Doctor's Advice: That Excruciating Pain During Periods Is Not 'Normal' — Endometriosis Needs Treatment

Endometriosis is a chronic condition where tissue similar to the lining of the uterus grows outside the womb. It is difficult to diagnose due to varied and nonspecific symptoms.

Taboos against menstrual health and normalisation of menstrual pain contribute to delays in diagnosis.

Source : Canva (modified)

By Dr Meenakshi Ahuja: Diagnosis is the first step in the successful treatment of all diseases, and this is particularly true for endometriosis. However, the primary issue lies in women not seeking medical attention promptly. Endometriosis is a chronic condition where a tissue similar to the lining of the uterus grows outside the womb. Millions of women across the world and about 42 million in India are suffering from this condition, and often suffering in silence, assuming the excruciating pain of endometriosis as normal and continuing their lives without proper diagnosis or treatment, thereby delaying adequate care and attention.

Why? Let's delve in. 

Endometriosis Symptoms And Risk Factors

Endometriosis presents uniquely in each person, posing challenges in diagnosis and management. Despite this variability, certain risk factors and symptoms can indicate its presence. 

Risk factors include a family history of endometriosis, early menstruation onset, and prolonged menstrual cycles. Common symptoms encompass chronic pelvic pain, dysmenorrhea (pelvic pain during menstruation), deep dyspareunia (pelvic pain during intercourse), heavy menstrual bleeding, infertility, and gastrointestinal issues like bloating and constipation. Additionally, fatigue, mood swings, and difficulty concentrating are prevalent, significantly impacting quality of life.

Prevention Of Endometriosis And Its Treatment

There are various preventive measures and treatment options that can enhance symptom management and quality of life. Considering the substantial gap between diagnosis and treatment onset, early diagnosis is key. But even more so, communication is the key. Communicating closely with healthcare providers is important to craft personalised treatment plans tailored to individual needs and objectives. Addressing mental health alongside endometriosis diagnosis is also crucial, promoting holistic well-being.

The Challenge Of Endometriosis Diagnosis

Endometriosis is quite difficult to diagnose due to its varied and nonspecific symptoms, which may include pelvic pain, painful periods, infertility, and gastrointestinal issues. These symptoms overlap with many other gynaecological disorders. Moreover, the lack of awareness and taboo against menstrual health among the masses often results in delays in diagnosis and mismanagement of symptoms.

The Impact Of Delay And Barriers To Diagnosis

The consequences of delayed diagnosis are profound and far-reaching. Women with undiagnosed endometriosis may endure years of debilitating pain, infertility, and psychological distress. Moreover, they may suffer financially, as those who wait longer for the diagnosis spend more. The delay in accessing appropriate treatment can also result in irreversible damage to reproductive organs and compromised quality of life.

Several factors contribute to the delay in diagnosing endometriosis, including the normalisation of menstrual pain, and dismissal of women's symptoms as "just a part of being a woman". Women often grow up believing that periods are meant to be painful, but this is rarely the case. This acts as the biggest barrier in the diagnosis of Endometriosis.  

The Importance Of Early Detection

Early detection of endometriosis is crucial for improving outcomes and minimising the impact of the condition on women's lives. Timely diagnosis allows for prompt initiation of appropriate treatment, including pain management, hormonal therapies, and surgical interventions, which can help alleviate symptoms and preserve fertility.

Don't hesitate to share your endometriosis struggles with loved ones and your healthcare provider. Open communication is key to receiving the best treatment and finding relief from the pain. By speaking up, you're breaking the silence and taking control of your health. Remember, you deserve support and effective care.

The delay in diagnosing endometriosis is a pressing issue that requires attention and action. We need to help people understand endometriosis better, support women with it, and make sure they don't feel ashamed. It's a medical problem that affects women's lives, so family and friends need to be understanding and helpful. If you are someone facing the symptoms of endometriosis, don't think twice about getting checked by your gynaecologist. 

Dr Meenakshi Ahuja is Senior Director, Obstetrics & Gynaecology, at Fortis La Femme, Greater Kailash, New Delhi.

[Disclaimer: The information provided in the article, including treatment suggestions shared by doctors, is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.]