Could That Chronic Pelvic Pain Be Endometriosis?

Many women experience cramping and pelvic discomfort during their periods. For some, however, pelvic pain persists even after the bleeding stops, and it’s noticeable enough to interfere with daily routines.

Endometriosis could be to blame, but multiple other gynecologic issues could create similar symptoms. 

At Creekside OB/GYN of Folsom, Timothy Phelan, MD, understands the complexity of women’s health and the frustrations that come when you’re not sure what might be causing your pain. He offers state-of-the-art diagnostic tools and advanced treatment options to address numerous conditions, including endometriosis. 

What does chronic pelvic pain feel like?

Every woman understands pelvic pain. If you’re lucky, all you notice is some minor cramping during your menstrual cycle, or maybe the discomfort of the occasional yeast infection or urinary tract infection. 

This kind of discomfort is usually short-lived, and it resolves once your period is over or you treat the underlying condition. The primary difference with chronic pain is its duration. If your pelvic pain persists for six months or more, it may be considered chronic. 

Chronic pelvic pain isn’t always constant; it can come and go over time. Pains can be sharp and stabbing, or more of a dull ache. Many women also report an unusual feeling of weight pressure in their pelvic region. 

Your pain might worsen when you sit or stand for lengthy periods of time. It may only occur during sex. You could notice a need to urinate more frequently than normal, and you might also have changes in your bowel movements, like constipation or diarrhea. 

What is endometriosis, and how does it develop?

The best way to understand endometriosis is to think about how your uterus functions normally. Your uterus is lined with a layer of tissue called endometrium. As you move through your menstrual cycle, this tissue thickens to help an embryo achieve implantation. 

If a fertilized embryo does not reach the uterus, your endometrium breaks down and exits through your vagina. This is why you bleed during each cycle. Endometriosis develops when tissue similar to the endometrium grows in areas of the pelvis outside of the uterus. 

This abnormally located tissue acts the same as your endometrium, thickening and breaking down. But because it can’t exit through your uterus and vagina, it causes issues within your pelvic region, including inflammation and considerable pain. 

Researchers are uncertain about the exact cause of endometriosis. It might develop from hormonal changes, or it could come from menstrual blood that flows backward into the fallopian tubes and into the pelvis. 

Here are some symptoms of endometriosis

Recognizing the signs of endometriosis helps you know when to seek medical care. Some of the changes that might point to endometriosis include:

• Significant pain during your period
• Infertility
• Heavy menstrual bleeding
• Pain when urinating or during bowel movements
• Pain during or after sex

There is no need to suffer through pelvic pain when treatments can help. If you sense that something just isn’t right, or you experience pain that lasts for months, reach out for help. Left untreated, endometriosis can cause serious fertility issues. 

Schedule a consultation by phone or book online at Creekside OB/GYN of Folsom right away. Many women’s health issues share similar symptoms, so getting an accurate diagnosis is the key to moving forward with treatment options.