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Endometriosis Diagnosis and Treatment

The menstrual cycle causes hormonal changes that may influence the progression of endometriosis. Intense cramps during your periods could be a sign of endometriosis. An assessment is essential for managing pain and endometriosis Boynton Beach. Here is an outline of the causes, diagnostic process, and therapeutic interventions for endometriosis.

Endometriosis and menstrual cycle cramps

There are two types of period pain, primary and secondary. Primary dysmenorrhea can occur without any underlying medical reason. The pain is the result of chemical imbalances that cause abnormal uterine contractions. Primary dysmenorrhea is a lifelong condition that often starts from the first period.

The second type is secondary dysmenorrhea, which is often a sign of a problem with your reproductive system. Endometriosis is a leading cause of secondary dysmenorrhea.

Endometriosis causes the uterus-like lining of cells to break down when hormonal changes occur during your menstrual cycle. You may notice bleeding and pain, as your body sheds the uterine tissue.

The bleeding may lead to the formation of scar tissue in the uterus, called adhesion. Adhesions intensify endometriosis pain and stick to organs, which affects your pregnancy prospects.

Endometriosis and period pain symptoms

Women with endometriosis have varying experiences of pain during their periods. The pain usually starts a few days before your menstrual cycle and may persist after the end of the cycle. Typically, you may feel intense pain around your pelvic region and lower back.

Most women report experiencing debilitating pain during their period. Nonetheless, the intensity of the pain is not an indicator of the severity of endometriosis. Sometimes, patients do not experience pain in the later stages of endometriosis.

Additionally, period pain could be an indication of other reproductive system conditions. Some of the conditions that may cause cramps may include:

  • Uterine fibroids
  • Uterine or fallopian tube abnormalities
  • Adenomyosis or abnormal tissue growth
  • Urinary complications or Crohn’s disease

Diagnosis of endometriosis and period pain

Your endocrinologist may request a pelvic exam to check for abnormalities. The examination usually involves laparoscopy. A laparoscope is a thin device inserted through a micro-incision in your belly.

Hysteroscopy is another procedure that can assess problems such as heavy bleeding and pelvic pain. It is performed with a camera, passed through the vagina to examine the womb. Hysteroscopy can also diagnose related issues such as fibroids, non-cancerous growths, and adhesion.

Treating endometriosis and secondary dysmenorrhea

Medication could be part of your endometriosis treatment to address pain and inflammation. NSAIDs (Nonsteroidal Anti-inflammatory Drugs) can regulate prostaglandins, the chemicals controlling uterine contractions.

NSAIDs can, therefore, reduce the severity of menstrual cramping. IUDs and birth control pills could also regulate hormones during your menstrual cycle.

Your endocrinologist may recommend interventions to regulate hormone imbalances. Hormone replacement therapy can limit the frequency of ovulation and reduce abnormal tissue growth. It can also manage other symptoms like heavy breathing and intense pain.

Surgery is sometimes necessary for women with endometriosis who want to conceive. The surgical procedure removes the endometrium to prevent scar tissue accumulation.

Call or schedule an appointment online for an endometriosis consultation today.

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