It can take time to get a diagnosis of endometriosis. The average time to get a diagnosis is seven years. This is because symptoms vary between women, and symptoms can change over time. Also, period pain is often accepted as normal.
From a fertility perspective, the main sign of silent endometriosis is recurrent pregnancy loss and/or failed implantation with none of the normal symptoms of endometriosis. Endometriosis affects the uterine wall lining, impacting the ability of an embryo to implant itself and grow in the uterus.
On average, women in the United States will suffer from endometriosis for 10 years before receiving a proper diagnosis. Endometriosis affects one in 10 women, and many women who report chronic pelvic pain are found to have it.
Research published in the Journal of Assisted Reproduction and Genetics suggested that 20 to 25 percent of endometriosis patients are asymptomatic. The only way some of these women discover the disease is when they have unexplained infertility.
Untreated endometriosis can be painful, affect a person's quality of life, and may increase the risk of developing certain chronic diseases. One of the main risks of untreated endometriosis is worsening chronic pain.
You could be putting your health at risk if you don't get treatment. While they are unlikely to be fatal, they can have a negative impact on your quality of life. Untreated endometriosis can lead to a variety of complications, including: Pain that lasts for a long time.
Pelvic Adhesions
Any scarring in the pelvis or abdomen—often due to an infection or prior surgery—can be misdiagnosed as endometriosis itself, according to Dr. Brauer. “Presence of pelvic adhesions can cause significant chronic pelvic pain that is similar to that experienced with endometriosis.
Surgery is currently the only way to confirm a diagnosis of endometriosis. The most common surgery is called laparoscopy. In this procedure: The surgeon uses an instrument to inflate the abdomen slightly with a harmless gas.
Endometriosis Symptoms
The most common signs of endometriosis are pain and infertility. Endometriosis pain typically presents as: Painful menstrual cramps that may go into the abdomen (stomach) or lower back. Pain during or after sex.
An experienced gynecologist may suspect endometriosis based on a woman's symptoms and the findings during a pelvic exam. Currently, the only way to diagnose endometriosis is through laparoscopy – a minor minimally invasive surgical procedure that is done under general anesthesia (while the patient is asleep).
If you're having pain with your periods, pain in your pelvis in general pain with intercourse, urination, bowel movements, all of that may point us to a suspicion of endometriosis.
It's estimated that between 20 and 25 percent of women of reproductive age with endometriosis have silent, or asymptomatic, endometriosis.
Retrograde menstrual flow is the most likely cause of endometriosis. Some of the tissue shed during the period flows through the fallopian tube into other areas of the body, such as the pelvis. Genetic factors. Because endometriosis runs in families, it may be inherited in the genes.
Endo belly is a severely bloated abdomen common in people with endometriosis. Some people say their swelling gets so bad, they look like they're pregnant. “People with endometriosis often have symptoms for years before receiving an accurate diagnosis,” says women's health specialist Megan Billow, DO.
Endometriosis can cause pain in more than one area of your body, including: Pelvic or belly pain. It might start before your period and last several days. It can feel sharp and stabbing, and medication usually won't help.
Pelvic pain was identified as the most frequent, severe and bothersome symptom for women with endometriosis. Pain was reported to be greatest during menstruation (dysmenorrhea) and during or after sexual intercourse (dyspareunia).
Women with endometriosis can experience pelvic or lower abdominal pain, pain with menses (dysmenorrhea), pain with intercourse (dyspareunia) and pain during bowel movements (dyschezia). Symptoms can be constant or “cyclical,” meaning that they worsen before and during the period, and then improve.
“Endo is extremely debilitating, life-changing, and isolating. The pain is so severe even meditation doesn't help.” “The day-to-day pain can be described as sharp, shooting abdomen pains, paired with period cramps.
Adenomyosis (ad-uh-no-my-O-sis) occurs when the tissue that normally lines the uterus (endometrial tissue) grows into the muscular wall of the uterus. The displaced tissue continues to act normally — thickening, breaking down and bleeding — during each menstrual cycle.
Endometriosis is a chronic condition that causes symptoms such as severe abdominal pain, irregular menstruation, and infertility. Some people report weight gain as a symptom of endometriosis, which may be attributed to abdominal bloating or treatments for the disease. Pain may indirectly contribute to weight gain.
Can endometriosis be seen on an ultrasound? Ultrasounds can show large clumps of tissue that are likely signs of endometriosis. Ultrasounds are also very good at identifying endometriosis of the ovaries. But ultrasounds can't show tiny pieces of tissue that may also be signs of endometriosis.
Because endometriosis manifests itself in a variety of ways and shares symptoms with other conditions, diagnosis can be difficult and often delayed. Recent research shows that there is now an average of 7.5 years between women first seeing a doctor about their symptoms and receiving a firm diagnosis.
Lack of funding is not the only problem. Endometriosis is a complex condition. The symptoms vary so much between women that doctors used to think it was more than one condition. Therefore, it can be hard for researchers to know where to begin.
Most of us have cramps during our periods, but women with endometriosis often have debilitating pain. Chronic pelvic pain. Sometimes women have chronic and severe pelvic pain even when they don't have their periods, Christianson says.