Endometriosis is a complex and often misunderstood condition that affects millions of individuals worldwide. It occurs when tissue similar to the lining of the uterus (endometrium) grows outside the uterus, commonly on other organs in the pelvis.
During the menstrual cycle, this tissue behaves similarly to the tissue inside the uterus—it thickens, breaks down, and bleeds. However, because it has no way to exit the body like menstrual blood, it becomes trapped. This can lead to inflammation, scar tissue formation, and adhesions, which may cause pain, infertility, and other complications.
Medical History Review
Dr Chang will ask about your symptoms, menstrual cycle patterns, and any relevant medical history, including a family history of endometriosis or other reproductive conditions.
Ultrasound imaging may be used to look for cysts associated with endometriosis, though it’s not always conclusive for diagnosing the condition. MRI (magnetic resonance imaging) may also be used in some cases to visualise the pelvic region in more detail.
This is considered the gold standard for diagnosing endometriosis. It’s a surgical procedure where a small camera (laparoscope) is inserted through a small incision in the abdomen, allowing the surgeon to directly view the pelvic organs and detect any endometrial tissue growths. Biopsy samples may be taken for further examination.
Treatment for adenomyosis depends on the severity of symptoms and your reproductive goals.
Pain relievers can help manage menstrual cramps and pelvic pain.
Birth control pills, hormonal IUDs, or other hormonal treatments may help regulate menstrual cycles and reduce symptoms.
In severe cases or for those who have completed childbearing, surgical options such as a hysterectomy (removal of the uterus) may be considered.
Some individuals find relief from symptoms through practices like yoga, acupuncture, or dietary modifications.