What is endometriosis?

Endometriosis occurs when the tissue that normally lines the womb develops in other parts of the body. It may grow around the ovaries or around the Fallopian tubes. This can lead to pain and fertility issues.

What are the symptoms?

It is possible to have endometriosis without any symptoms or fertility problems. In women with symptoms, this may be period pain, pain on intercourse or when going to the loo. The pain can come and go, and it can be linked to your periods.

How is it diagnosed?

The most reliable way to diagnose it is a procedure called laparoscopy. This is done under general anaesthetic. A telescope is put through the belly button into the tummy so the doctor can have a look inside. Not everyone wants this, and it may be possible to have an MRI scan or a vaginal ultrasound scan, but they are not as reliable. 

Is there anything you can do to make it better yourself?

There is very little you can do to make it better yourself. Women with endometriosis may find symptoms are worse with some types of food. It can be linked to things like IBS (irritable bowel syndrome) so finding the right diet for IBS can help. Some people find supplements of vitamin D supplements and Omega 3 fatty acids may improve the pain.

Does it always affect fertility?

Not necessarily but it’s thought only around half of women with endometriosis will suffer from fertility issues. In these cases, it isn’t impossible to get pregnant but it may take longer and you may need treatment. 

To see our full Q & A on endometriosis with our Trustee, senior fertility consultant Raj Mathur, visit our YouTube channel at https://bit.ly/3y24CzQ