Endometriosis
Explained

Actually, the opposite. Milk thistle could offer some potential benefit for endo symptoms. A study conducted in 2022 concluded that silymarin (the main compound in Milk Thistle) can be considered as a feasible option for treatment of women with endometrioma-associated symptoms and according to the study has few side effects*. Silymarin, has powerful antioxidant properties and can help combat free radicals. It also shows promise in reducing fibrosis. This suggests it could be a viable option for treating symptoms associated with endometriosis in women. However, it’s important to note that although this study did not find side effects, in general milk thistle may cause some adverse effects in sensitive people. These can include gastrointestinal issues like nausea and diarrhea, headaches, skin reactions.

There are many common symptoms of endometriosis, such as pelvic pain, painful periods, pain during intercourse, and infertility. It is essential that you try to arrange an appointment with a gynecologist or endometriosis specialist and prepare for your appointment by noting down all your symptoms and concerns. If needed, you should be able to ask your family doctor to arrange this appointment for you. Your specialist will then probably conduct some diagnostic tests such as an examination of your pelvis, an ultrasound, or a laparoscopy (which is a small surgical procedure in which a fibre-optic instrument is inserted through the abdominal wall to view the organs in the abdomen) to try to confirm any suspected diagnosis. You should then have the possibility to discuss potential treatment options with your healthcare provider, which may include pain management, hormone therapy, or surgery. Please do not hesitate to seek medical attention if your symptoms are affecting your daily life.

Endometriosis is a prevalent gynecological condition known to cause various symptoms, including musculoskeletal issues such as low back pain. The association between endometriosis and lower back pain is attributed to the abnormal growth of endometrial tissue in internal areas within the pelvic region. The pelvis comprises the hip bones, as well as sacrum, and coccyx, which are part of the lower back. Consequently, any complications in these areas may lead to sensations of pain in the lower back. Since endometriosis is closely linked to the menstrual cycle, pain in the posterior pelvis tends to intensify during menstruation, particularly if endometrial tissues are present in the bowel, bladder, kidney, ligaments, or nerves within the lower back. If endometriosis is the source of back pain, it is likely to be associated with painful menstrual periods, with the pain worsening before or during menstruation. In summary, endometriosis is a common gynecological disorder that can manifest as nonspecific low back pain, likely due to a complex interplay of factors such as nerve involvement, inflammation, lesions, and adhesions. Understanding the intricate relationship between endometriosis and back pain is crucial for developing effective management strategies for individuals affected by this condition.

The endometriosis ultrasound is specialized for detecting the presence of endometrial tissue outside the uterus, which may not have been visible in previous ultrasounds. Given your worsening symptoms, we would also suggest that you discuss alternative diagnostic options such as an MRI or a small procedure known as a laparoscopy with your gynecologist to try to obtain a confirmatory diagnosis.

Endometriosis can be present in multiple locations within the body and as such can cause pain in various areas including the upper abdomen. Despite the fact that the worst pain associated with the endometriosis is usually felt during the menstruation, the symptoms of pain in the different locations can unfortunately also be felt at any time during the monthly cycle. Regarding the different treatment options, Laparoscopic surgery and hormonal therapy are common treatment options for endometriosis. Surgery can potentially remove lesions to provide pain relief, while hormones can decrease symptoms and suppress endometrial growth. The best approach depends on your specific case – so we would advise you to discuss the pros and cons of each type of treatment with your gynecologist to determine the right plan.

Heavy menstrual bleeding, also known as menorrhagia, could indicate endometriosis, but excessive bleeding isn't the only sign of this common condition. Other symptoms include pelvic pain, particularly with sexual intercourse or bowel movements. If you are experiencing heavy periods, severe menstrual pain, or any other concerning menstrual symptoms, it's advisable to discuss these symptoms with your gynecologist, for a proper evaluation and diagnosis.

Endometriosis symptoms can be painful and disruptive, to the point where you may notice it has an impact on your ability to stay active, on other days you may feel well enough to get some physical activity in?and it may even help your symptoms. It can be difficult to know where to start when you haven?t exercised for a while. It?s best to start small (smaller than you think) and see how your body responds. Unfortunately, flare-ups do occur and sometimes too much exercise, too soon, that?s too intense, can be a trigger. Initially, the best approach will be less is more. Think about your exercise ?dose? as a combination of?modality,?duration, intensity,?and?frequency: modality (type of exercise - walking, weights, yoga etc.), duration (time spent doing the exercise), intensity (low, moderate, high), frequency (how many days per week). Our aim is to reach at least 120 minutes of moderate activity, 75 minutes of vigorous activity each week including 2 strength-based sessions. There are no strict rules around types of exercise you should avoid if you have endometriosis. Everyone is different, so activities that will and won?t be comfortable for you will vary. We want to avoid any exercise or activity that exacerbates the pain or pain symptoms. If it makes you feel worse, don?t do it.  Finding an exercise modality that makes you happy is the best option even if that?s just taking a brisk walk. You will be consistent in your exercise plan if you enjoy it! The best form of exercise will always be the one that you enjoy most.   Still not sure where to start? Here are a few ways to exercise for beginners: mat or reformer pilates classes, yoga, bodyweight and band exercises, brisk outdoor walking, indoor bike.

After being diagnosed with endometriosis, discuss your plans to conceive with your gynaecologist. They can provide guidance and recommendations specific to your situation also considering treatment you might take. Your gynecologist can assess your fertility and discuss your chances of conceiving naturally. They may suggest monitoring your cycles, checking ovulation, and other factors to help improve your chances.