Endometriosis is small parts from the womb lining that has gone outside and rests on the ovary, the back of the uterus; it can also be found on the lining of the pelvic organs, on the fallopian tubes, between the vagina and rectum

Each time that you have period, so does the endometriosis, this can lead to swelling, inflammation and scaring; this can cause you to have symptoms of a menstrual cycle, even when you are not having one. It can be more common in women who have cycles less than the norm of 28 days and those who bleed more than a week. Although these are typical symptoms of endometriosis, there are cases where the above does not lead to endometriosis and there are women who will have no symptoms but will still have endometriosis.

There are many theories that surround the condition of endometriosis, one of those theories is when we have a menstrual cycle some the blood flows back up the fallopian tube and the blood rests on the outside of organs in the pelvic area. Although this may be the cause of endometriosis, it can happen to some women who do not have endometriosis.

Another theory suggests that because the uterus, tubes, peritoneum and part of the ovary are all developed from the same area in the fetus, endometriosis might be caused by some cells taking the wrong turn during development.

Again another theory rests on the fact that endometrial tissue from the lining of the womb can be found in the blood stream. It might be that these small deposits end up in other areas far from the womb and grow from there.

There is no simple answer to how women get endometriosis and it may be a link between all the theories above.

The most common problems are:

The pain caused by endometriosis can be a very dull ache to a very unbearable sharp pain. Many women who get a minimal pain can have very severe pain where at the other end of the spectrum a woman who is at the top of the pain threshold can have very mild endometriosis. However, the more endometriosis that is present, the more likely you are to have symptoms. It is probably more to do with how deep the endometriosis is buried. One of the first signs to suggest that a woman may have endometriosis is pain during sexual intercourse.

There is a very thin line between endometriosis as when the disease is so advanced that he has led to a lot of scarring around the fallopian tubes or there are ovarian cysts and therefore it is not at all surprising that it might lead to difficulty to conceive.

Although many women that do have endometriosis have been able to conceive.

Although the above problems are most common, some women experience other symptoms related to endometriosis

A doctor may perform pelvic examination; this can sometimes suggest that endometriosis is present. Although some findings depend on the severity of the disease. A normal uterus is quite mobile, but the scarring of endometriosis can make it tender and fixed in the pelvis.

To confirm endometriosis requires a laparoscopy. This is when a small probe is passed through a small incision in your abdomen; the surgeon can then see all your pelvic area. Ultrasound scans can be useful to help diagnose endometriosis cysts affecting the ovary.

In severe cases of endometriosis there may be scar tissue and adhesions that can stick your pelvic organs together. This can cause some pain and discomfort.

There are a few options for the treatment of Endometriosis these are:

Pain killers are the most popular of management for endometriosis. Hormones are to blame for some of the pain and this pain is best managed from taking anti inflammatory drugs such as Ibuprofen and Mefanamic acid as the hormone makes the uterus contract and this medication will help it relax.

If drugs are not helping it may be worth discussing a hormonal management to help shrink the endometriosis, or to consider one of the surgical approaches.

If endometriosis is interfering with infertility, it would be more than likely that you need to use assisted conception in the form of IVF. This will not treat the endometriosis but will be beneficial to help with conception.

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