What Is Endometriosis?

Endometriosis (or endo for short) is when tissue similar to the lining of your uterus (called the endometrium) grows in places it shouldn’t, such as your ovaries, fallopian tubes, bladder, or even the outer walls of the uterus.

Each month, this tissue responds to hormones the same way the uterus lining does: it builds up, breaks down, and bleeds. But unlike a period, this blood has nowhere to go. This can cause swelling, scarring, and serious pain.

 

Signs and Symptoms:

Endometriosis looks a little different for everyone, but here are some signs that could mean more than just “normal” cramps:

– Extremely painful periods that don’t get better with over-the-counter medicine

– Cramps that start days before your period and last well after it ends

– Heavy bleeding or bleeding between periods

– Pain when using the bathroom, especially during your period

– Pain during exercise, movement, or sex (even if you’re not sexually active, this can show up in pelvic exams)

– Digestive issues, such as bloating, nausea, or constipation during your period

– Fatigue or low energy that sticks around, especially during your cycle

 

If your period is regularly interfering with your life, such as school, sports, sleep, that’s not something to ignore.

 

Why Endo Often Goes Undiagnosed

One of the hardest parts of endometriosis is how long it takes to get diagnosed. On average, it takes 7 to 10 years after symptoms first show up. Why?

– Teens are often told that “pain is just part of having a period”

– Symptoms can be brushed off as “stress” or “growing pains”

– Doctors may not always recognize it right away, especially if periods have always been irregular or painful

– Teens often experience irregular periods for their first couple years menstruating

 

But you know your body, and if something feels off, it’s okay to speak up.

 

How Is Endometriosis Diagnosed?

There’s no single test that can confirm endometriosis right away. Diagnosis usually involves:

– A review of your symptoms and period history

– A pelvic exam (in some cases)

– Imaging tests such as an ultrasound or MRI, which can sometimes detect cysts or inflammation

– In some cases, a minor surgery called laparoscopy, where doctors look inside the pelvis to confirm endometriosis

 

This may sound intimidating, but just starting the conversation with a trusted healthcare provider is the first and most important step.

 

 

Managing Endometriosis

Endometriosis is a long-term condition, but that doesn’t mean you’re stuck with the pain forever. With support and the right care, symptoms can be managed.

 

 

Treatment options include:

– Hormonal birth control: to regulate or even stop period

– Pain relievers: such as ibuprofen or prescription meds

– Surgery: in more severe cases, to remove or reduce the endometrial tissue

– Lifestyle changes: such as adjusting your diet, improving sleep, and managing stress, which can all help reduce flare-ups

 

It’s not one-size-fits-all. What helps one person might not work for another, so it’s okay to take time figuring out what’s best for you.

 

 

Endometriosis is real, it’s common, and it’s not “just in your head.” If your period feels like it’s taking over your life or making you feel miserable month after month, you deserve answers and support.

Learning about your body is never something to feel embarrassed about. Keep tracking your symptoms, ask questions, and trust what your body is telling you. You’re not alone, and you don’t have to suffer in silence.