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Obstetrics & Gynaecology

Endometriosis and Severe Period Pain

For period pain and pelvic pain affecting daily life, the possibility of endometriosis is assessed by examination and imaging.

What is it?

Endometriosis is a long-term condition in which tissue similar to the uterine lining is found outside the uterus. It may present with severe period pain, pain during intercourse, chronic pelvic pain and difficulty conceiving.

When period pain is considered "normal" and not discussed, assessment may be delayed. The examination considers the pattern of symptoms, ultrasound findings and, if needed, advanced imaging.

Treatment may include pain management, hormonal treatment and in some cases surgery. Because symptom severity and pregnancy plans differ, the approach is decided with you after the examination.

Who is it assessed for?

  • People who miss school or work because of period pain
  • People with pain during intercourse
  • People with pelvic pain outside their period
  • People trying to conceive who have painful periods

Step by step

  1. 1

    Detailed history

    The timing of pain and its effect on daily life are discussed.

  2. 2

    Examination and ultrasound

    Ovarian cysts and other findings are looked for.

  3. 3

    Advanced imaging

    An MRI is requested if needed.

  4. 4

    Treatment plan

    Pain management and hormonal options are discussed according to your expectations.

  5. 5

    Long-term follow-up

    Symptoms and response to treatment are reviewed regularly.

Questions

When does period pain need an examination?

If pain disrupts your daily activities, is getting worse or continues outside your period, an assessment is appropriate.

Does keeping a pain diary help?

Yes. Noting the days and severity of pain helps the assessment.

Does endometriosis affect pregnancy?

It can make conceiving harder for some people. If you plan a pregnancy, the treatment plan is shaped accordingly.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.