Endometriosis: Recognising the Symptoms – When Is Period Pain No Longer Normal?

Period pain is common. However, very severe or worsening menstrual pain should not simply be accepted as normal. Recurrent pelvic pain may, among other causes, be linked to endometriosis.

Endometriosis is a chronic gynaecological condition and is estimated to affect around one in ten women of reproductive age in Switzerland. Despite this, it can take years for many patients to receive a diagnosis.

What Is Endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. These changes may occur in areas such as the pelvis, ovaries or abdominal lining and can cause a range of symptoms.

Symptoms can vary considerably from one woman to another. The severity of the symptoms does not always reflect the extent of the condition.

Common Symptoms of Endometriosis

Possible signs of endometriosis include:

- severe or worsening period pain

- recurrent pelvic or lower abdominal pain

- pain during or after sexual intercourse

- pain during bowel movements or urination

- heavy menstrual bleeding

- symptoms that change with the menstrual cycle

- difficulties becoming pregnant

If pain significantly affects your everyday life, work, sleep or general wellbeing, a gynaecological assessment is recommended.

How Is Endometriosis Diagnosed?

Diagnosis usually begins with a detailed discussion about your symptoms and menstrual cycle. Depending on your individual situation, this may be followed by a gynaecological examination and ultrasound.

In certain cases, magnetic resonance imaging (MRI) may provide additional information. A laparoscopy may also be considered in selected situations. This allows the abdominal and pelvic area to be examined and, where appropriate, treatment to be carried out during the same procedure.

What Treatment Options Are Available?

The treatment of endometriosis depends on your symptoms, personal circumstances and whether you are planning a pregnancy.

Depending on the findings, treatment may include medication, hormonal therapy or surgery. When surgery is required, minimally invasive gynaecological surgery using laparoscopy can play an important role.

Treatment is always planned individually.

Severe Period Pain? Have the Cause Assessed.

You do not have to simply live with severe menstrual or pelvic pain. A timely gynaecological assessment can help identify the cause of your symptoms and determine the most appropriate treatment.

At CMG, we take the time to understand your symptoms and discuss the next steps with you personally.

Book an appointment for a gynaecological assessment.