Endometriosis – Causes, effects, diagnosis, treatment

Endometriosis is a women reproductive system disorder whereby a tissue similar to the one that lines the uterine walls develops outside the uterine cavity on other organs such as the fallopian tubes and ovaries.

Endometriosis - causes,effects,treatment
Doctor suggesting hospital program to patient

The tissue that develops outside the uterine wall (endometrium) bleeds during menstrual cycle thus causing more pain and irritation.

This disease can be cured 100% by a medical expert.


The actual causes of endometriosis have not been established but medics argue that the following might be the causative agents.

Here are the causes of endometriosis;

  • Menstrual complication – Frequent complications during menstrual cycle such as retrograde menstruation in which menstrual blood flows back to the fallopian tube and into the pelvic cavity instead of flowing out of the body is one of the causes of endometriosis. The endometrial cells contain in the blood will stick to the walls of the pelvic and other pelvic organs and continue to grow and thicken and eventually start bleeding during every menstrual cycle.
  • Embryonic cell growth – Embryonic cells lining the abdomen and pelvic may undergo abnormal growth and develop into endometrial like cell implants within those cavities during puberty.
  • Surgical scars – During surgical operations such as hysterectomy or c-section, endometrium cells might attach to the surgical incision and start developing and swelling.
  • Endometrial cell transport – Endometrial cells might be transported to other body parts by blood vessels or tissue fluid.
  • Immune system disorder – A problem in the immune system may make destruction of endometrial-like tissue impossible.


There are several factors that can increase your chances of getting endometriosis disease. Some of the common factors are;

  • Family history of endometriosis – If there is any member in a family that has ever suffered from endometriosis, there is a very higher chance another person will also suffer from this disease. Medics have established that endometriosis can be hereditary in nature.
  • Delayed giving birth – Women who delay to give birth have been found to be highly susceptible to endometriosis.
  • Short menstrual cycle – Women who experience shorter menstrual cycles, probably for 27 days are in a very high chance of suffering from this disease.
  • Starting menstruation at an early age Teens who start menstruating at earlier ages, probably 10 years or less are in a higher risk of suffering from this disease. This can also be among the causes of endometriosis
  • Reproductive tract infections – Having these infections like UTI can increase the chances of endometriosis occurring
  • Delayed menopause – Women who enter into menopause late, probably at 60 years or even more are more likely to suffer from this disease than those who enter into menopause as early as 40 years.
  • Infertility – Not giving birth can predispose a woman to endometriosis at a higher rate than those women who give birth.


There are several other diseases that can mimic the symptoms of endometriosis e.g. pelvic inflammatory disease (PID), Irritable bowel syndrome (IBS), Ovarian cysts.

The following are the common symptoms of endometriosis;

  • Fatigue
  • Nausea and vomiting
  • Pain during sexual intercourse
  • Pain when urinating
  • Infertility
  • Lower abdominal pain is also common among the symptoms of endometriosis
  • Lower back pain
  • Excessive bleeding during menstruation
  • Constipation
  • Diarrhea
  • Bloody urine during menstruation
  • Severe menstrual cramps

This symptoms of endometriosis can either be seen in whole or few of them will show up


There are several methods that can be used in the treatment of endometriosis. It can involve the use of medicine, birth control or even surgery.

Treatment of endometriosis involves any of the following methods;

  • Pain medication – Doctors may prescribe some drugs to relieve menstrual pain as a method in the treatment of endometriosis procedures. The drugs may include over the counter (OTC), non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen. This type of medication is not very effective like other but it helps in managing pain.
  • Hormonal birth control – If pain medications does not reduce the pain during menses, doctors might prefer using hormonal birth control for a round two to three months continuously. This will prevent you from experiencing monthly periods, thus no pain.   Hormonal birth control can also cause side effects such as weight increase, depression, acne, increase in body hair growth and irregular bleeding. The hormonal birth control methods may involve the following methods which are recommended;
  • Birth control pills, patches and vaginal rings – all this contain hormones estrogen and progestin
  • Progestin only contraceptives – This includes pills, shots and Intrauterine device (IUD). These drugs can reduce pain during menses.
  • SurgeryDoctors may recommend surgery if the conditions of endometriosis are not getting reduced using all the other methods. The most effective surgery is the removal of both ovaries and the disease will never be witnessed again.
  • Gonadotropin – releasing hormones (GnRH) Some women can use this hormone in the treatment of endometriosis in order to block the production of estrogen hormone thus making them to enter into temporary menopause. This treatment is not recommended for women who want to get pregnant. GnRH can cause vaginal dryness and hot flashes. GnRH is in two types, agonists and antagonists. Agonist drugs may include Goserelin also known as Zoladex, Leuprolide also known as Lupron and Nafarelin also known as Synarel. Antagonist drug is Elagolix also known as Orilissa.
  • Danazol (Danocrine) – This drug is also used in the treatment of endometriosis. It makes the body to stop releasing hormones responsible for menstruation and it increases the immune system. It’s advised to be on birth control while taking this drug to avoid complications in child development if accidentally you get pregnant while taking it.
  • Aromatase inhibitors – Aromatase is a hormone that increases estrogen production while aromatase inhibitors will reduce estrogen production thus reducing the possibility of experiencing menses. Many doctors don’t recommend this method in the treatment of endometriosis but it can be prescribed if you are not ready to get pregnant while using it.


Due to the possibility of other diseases also showing similar signs like endometriosis, doctors maybe forced to carry out a series of tests to establish the exact disease affecting you. Diagnosing endometriosis can involve any of the following methods;

  • Pelvic exam – A doctor physically/manually feels areas in your pelvis for the possibility of cysts or scars.
  • Magnetic Resonance Imaging (MRI) – This uses radio waves and magnetic field to get the images. It will show the appearance of the pelvis and any possibility of endometriosis.
  • Ultrasound – This uses high frequency sound waves to get an image of your pelvis. The doctor can place the transducer into your vagina or move it around your belly. This doesn’t establish endometriosis but it can show the possible existence of cysts.
  • Laparoscopy – This is the most effective method of diagnosis. It involves inserting a thin, lighted tube with a miniature camera through a small incision in the pelvic area. This will show if really endometriosis exists or not.




Endometriosis cannot kill and, in some women, it doesn’t show any signs. The only most effective treatment for this disease is surgery (hysterectomy),

Endometriosis can affect your mood by making you to have anxiety, depression and can also cause other mental health diseases.

Fatigue can be caused by low iron levels in the body due to heavy bleeding due to this disease and this will eventually cause a person to feel tired.

Having endometriosis cannot prevent you from becoming pregnant because study has shown several women still get pregnant even when suffering from endometriosis.

There are also several exercises that can help in reducing endometriosis and am going to feature that in my next article so don’t forget to bookmark this site or drop your comment so that we get your email and send the article to you immediately when it is ready.

2 thoughts on “Endometriosis – Causes, effects, diagnosis, treatment

Leave a Reply