What causes endometriosis?
Genetics and certain toxins in the environment  are possible causes of endometriosis. There are also issues that put you at a greater risk, like a history of pelvic infection or something known as retrograde menstruation. That’s a condition where your period blood starts going ‘backwards’ – rather than out of the vagina, it flows back through the fallopian tubes and into the pelvic cavity. This blood contains endometrial cells, which then stick to the pelvic walls and to other organs, where they continue to thicken and bleed during each menstrual cycle.
How is endometriosis treated?
Although endometriosis is a chronic condition (which means it persists for a long time) there are ways to manage it. Over-the-counter anti-inflammatories, like ibuprofen, are often used to manage pain. The combined contraceptive pill can help too, by stopping eggs from being released, making periods lighter and less painful .
In terms of surgical treatments, key-hole surgery may improve symptoms and fertility , while some women may eventually decide to have a hysterectomy, which means removing the womb .
Getting an endometriosis diagnosis
Endometriosis can come with many different symptoms and take years to diagnose – the average is 7.5(!)  Periods can be painful, heavy and irregular. Sex may be painful. And infertility can be an issue. Other symptoms can include – to name a few – pain passing urine or during bowel movements, extreme tiredness, and frequent thrush infections. Many women have several symptoms, and some none at all .
That’s why for some, a diagnosis can actually be a source of relief. As one woman put it, “I finally had a name for my pain. A name for the debilitating cramps that came every single month.”
The only way to fully diagnose endometriosis is through a key-hole camera investigation of your pelvic area. But before this point, you may have external examinations, internal examinations, scans and blood tests – or a combination.
Reaching out and getting support
Although women everywhere are affected by endometriosis, many aren’t getting the support they need. This is because the condition often goes undiagnosed or, when it is diagnosed, it’s misperceived as ‘really bad period pain’. As a result, women often feel like they’re being ignored and their pain isn’t being taken seriously. This can lead to feeling isolated and like you’re the only one.
But with 176 million women (one in 10) affected worldwide, you’re not alone .
Reach out to friends and family, even if it feels like an awkward subject. Talking about it will help, and you might even have people close to you with first-hand experience of endometriosis. Not only will they know what you’re going through, but they can help you to get the support you need from your doctor.
If you recognise the symptoms and suspect that you have it, book an appointment with your doctor or gynaecologist to find out more. They’ll explore ways to ease your pain and help you cope with the symptoms.
Understandably, current government guidelines mean waiting times for appointments and surgeries may be longer than usual. If it's difficult for you to visit your doctor at the moment, consider asking for a phone or video consultation instead.
You can also read more about endometriosis on the NHS website, or find support services and a community of those affected on Endometriosis UK.
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