Endometriosis: How to Recognize It and What to Do

Endometriosis is a chronic condition in which tissue similar to the endometrium (the inner lining of the uterus) grows outside the uterus — on the ovaries, fallopian tubes, intestines, bladder, and other organs. According to the WHO, endometriosis affects approximately 190 million women of reproductive age worldwide — one in ten women.

Primary symptoms include severe menstrual pain (dysmenorrhea), chronic pelvic pain, pain during intercourse, painful urination and bowel movements during menstruation, and fertility problems. However, the insidious nature of endometriosis lies in the fact that its symptoms are often dismissed as "normal" menstrual pain. The average time from symptom onset to diagnosis is 7-10 years.

Diagnosis involves ultrasound, MRI, and in ambiguous cases, laparoscopy. Treatment depends on severity and pregnancy plans: from hormonal therapy and pain management to surgical removal of lesions. It is important to find a doctor specializing in endometriosis, as general gynecologists do not always have access to current treatment protocols.

Living with endometriosis requires a comprehensive approach: medical treatment, anti-inflammatory diet, stress management, physical activity, and psychological support. Many women report that yoga, acupuncture, and osteopathy help manage pain. The most important thing is not to silence your pain or accept it as normal.