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With mild symptoms, medication for pain and constant observation may be the only treatment required. For women with a definitive diagnosis of endometriosis, hormone treatment is prescribed. Since endometriosis occurs during the reproductive years, much of the available medical treatment relies on the interruption of the normal cyclical hormone production by the ovaries. This medication includes GnRH analogues, OCPs and progestin. While birth-control pills are the most common medicines prescribed form hormone treatment, Danozol is also recommended.

Laparoscopic surgery (where the diseased tissue is removed without affecting the surrounding tissue) is also an option. At times, a hysterectomy and the removal of the ovaries may be the only treatment possible if the ovaries are badly damaged. Tubal flushing is another alternative to the surgery for blocked fallopian tubes.

If you have endometriosis and are planning to conceive, the doctor will advice a laparoscopy and dye test so that he can gauge any damage to the fallopian tubes and the ovaries. It your endometriosis is mild, and then you would be treated for 4 to 6 months to see if you can conceive naturally. While surgical treatments are effective for pain reduction, the recurrence rate of endometriosis is as high as 40 percent. You may be give medication after surgery for symptomatic relief.

Symptoms of endometriosis begin years after menstruation begins. Over time, these gradually intensify as the endometriosis growths increase in size. After menopause, the growths shrink away and symptoms subside. Some common symptoms of endometriosis include:
• Chronic pelvic pain.
• Very painful periods, also known as dysmenorrheal.
• Pain during sexual intercourse.
• Heavy or abnormal menstrual flow.
• Painful bowel movements.
• Diarrhea.
• Constipation and bleeding stools.
• Painful or frequent urination during the time of menstruation.
• Fatigue.
Endometrial cancer may occur in less than one percent of women who have the disease.

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To diagnose endometriosis, a gynecologist would need to evaluate your medical history, do a complete physical examination, including a pelvic investigation, an ultrasound and in some cases even a minor laparoscopy to examine the tissue.

Keep in mind: A woman with abdominal pain, especially if it occurs just before her period, should see a physician. Early diagnosis offers the best chance of effective treatment. Be aware that is someone in your family had endometriosis, so could you.

The exact cause of endometriosis is not known. One theory is that the endometrial tissue is deposited in unusual locations by the back flow of the menstrual blood into the fallopian tubes and the pelvic and abdominal cavity during menstruation. Each month, at the end of every cycle, the tissues builds up, break down and sheds. However, unlike menstrual fluid from the uterus, which is discharged from the body during menstruation, blood from the misplaced tissue has no place to go. This results in internal bleeding and inflammation causing pain, infertility, bowel problems and endometrial lesions or growths. Another possibility is that areas lining the pelvic organs possess primitive cells that can grow into other tissue forms, such as endometrial cells. This is called coelomic metaplasia. The cause of endometriosis is still unknown. But it may be genetic – it often runs in families (inherited via a mother of a sister).

Around 40 to 50 percent of infertile women may have endometriosis. Women who experience deep pain during intercourse may avoid it, reducing the likelihood of pregnancy. Scar tissue from endometriosis can restrict the area in the ovary for egg release, or may even block the fallopian tube.

Infertility treatments can increase the chances of pregnancy in women with endometriosis, to boost the ovaries production of eggs. Sperm too, can be inserted directly into the uterus. If you don’t become pregnant within two years, you may explore assisted conception: In-Vitro Fertilization (IVF) and Gamete Intrafallopian Transfer (GIFT).