National Endometriosis Awareness Month Understanding and Managing Endometriosis

March is National Endometriosis Awareness Month,

a time dedicated to raising awareness about a condition that affects millions of women worldwide. At Strength In You OBGYN, we are committed to providing education, support, and comprehensive care for individuals suffering from endometriosis. Whether you’re newly diagnosed or have been struggling for years, understanding this condition is the first step toward effective management and improved quality of life.

What is Endometriosis?

Endometriosis is a chronic condition in which tissue similar to the lining of the uterus (endometrium) grows outside the uterus. This misplaced tissue commonly affects the ovaries, fallopian tubes, and the pelvic lining, but in severe cases, it can spread to other parts of the body.

During each menstrual cycle, this tissue responds to hormonal changes, thickening and breaking down as it would inside the uterus. However, because it has no way to exit the body, it becomes trapped, leading to inflammation, scarring, and the formation of painful adhesions between organs.

Signs and Symptoms of Endometriosis

Endometriosis symptoms can vary in intensity and may be mistaken for other conditions, such as irritable bowel syndrome (IBS) or pelvic inflammatory disease (PID). Common symptoms include:

• Severe pelvic pain, particularly during menstruation
• Heavy or irregular periods
• Pain during or after intercourse
• Painful bowel movements or urination, especially during periods
• Chronic lower back pain
• Bloating, nausea, or gastrointestinal discomfort
• Fatigue and low energy levels
• Difficulty getting pregnant (infertility)

Not all individuals with endometriosis experience severe symptoms—some may have mild discomfort, while others may face debilitating pain that affects daily activities.

What Causes Endometriosis?

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

• Retrograde menstruation – Menstrual blood flows backward through the fallopian tubes into the pelvic cavity instead of exiting the body.
• Immune system dysfunction – The immune system may fail to recognize and destroy misplaced endometrial tissue.
• Genetic factors – Endometriosis tends to run in families, suggesting a genetic component.
• Hormonal imbalances – Estrogen plays a significant role in stimulating endometrial tissue growth.

How is Endometriosis Diagnosed?

At Strength In You OBGYN, we use a combination of medical history, physical exams, and diagnostic tests to evaluate symptoms and determine if endometriosis is present.

Common Diagnostic Methods:

• Pelvic Exam – Checking for abnormalities such as cysts or scar tissue.
• Ultrasound – A transvaginal or abdominal ultrasound can detect ovarian endometriomas (chocolate cysts).
• MRI (Magnetic Resonance Imaging) – Provides a detailed view of the pelvic organs.
• Laparoscopy (Definitive Diagnosis) – A minimally invasive surgical procedure where a small camera is inserted into the abdomen to visualize and potentially remove endometrial tissue.

Treatment Options for Endometriosis

Although there is no cure for endometriosis, several treatments can help manage symptoms and improve quality of life. The best treatment plan depends on symptom severity, age, and future fertility goals.

1. Pain Management

• Over-the-counter pain relievers (Ibuprofen, Naproxen)
• Prescription pain medications for severe cases

2. Hormonal Therapy

• Birth Control Pills, Patches, or Rings – Regulates hormonal fluctuations.
• Progestin Therapy (IUD, Injection, or Pill) – Helps reduce or stop menstruation.
• Gonadotropin-Releasing Hormone (GnRH) Agonists – Induces temporary menopause to halt endometrial growth.

3. Surgical Treatments

• Laparoscopic Surgery – Minimally invasive procedure to remove endometrial lesions and adhesions.
• Hysterectomy (in severe cases) – Removal of the uterus and possibly the ovaries for long-term relief.

4. Lifestyle & Holistic Approaches

• Dietary changes (anti-inflammatory foods, limiting processed foods)
• Regular exercise and physical therapy
• Acupuncture and herbal treatments
• Stress management (yoga, meditation, therapy)

Endometriosis and Fertility

Endometriosis is one of the leading causes of infertility. The condition can cause:

• Blockage of the fallopian tubes due to scar tissue
• Inflammation that affects egg quality
• Hormonal imbalances that disrupt ovulation

For individuals struggling with endometriosis-related infertility, options such as fertility medications, intrauterine insemination (IUI), and in vitro fertilization (IVF) may help achieve pregnancy.

Q&A: Understanding Endometriosis

Q: Can endometriosis be prevented?

A: There is no surefire way to prevent endometriosis, but reducing estrogen levels through hormonal birth control, regular exercise, and a healthy diet may lower the risk.

Q: How does endometriosis impact daily life?

A: Endometriosis can affect physical, emotional, and mental health. Chronic pain and fatigue may interfere with work, relationships, and social activities, often leading to stress, anxiety, and depression.

Q: Is pregnancy a cure for endometriosis?

A: While pregnancy can temporarily suppress symptoms due to hormonal changes, endometriosis is not cured by pregnancy and symptoms may return after childbirth.

Q: Can endometriosis come back after treatment?

A: Yes, endometriosis can recur even after surgery. Hormonal therapy may help delay regrowth, but long-term monitoring is essential.

Q: Can diet help with endometriosis symptoms?

A: Yes! Many individuals report symptom relief by reducing inflammatory foods such as red meat, dairy, and processed sugars while incorporating omega-3-rich foods, leafy greens, and fiber.

Q: When should I see a doctor for painful periods?

A: If menstrual pain is severe, worsens over time, or interferes with daily activities, it’s time to seek an evaluation at Strength In You OBGYN.

Take Control of Your Endometriosis Journey

Endometriosis is a complex condition, but with the right medical support and lifestyle strategies, it is possible to manage symptoms and maintain a fulfilling life.

At Strength In You OBGYN, we offer personalized care, expert diagnostics, and advanced treatment options to help individuals navigate endometriosis with confidence.

📍 11886 Healing Way Suite 580, Silver Spring, MD 20904
📞 Phone: (240) 554-5505

🌐 Website: strengthinyouobgyn.com

If you or a loved one is struggling with symptoms of endometriosis, don’t hesitate to reach out. Schedule an appointment today and take the first step toward relief and wellness.