Understanding Endometriosis Pain: Why It Happens & How to Manage It

Understanding Endometriosis Pain Why It Happens & How to Manage It img

Understanding Endometriosis Pain: Why Does It Happen & How to Manage It?

When Period Pain Isn’t “Normal” Anymore

Do you dread your periods every month because of intense pain that leaves you curled up in bed? Have you been told it’s “just part of being a woman”? If your menstrual cramps are severe, long-lasting, or affecting your daily life, it might not be normal — it could be endometriosis.

At Dr. Richa Gangwar’s gynaecology clinic in Lucknow, we frequently meet women who have lived in pain for years before receiving the right diagnosis. Endometriosis is real, painful, and treatable — and understanding it is the first step toward relief.

What Is Endometriosis?

Endometriosis is a chronic gynaecological condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus — on the ovaries, fallopian tubes, intestines, or bladder.

These endometrial-like tissues respond to your monthly hormones, so they thicken and bleed during your cycle — but with no way to exit the body, this leads to:

  • Inflammation

  • Scar tissue formation

  • Severe, chronic pain

  • Fertility issues

It affects 1 in 10 women of reproductive age, and yet is often misdiagnosed as regular period pain or IBS.

Why Does Endometriosis Hurt So Much?

Endometriosis pain isn’t just “in your head” — it’s inflammatory and structural. The pain can be due to:

  • Internal bleeding and swelling during the menstrual cycle

  • Adhesions or scar tissue that pull on organs

  • Nerve irritation in the pelvic region

  • Hormonal sensitivity that worsens inflammation

The pain often becomes progressive, meaning it gets worse over time if untreated.

Common Symptoms of Endometriosis

Not everyone experiences the same signs, but typical symptoms include:

  • Severe period cramps that don’t respond to regular painkillers

  • Pelvic pain even between periods

  • Pain during or after intercourse

  • Painful bowel movements or urination, especially during periods

  • Heavy or irregular bleeding

  • Fatigue and bloating

  • Difficulty conceiving or infertility

If you’ve been living with any of these symptoms, it’s important to speak with a gynaecologist experienced in endometriosis diagnosis and treatment.

How Is Endometriosis Diagnosed?

At Dr. Richa Gangwar’s clinic, we take a comprehensive approach, which may include:

  • Detailed symptom history and menstrual tracking

  • Pelvic examination

  • Transvaginal ultrasound (may show endometriotic cysts)

  • MRI or laparoscopy (in advanced or inconclusive cases)

Laparoscopy is considered the gold standard for diagnosis — a minor surgical procedure that also allows treatment if needed.

Managing Endometriosis: Relief Is Possible

There is no one-size-fits-all approach to endometriosis. Treatment depends on the severity of symptoms, age, fertility goals, and personal preferences. Options include:

1. Medical Management

These focus on reducing pain and slowing disease progression:

  • Hormonal therapies (oral contraceptives, progesterone, GnRH analogues)

  • Pain relief medications (NSAIDs like mefenamic acid)

  • Menstrual suppression to reduce tissue growth

These are often the first line of management and can be very effective in early or moderate cases.

2. Lifestyle and Supportive Therapies

  • Anti-inflammatory diet: Add turmeric, leafy greens, berries, omega-3 fats

  • Gentle exercise: Yoga or walking to reduce inflammation and boost mood

  • Pelvic physiotherapy: For muscle-related pelvic pain

  • Mindfulness and stress management: Stress can worsen pain perception

We support patients holistically — because emotional wellbeing matters just as much.

3. Surgical Treatment

When symptoms are severe or unresponsive to medication, laparoscopic surgery may be recommended to:

  • Remove or destroy endometriotic lesions

  • Free pelvic adhesions

  • Preserve fertility, especially in younger women

At Dr. Richa Gangwar’s clinic, we offer minimally invasive surgical options for women with advanced endometriosis or fertility concerns.

4. Fertility Support

Endometriosis can interfere with ovulation, tubal function, or embryo implantation. If you’re trying to conceive, we may suggest:

  • Ovulation induction

  • IUI or IVF depending on severity

  • Surgical removal of endometriotic cysts before fertility treatment

With timely intervention, many women with endometriosis go on to have healthy pregnancies.

You’re Not Alone — And It’s Not “Normal”

Too many women suffer silently for years, believing their pain is normal. If you’ve been told to just “bear with it,” please know: you deserve relief, understanding, and proper care.

At Dr. Richa Gangwar’s best gynaecology clinic in Lucknow, we offer compassionate and comprehensive endometriosis care, including diagnosis, treatment, lifestyle guidance, and emotional support.

Picture of Vamtam
Vamtam

Lorem ipsum dolor sit amet consectetur adipiscing elit dolor