From diagnosis delays to treatment options, find straightforward answers to the questions you have about endometriosis.
From diagnosis delays to treatment options, find straightforward answers to the questions you have about endometriosis.
Endometriosis is a systemic, inflammatory condition characterized by tissue similar to the lining of the uterus growing in other parts of the body. Endometriosis has been found in every organ. It is not simply a menstrual disease, yet is often mischaracterized as such, even by reputable sources.
Endometriosis affects approximately 1 in 10 people born with female reproductive organs. Common symptoms include, but are not limited to, pelvic pain any time during the month, a wide range of GI symptoms, urinary symptoms, fatigue, debilitating periods and more depending on where the endometriosis lesions are located in the body.
Symptoms often start early in life, but due to cultural taboos, misinformation and a historical lack of emphasis in medical education, they may be ignored or misdiagnosed by caregivers, healthcare consumers and practitioners alike. The average diagnostic delay is 7-10 years.
Endometriosis symptoms may begin as early as when puberty starts. Endometriosis symptoms can present before menstruation, during menstruation, and/or after menstruation. An estimated 70% of teens with chronic pelvic pain go on to be later diagnosed with endometriosis.
Red flag: If you or your patient regularly feels pain during or around periods, and this pain is bad enough to interfere with usual activities, this is a red flag - it is not normal and should be investigated further as soon as possible. (If you do not have this, it doesn't mean that you don't have endometriosis).
Risk factors for endometriosis include a mother or sister having the disease (7x increased risk), early onset of menses, short or frequent menstrual cycles, Mullerian abnormalities, autoimmune conditions and more. However, many people develop endo who have none of these risk factors.
Hysterectomy is not a cure for endometriosis. A disease characterized by tissue found outside of the uterus is not cured by removal of the uterus, ovaries and/or tubes and cervix. Over 100,000 hysterectomies are performed each year in the United States for endometriosis and most of them are unnecessary. Neither is pregnancy a cure for endometriosis.
People with endometriosis need an individualized, multi-disciplinary treatment plan that may include specialized, incredibly difficult surgery. Most gynecologists are not trained in advanced endometriosis cases. Drug therapy may suppress symptoms, yet it does not eradicate endometriosis. Patients should be referred to an endometriosis specialist.
People with endometriosis have an increased risk of co-morbidities including allergies, asthma, and chemical sensitivities, autoimmune diseases such as multiple sclerosis and lupus, chronic fatigue syndrome and fibromyalgia, and certain cancers, such as ovarian and breast cancer.
Endometriosis often reduces quality of life and contributes to psychological distress. Unnecessary delays in diagnosis and gaslighting contribute to the negative mental health impacts of the disease. A holistic approach to care including mental health support can improve quality of life.
Endometriosis is a systemic, inflammatory condition characterized by tissue similar to the lining of the uterus growing in other parts of the body. Endometriosis has been found in every organ. It is not simply a menstrual disease, yet is often mischaracterized as such, even by reputable sources.
Endometriosis affects approximately 1 in 10 people born with female reproductive organs. Common symptoms include, but are not limited to, pelvic pain any time during the month, a wide range of GI symptoms, urinary symptoms, fatigue, debilitating periods and more depending on where the endometriosis lesions are located in the body.
Symptoms often start early in life, but due to cultural taboos, misinformation and a historical lack of emphasis in medical education, they may be ignored or misdiagnosed by caregivers, healthcare consumers and practitioners alike. The average diagnostic delay is 7-10 years.
Endometriosis symptoms may begin as early as when puberty starts. Endometriosis symptoms can present before menstruation, during menstruation, and/or after menstruation. An estimated 70% of teens with chronic pelvic pain go on to be later diagnosed with endometriosis.
Red flag: If you or your patient regularly feels pain during or around periods, and this pain is bad enough to interfere with usual activities, this is a red flag - it is not normal and should be investigated further as soon as possible. (If you do not have this, it doesn't mean that you don't have endometriosis).
Risk factors for endometriosis include a mother or sister having the disease (7x increased risk), early onset of menses, short or frequent menstrual cycles, Mullerian abnormalities, autoimmune conditions and more. However, many people develop endo who have none of these risk factors.
