Endometriosis
Medically reviewed by the SEDU Clinical Review Board. Detailed pathophysiology, symptoms, and care guidelines.
Clinical Overview
A systemic condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterine cavity, causing severe inflammatory lesions, adhesions, and scarring.
Associated Symptoms
- Chronic Pelvic Pain
- Dyspareunia (Painful Intercourse)
- Menorrhagia (Heavy Menstrual Bleeding)
- Severe Abdominal Bloating (Endo Belly)
- Lower Back & Leg Pain
Treatment Pathways
- Laparoscopic Excision Surgery (LAPEX)
- Pelvic Floor Physical Therapy (PFPT)
- Lifestyle & Anti-Inflammatory Diet
- Acupuncture & Neuromodulation
Causes & Mechanisms
Pathophysiology involves retrograde menstruation, coelomic metaplasia, immune dysfunction, and vascular/lymphatic metastasis leading to ectopic implants.
Risk Factors
Diagnosis & Screening
Definitive diagnosis requires surgical visualization via diagnostic laparoscopy. High-resolution ultrasound and MRI serve as non-invasive staging tools.
Prevention & Care Guidelines
No known preventative cure. Managed through surgical excision, hormone suppression, and lifestyle modifications.
Frequently Asked Questions
Q:Does a normal ultrasound rule out endometriosis?
No. Superficial peritoneal lesions are rarely visible on standard ultrasound.
Q:Can pregnancy cure endometriosis?
No. Pregnancy suppresses ovulation temporarily but does not eradicate existing ectopic lesions.
Clinical References & Journals
- 1World Health Organization (WHO) Endometriosis Clinical Sheet, 2023.
- 2American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin N.114.
Recommended Exercises
Happy Baby Pose
An excellent hip-opener and pelvic floor lengthening posture that releases deep-seated tension.
Diaphragmatic Breathing
Deep abdominal breathing technique that activates the parasympathetic nervous system to relax the pelvic floor and lower body.
Pelvic Tilts
Gentle, therapeutic movement to restore mobility to the lower back and release tension in the pelvic girdle.
Deep Squat Release
Active pelvic floor stretch that opens the hips and facilitates natural downward flow of energy.