and adhesions. These can cause severe pain, especially during menstruation, and may also lead to fertility problems.

Common Symptoms of Endometriosis

The symptoms of endometriosis can vary in intensity and may include:

• Pelvic Pain: Persistent pain in the lower abdomen or pelvis, often worsening during menstruation.

• Painful Periods (Dysmenorrhea): Severe menstrual cramps that may begin before your period and last several days into it.
• Pain During Intercourse: Discomfort or pain during or after sex is a common symptom of endometriosis.
• Heavy Menstrual Bleeding: You might experience heavier-than-normal periods or bleeding between periods.
• Infertility: Endometriosis is sometimes first diagnosed in women seeking treatment for infertility.
• Other Symptoms: You may also experience fatigue, diarrhea, constipation, bloating, and nausea, particularly during your period.

Expert Diagnosis and Treatment at City Hospital

Diagnosing endometriosis can be challenging because its symptoms often overlap with other conditions. Our experienced gynecologists use a combination of patient history, pelvic examinations, ultrasound, and in some cases, laparoscopy—a minimally invasive surgical procedure that allows direct visualization of the pelvic organs—to diagnose endometriosis accurately.

Comprehensive Treatment Options

Treatment for endometriosis at City Hospital is tailored to each patient’s specific needs, depending on the severity of symptoms and whether you’re planning to conceive. Our treatment options include:

• Medication Management: Pain relief is often the first line of treatment, with nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation. Hormonal therapies, such as birth control pills, GnRH agonists, and progestins, can help reduce or eliminate menstruation, thereby alleviating symptoms.

• Surgical Treatment: For those with severe symptoms or who do not respond to medication, surgery may be recommended to remove as much endometrial tissue as possible. Laparoscopic surgery is the most common method, allowing for a less invasive approach with quicker recovery times.

• Fertility Treatment: If endometriosis is affecting your ability to conceive, our specialists can guide you through fertility treatments, such as assisted reproductive technologies (ART), including in vitro fertilization (IVF).