Hysterectomy is not a cure for endometriosis. A disease characterized by tissue found outside of the uterus is not cured by removal of the uterus, ovaries and/or tubes and cervix. Over 100,000 hysterectomies are performed each year in the United States for endometriosis and most of them are unnecessary. Neither is pregnancy a cure for endometriosis.
People with endometriosis need an individualized, multi-disciplinary treatment plan that may include specialized, incredibly difficult surgery. Most gynecologists are not trained in advanced endometriosis cases. Drug therapy may suppress symptoms, yet it does not eradicate endometriosis. Patients should be referred to an endometriosis specialist.
People with endometriosis have an increased risk of co-morbidities including allergies, asthma, and chemical sensitivities, autoimmune diseases such as multiple sclerosis and lupus, chronic fatigue syndrome and fibromyalgia, and certain cancers, such as ovarian and breast cancer.
Endometriosis often reduces quality of life and contributes to psychological distress. Unnecessary delays in diagnosis and gaslighting contribute to the negative mental health impacts of the disease. A holistic approach to care including mental health support can improve quality of life.
I’ve never had “normal” periods. Growing up, I thought it was normal to take ibuprofen around the clock. It wasn’t something we talked about much, so I didn’t know any different.
In high school, I developed gastroparesis, never imagining it could be connected to my periods—especially since my symptoms didn’t look like most patients’. Over the years, I also experienced stabbing pains that were often brushed off as burst cysts.
In my 20s and 30s, I struggled with getting and staying pregnant. Thankfully, I was able to safely deliver two healthy babies, and during that time I had no gastroparesis symptoms at all. But after pregnancy, my periods worsened, and my gastroparesis came roaring back. I sought help from a midwife/nutritionist, multiple OBGYNs, and several dietitians. Despite eating healthy, exercising, and having perfect bloodwork, I kept gaining weight and bloating without explanation. My belly never seemed to match the rest of my body, and for half the month I was completely drained of energy.
In February 2020, I had my first exploratory surgery. The surgeon told me, “There was some growth, but I’d bet money it’s not endo.” The pathology came back positive for endometriosis. I was put into medicinal menopause right as the pandemic shut everything down, and so began a five-year journey: two more excision surgeries, nerve block injections, countless physical therapy sessions. Yet my symptoms kept flaring. I often felt like I was losing my mind—my body was showing clear symptoms, but little could be done to help.
I’m fortunate to have excellent health insurance, because otherwise I could have bought a small second house with what’s been spent on my care. For three years, I was in physical therapy for hip pain and limited mobility—pain my doctor could see during exams, but that never showed up on scans. During my second excision surgery, they found an endo mass, and the pain disappeared afterward (though mobility issues remained).
Working in front of hundreds of people, I constantly worried whether my clothes would still fit by the end of the day due to bloating. I could also tell when I was nearing the need for another excision surgery because I’d break out with painful cystic acne.
Finally, in June 2025, I sought out a new surgeon who specialized in endometriosis. For the first time—other than with my physical therapist—I felt truly heard. She explained the disease in a way that finally made sense. I chose to have a hysterectomy. During surgery, they found one ovary fused to my bladder and endometriosis in multiple places, despite my last excision only eight months earlier. The most shocking part? I had less pain the day after surgery than I did before. Even more surprising, I haven’t had any gastroparesis symptoms since. My surgeon said there’s no research showing a link, but she wasn’t surprised. Sadly, I wasn’t surprised either that research hasn’t been done on these links.
Now, about six weeks post-op, my body is healing, but the emotional scars remain. It’s one thing to choose not to have more children—it’s another to have that choice permanently taken away. I still battle anxiety around food, since my body spent years tying certain meals to painful symptoms. I also fear for my daughter. Anytime she has GI issues, I worry she might inherit this disease.
I’ve been blessed with supportive family and friends, a great workplace, and the financial means to access care. Even with all of that, it still took me 15–20 years from my first symptoms to get a diagnosis.
I share my story in the hope that organizations like Our Daughters Foundation can help change this. By speaking openly about what’s often considered a taboo subject, I want to spare someone else the years of pain I endured.
Your support can transform lives. Every donation helps us fund research, advocate for better care, and provide essential grants to women facing debilitating conditions.
Your support can transform lives. Every donation helps us fund research, advocate for better care, and provide essential grants to women facing debilitating conditions.