosis genetic?

    Endometriosis does tend to run in families, but the exact hereditary pattern and the specific genes that could be responsible for the condition are not known. It is believed that a hereditary predisposition could make you more prone to endometriosis and that certain factors—being underweight and having a history of abdominal surgery—may increase the risk.

  • Can you get pregnant with endometriosis?

    Endometriosis can interfere with fertility, and the condition increases the risk of miscarriage and pregnancy complications. However, you can get pregnant and have a healthy pregnancy when you have endometriosis. Lifestyle strategies like a healthy diet are important. And often, hormonal treatment, intrauterine insemination, or in vitro fertilization are used to facilitate pregnancy.

  • What does endometriosis look like?

    Endometriosis does not cause visible changes in a woman’s appearance, and it doesn’t cause a change in the appearance of menstrual bleeding. However, when viewed with diagnostic medical imaging tests, the endometrial-like tissue often appears as cystic lesions. And, when viewed directly during surgery, endometriosis has a characteristic appearance of bluish, black, reddish, or white lesions that look “burned.”

Key Terms

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