By Glena Davis, D.O., and Bruno Romeo, M.D.
March is Endometriosis Awareness Month, a time dedicated to supporting those affected by the condition and increasing understanding of a disease that impacts nearly 1 in 10 women of reproductive age. Despite being common, endometriosis often remains misunderstood, overlooked or diagnosed only after years of symptoms. By raising awareness, we help empower individuals to seek answers sooner and encourage meaningful conversations about their menstrual and pelvic health.
What is endometriosis?
Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. These growths are mostly found on the ovaries, fallopian tubes and other pelvic organs. Because this tissue responds to monthly hormonal changes, it can thicken and bleed, leading to inflammation, scar tissue and significant pain.
Although endometriosis is a chronic condition, its symptoms vary widely. Some people experience intense, life-disrupting pain, while others may have mild symptoms or none at all.
Common symptoms
Recognizing the signs of endometriosis can help individuals seek care sooner. Symptoms may include:
- Painful periods that interfere with daily activities
- Pelvic or lower abdominal pain that may last beyond menstruation
- Pain during intercourse
- Painful bowel movements or urination, especially during periods
- Heavy menstrual bleeding
- Fatigue, nausea or digestive issues
- Difficulty becoming pregnant
Because these symptoms can overlap with other conditions, endometriosis can be challenging to diagnose.
Why diagnosis often takes years
Many people wait seven to 10 years for a diagnosis. Several factors contribute to this delay: symptoms can mimic other disorders, menstrual pain is often dismissed as “normal,” and there is no simple test to confirm the condition. Laparoscopy, a minimally invasive surgery, remains the standard method for diagnosis.
Awareness can help shorten this delay by encouraging individuals to speak up about their symptoms and helping others recognize the seriousness of chronic pelvic pain.
Management and treatment
While there is currently no cure, treatment options can significantly improve quality of life. These may include pain relief strategies, hormonal therapies, minimally invasive surgery to remove endometrial-like tissue and supportive lifestyle changes. Treatment is highly individualized, as the condition affects each person differently.
If you are exhibiting any of these symptoms, the Women’s Health Team at UT Health East Texas is ready to help. Call 903-596-3627 to schedule an appointment with a gynecologist near you or click here.
Glena Davis, D.O., and Bruno Romeo, M.D., are board-certified OB-GYN physicians with UT Health East Texas Physicians in Henderson.