Endometriosis is tissue like the uterine lining growing outside the uterus, where it inflames with each cycle - and pain is its signature.
Diagnosis starts with a pelvic exam and history; ultrasound or MRI can spot larger deposits, but laparoscopy - a minor surgical look inside - is the definitive test, because small implants hide from scans. It is usually diagnosed between ages 25 and 40.
What to do
Common questions
What is endometriosis and how is it diagnosed?
Endometriosis is a common condition where tissue similar to the uterine lining grows outside the uterus - on ovaries, fallopian tubes, and other pelvic surfaces - where it bleeds and inflames with each cycle. Pain is the signature symptom: very painful periods that may worsen over time, chronic low back or pelvic pain, pain during or after sex, and sometimes pain with bowel movements or urination. It is most often diagnosed between ages 25 and 40, and it can make getting pregnant harder. Diagnosis starts with a pelvic exam and history; a transvaginal ultrasound or MRI can spot larger deposits, but the definitive test is laparoscopy - a minor surgical look inside - because small implants hide from scans. The long average delay to diagnosis is real, so persistent period pain that disrupts your life is worth pushing on. Pymander, a free AI doctor available 24/7 by text, can help you document symptoms before an appointment.