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What is Endometriosis?

Endometriosis is characterized by the growth of tissue outside the uterus that is like the endometrial lining. This can occur in the vagina, ovaries, bowels, bladder, or fallopian tubes. This extra tissue acts like the normal womb lining. It swells up and sheds during your period, just like the lining in your uterus. This condition can cause painful and heavy periods, fatigue, mood swings, and fertility issues.

Treatment methods can include medication, surgery, or both. The determining factors are the degree of the symptoms and the individual’s desire to become pregnant. When dealing with pelvic pain and if suspected, seeing an endometriosis specialist can help.

Understanding the Causes of Endometriosis

The exact cause of endometriosis isn’t known for sure, but there are a few ideas about what might be behind it:
  • Blood or lymph system transport: Like cancer cells can spread in the body, endometrial tissues can also move through the blood or lymph systems. When looking for private treatment for endometriosis, it’s important to know how these tissues can shift and lead to pain.
  • Genetics: There may be a genetic component to endometriosis because the disorder is seen in some families more frequently than in others.
  • Direct transplantation: Sometimes, after surgeries like C-sections or hysterectomies, endometrial cells might stick to the abdominal walls or other places. This understanding highlights the importance of considering complications during surgical procedures and the need for specialized care, including pelvic pain treatment.
  • Transformation: Other cells in the body may become endometrial cells and start spreading in inappropriate places. This transformation process is a key factor in understanding the development of endometriosis and the need for pelvic pain treatment.
  • Reverse menstruation: During a menstrual cycle, endometrial tissue may move backward into the fallopian tubes and abdomen rather than out of the body.

Symptoms of Endometriosis

Endometriosis symptoms can vary from person to person. Mild to severe pain may occur that lasts for days during menstruation, or there may be no symptoms at all (silent endometriosis).

Other symptoms can include:
  • Painful or heavy periods
  • Discomfort when peeing
  • Bleeding between periods
  • Feeling tired
  • Feeling down
  • Pain during sex
  • Struggles with sex and
  • relationships
  • Difficulty conceiving
  • These symptoms depend on where the endometrial tissue is in your body. Dealing with pelvic discomfort or other symptoms necessitates seeking help. There are treatments for endometriosis and pelvic pain relief that can help manage your symptoms and improve your life. Don’t hesitate to seek support from an endometriosis specialist at a pelvic pain clinic.

Risk Factors of Endometriosis

Certain factors can increase the risk of developing endometriosis, including:
  • Family history: Having a mother, sister, or daughter with endometriosis.
  • Heavy periods: Menstrual periods lasting more than seven days.
  • Early menstruation: Starting menstruation before age 11.
  • Abnormal uterus: An abnormal uterus was diagnosed by a doctor.
  • Short menstrual cycles: Menstrual cycles lasting less than 27 days on average.
Seeking professional guidance is essential for proper diagnosis and overcoming the risk factors, including options for pelvic pain relief to manage symptoms.

Prevention of Endometriosis

Endometriosis has an unknown cause, making it challenging to prevent. However, knowing the symptoms and your risk factors can help you know when to seek medical advice. In about 15% of cases, endometriosis may recur after treatment. After surgery, your doctor may recommend hormone injections or adjusting your birth control pills to lower the risk. Additionally, some types of intrauterine devices (IUDs) are linked to a lower chance of recurrence rates. If pelvic pain or other symptoms continue, it’s essential to consult with an endometriosis specialist. They can provide private treatment options and pelvic pain relief tailored to your needs. Remember, early detection and management can improve your quality of life.

Endometriosis and Infertility

Female infertility is frequently linked to endometriosis. Fertility can be impacted by even mild to moderate cases, though usually only temporarily. Having the endometrial tissue removed surgically can improve the chances of pregnancy.

Doctors are still exploring how endometriosis may affect fertility. It could prevent the egg from being released from the ovaries or block its path to the uterus through the fallopian tubes. Additionally, it could damage fertilized eggs before they implant in the uterus.

Even those with endometriosis-related infertility may get pregnant and have a healthy baby. Pregnancy-promoting therapies include in vitro fertilization (IVF) and fertility preservation. When arranging endometriosis treatment, talk to a doctor about your desired outcome for fertility.

If you’re facing challenges with fertility due to endometriosis, seeking guidance from an endometriosis specialist or a pelvic pain clinic in London can offer valuable support and options for pelvic pain relief.

