Plagued by Painful Periods? It Could Be Endometriosis
Painful periods can be common, but that doesn’t mean they’re normal. Menstrual cramping might be mild to moderately severe and usually lasts 1-3 days.
But about 1 in 10 women with painful periods have extreme pain that prevents them from exercising, working, or completing other routine daily activities. Could your painful periods be caused by endometriosis?
Finding the root cause and easing your symptoms can restore quality of life and peace of mind. Visit with board-certified OB/GYN Daniel Esteves, MD, and our staff at his private practice in Lawrenceville and Loganville, Georgia, to find out what’s going on.
What is endometriosis?
Endometriosis is a chronic condition where tissue similar to the lining of the uterus grows outside of the uterus. It could grow on your ovaries, fallopian tubes, or other areas in your pelvis.
The result may be inflammation, intense cramps, heavy bleeding, infertility, and other life-altering concerns.
Endometriosis affects about 10% of women around the world. While common, it can go undetected because its pain is often dismissed as normal menstrual cramping.
The good news? You don’t have to just live with it. Treatments range from pain management and hormonal therapies to surgery, depending on your symptoms and their severity. If your periods regularly interfere with work, school, or daily life, it’s worth talking to a healthcare provider to determine how to best ease your pain.
Signs of endometriosis
The following are symptoms of endometriosis to be aware of:
- Pelvic pain
- Painful menstrual cramping
- Heavy menstrual bleeding
- Spotting between periods
- Back pain
- Abdominal discomfort
- Pain during sex
- Pain when going to the bathroom
- Infertility
- Fluid retention
- Diarrhea, bloating, constipation, or other gastrointestinal concerns
Not everyone has noticeable symptoms of endometriosis.
Risk factors for endometriosis
The following may increase your risk of experiencing endometriosis:
- Family history of endometriosis
- Being aged 20-40
- Never having children
- Long, heavy periods lasting longer than 7-8 days
- Short menstrual cycles (less than 27 days)
- Beginning your period at an early age
- Being older when going through menopause
- Low body mass index (BMI)
- High estrogen levels
Endometriosis symptoms may improve after menopause.
Are my painful periods caused by endometriosis?
Dr. Esteves can determine if you have endometriosis by reviewing your symptoms and medical history, completing a pelvic exam, and ordering an ultrasound, magnetic resonance imaging (MRI), or other imaging tests.
He completes laparoscopy by inserting a small camera into your pelvis to know for sure if you have endometriosis. Dr. Esteves may remove tissues during a biopsy and send it to a lab. He can also remove or destroy suspicious tissues to ease symptoms or improve fertility.
Medications and hormonal therapies also help relieve painful symptoms. Endometriosis may go away on its own over time, especially after menopause.
Other causes of painful periods
It’s important to determine the underlying cause of painful periods, as endometriosis isn’t the only culprit. Other possible causes include:
- Severe menstrual cramps
- Fibroids
- Pelvic inflammatory disease (PID)
- Cervical stenosis (narrowed cervix)
- Adenomyosis (tissue similar uterine lining grows into the uterine muscle wall)
- Irregularly shaped uterus
Determining the root cause of your pain can ease uncomfortable periods and reduce your risk of infertility and other endometriosis complications.
See Dr. Esteves for a well-woman exam to find the cause of painful or heavy periods and relieve your discomfort. Call our nearest office or use online booking to schedule an appointment today.
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