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QUESTION
I am a client of infertility clinic (already 3 years!!!). Women health is my priority and I was always taking care of my health. Doctors cannot find any reason for infertility but at the same time they think I could have endometriosis because I always have painful periods (but always very regular!). What are symptoms of endometriosis?
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ANSWER from experts
In most cases women with endometriosis don't have any symptoms. Women who do experience symptoms, mainly notice painful periods, pelvic pain and and infertility. Pelvic pain usually occurs during or just before menstruation and lessens after menstruation. Some women experience pain or cramping during/after intercourse, bowel movements and/or urination.
Sometimes even pelvic examination by a doctor can be painful in women with endometriosis. The pain intensity can change from month to month, and vary greatly among women. Some women experience progressive worsening of symptoms, while others can have resolution of pain without treatment.
Pelvic pain in women with endometriosis depends partly on where the implants of endometriosis are located - usually deeper implants and implants in areas with many pain-sensitive nerves could be more likely to produce pain.
The endometrial implants could also produce substances that circulate in the bloodstream and cause pain.
Lastly, pain can result when endometriosis implants form scars. There is no relationship between severity of pain and how widespread the endometriosis is (the "stage" of endometriosis).
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Endometriosis can be one of the reasons for infertility in otherwise healthy couples. When laparoscopic examinations are performed for infertility evaluations, endometrial implants can be found in some of these patients, many of whom may not have painful symptoms of endometriosis.
The reasons for a decrease in fertility are not completely understood, but might be due to both anatomic and hormonal factors. The presence of endometriosis may involve masses of tissue or scarring (adhesions) within the pelvis that may distort normal anatomical structures, such as Fallopian tubes, which transport the eggs from the ovaries.
Some women with endometriosis could also have diarrhea and/or constipation, low back pain, irregular or heavy menstual bleeding, or blood in the urine.
Rare symptoms of endometriosis include chest pain or coughing blood due to endometriosis in the lungs and headache and/or seizures due to endometriosis in the brain.
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Stop Suffering the Living Hell of Endometriosis
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You are more likely to develop endometriosis if you:
 began getting your period at an early age;
have heavy periods;
have periods that last more than seven days;
have a short monthly cycle (27 days or less);
have a close relative (mother, aunt, sister) with endometriosis.
Some studies suggest that you may lower your chances of developing endometriosis if you exercise regularly and avoid alcohol and caffeine.
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