Diagnosing Endometriosis

Your doctor might suspect endometriosis based on your symptoms and medical history. They’ll likely perform a physical examination to check for any signs of the condition. Diagnosing endometriosis typically involves a few steps:


If suspicious tissue is found during laparoscopy, the doctor may take a small sample for further examination. A biopsy involves scraping off a few cells and sending them to a lab for analysis under a microscope. This is necessary for confirming the diagnosis of endometriosis.


This process includes making a tiny cut in the belly and inserting a thin tube with a camera. This allows the doctor to inspect the pelvic area for signs of endometrial tissue growth.
Clinics specializing in women’s health, such as Well Women Clinic, offer detailed check-ups and treatments for conditions like endometriosis. Visiting specialized clinics helps you get expert care and tailored plans for your pelvic discomfort.

Diagnosing Endometriosis without Surgery

No specific lab test or imaging procedure can diagnose endometriosis without surgery. However, certain imaging studies can help detect the condition’s potential signs. These include:

MRI (Magnetic Resonance Imaging)

This scan uses magnetic waves for detailed internal images of
tissues and organs.


This imaging technique uses sound waves to create images of organs. Transvaginal ultrasounds use a wand inserted in the vagina for detailed images of reproductive organs.

Stages of Endometriosis

Endometriosis is ranked in stages 1 to 4 based on the position, size, and amount of endometrial tissue. A more advanced stage doesn’t mean severe symptoms or pain. People with stage 4 endometriosis might have few or no symptoms, whereas those with stage 1 may experience severe symptoms.

If you suspect pelvic discomfort or endometriosis, consulting an endometriosis specialist is crucial. For personalized treatment options and guidance on pelvic pain relief, consider visiting a pelvic pain clinic like the Well Women Clinic in London.

How is Endometriosis Treated at Well Women Clinic?

Endometriosis is treated with personalized methods by Dr. Nilesh Agarwal, gynecologist specialist London at the Well Women Clinic. Treatment options include medications to reduce symptoms, hormonal therapies to regulate menstrual cycles, and small surgeries to remove endometrial tissue.

Nonsurgical endometriosis treatments, including laparoscopy, laparotomy, and hysterectomy, are also available. Located in London, Well Women Clinic offers comprehensive care for women’s health concerns. They create individualized treatment plans designed to address endometriosis and pelvic pain effectively.

After an Endometriosis Diagnosis: What to Expect

Treatment helps many women who are suffering from the pain and symptoms of endometriosis. It’s important to know that the tissue can grow back, and symptoms might worsen after surgery. Therefore, you must visit your doctor regularly to check for any indications of endometrial tissue growth or regrowth. They can provide pelvic pain relief options and treatments tailored to your needs.


Early detection, personalized treatment, and regular follow-ups are vital in managing endometriosis. Dr. Nilesh Agarwal, an endometriosis specialist at Well Women Clinic in London, offers tailored treatment plans to address symptoms effectively. With a focus on comprehensive care and pelvic pain relief, patients can find support and guidance to improve their quality of life. Don’t hesitate to seek help and take proactive steps towards managing endometriosis and pelvic pain.


How did I get endometriosis?
The exact cause of endometriosis remains unclear. It may be due to factors like retrograde menstruation, where menstrual blood flows back into the pelvic cavity instead of exiting the body through the fallopian tubes.
Is endometriosis infectious or a form of cancer? Can endometriosis turn into cancer?
Endometriosis is neither infectious nor a form of cancer. It does not turn into cancer, and having endometriosis does not increase your risk of cancer.
Can endometriosis be prevented?
Endometriosis can’t be prevented but spotting it early and managing it can ease symptoms and prevent further problems.
Can I get pregnant if I have endometriosis?
Yes, it’s possible to get pregnant with endometriosis, but you might need medical help.
Sex is painful – is it making the endometriosis worse?
Pain during sex can occur with endometriosis but doesn’t worsen the condition. However, discussing discomfort with your healthcare provider to explore treatment options and ensure well-being is essential.
If I have endometriosis, should I have a hysterectomy?
If you have endometriosis, a hysterectomy may be considered as a treatment option to relieve pain. But it’s essential to discuss with your doctor to weigh the benefits and risks.
What happens if my endometriosis is left untreated?
If not treated, endometriosis can cause infertility, ongoing pelvic pain, harm to nearby organs, and more health issues. Early diagnosis and management are crucial for preventing these issues.
How long is recovery from endometriosis treatment?
Recovery time from endometriosis treatment varies based on the type of procedure, ranging from days to weeks. Follow your doctor’s guidance for the best recovery.