Endometriosis: The Silent Struggle – What You Need to Know

Do you suffer from excruciating period pain that disrupts your daily life? Have you been struggling with bloating, heavy periods, or even difficulty getting pregnant? Do you find yourself in pain during or after sex but don’t know why? If any of this sounds familiar, you might be dealing with endometriosis – a condition that affects millions of women but often goes undiagnosed for years.

Endometriosis is a common yet often misunderstood condition that affects approximately 1 in 10 women of reproductive age. Despite its prevalence, many women suffer in silence, unaware that their painful periods or unexplained symptoms could be a sign of this chronic condition.

At The Family Doctor Group, we’re here to help you understand endometriosis, identify symptoms, arrange investigations, and manage the condition effectively.

What is Endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus (endometrium) grows outside the womb, often on the ovaries, fallopian tubes, and surrounding pelvic structures. This tissue behaves like the uterine lining, thickening and shedding with each menstrual cycle, but unlike a period, it has no way to exit the body. This leads to inflammation, scarring, and sometimes the formation of cysts known as endometriomas.

Symptoms of Endometriosis

The symptoms of endometriosis can vary widely. Some women experience severe pain, while others may have no symptoms at all. The most common signs include:

• Painful periods (dysmenorrhoea): Cramps that are worse than usual and may start before your period begins.

• Chronic pelvic pain: Pain that occurs outside of your menstrual cycle.

• Pain during or after intercourse: A common but often overlooked symptom.

• Painful bowel movements or urination: Especially during menstruation.

• Heavy or irregular periods: Periods that last longer or are heavier than usual.

• Infertility: Difficulty conceiving can be a sign of endometriosis.

• Bloating and digestive issues: Often mistaken for IBS (irritable bowel syndrome).

  
  

If you experience any of these symptoms, it’s essential to speak with a doctor to explore possible causes.

How is Endometriosis Diagnosed?

Because endometriosis symptoms overlap with other conditions, diagnosis can sometimes take years. However, at The Family Doctor Group, we prioritise early intervention and can help guide you through the process.

Investigations may include:

• Medical history and symptom review – Discussing your symptoms with a GP is the first step.

• Pelvic examination – This may help detect cysts or tender areas.

• Ultrasound scan – While a scan can’t confirm endometriosis, it can identify cysts associated with the condition.

• MRI scan – Sometimes used to provide a more detailed image.

• Laparoscopy – A keyhole surgical procedure where a small camera is inserted into the abdomen to confirm endometriosis and potentially remove abnormal tissue.

  
  

Managing Endometriosis

While there is no cure, several treatments can help manage symptoms and improve quality of life. Your GP at The Family Doctor Group can discuss options based on your symptoms and lifestyle.

These may include:

• Pain relief: Over-the-counter anti-inflammatory medications like ibuprofen.

• Hormonal treatments: Options like the contraceptive pill, hormonal IUD, or GnRH analogues can help regulate or suppress menstrual cycles.

• Surgery: In more severe cases, laparoscopy can be used to remove endometrial tissue.

• Fertility treatments: If endometriosis affects fertility, assisted reproductive techniques like IVF may be considered.

• Lifestyle changes: Exercise, dietary modifications, and stress management can help alleviate symptoms.

  
  
  
  

  

  
  
  
  

When to See a Doctor

If you suspect you have endometriosis, don’t wait for your symptoms to worsen. The Family Doctor Group is here to support you with personalised care, diagnostic tests, and tailored treatment plans.

Book an appointment with us today – relief from endometriosis could be closer than you think.