In her fortnightly column, a gynaecological surgeon at Parikh Hospital shares her experience with patients living with endometriosis — a condition that remains unknown to many women until diagnosed.
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus — on the ovaries, fallopian tubes, bladder, bowel, or pelvis. This tissue thickens, breaks down, and bleeds monthly, but unlike menstrual blood, it has no outlet. The result is inflammation, pain, scar tissue, and sometimes adhesions between organs, leading to chronic pelvic pain, bowel and bladder discomfort, painful intercourse, and, in some cases, fertility challenges.
Many women normalize their symptoms, thinking severe cramps or life-disrupting periods are typical. Often, routine ultrasounds and tests fail to detect the condition, delaying diagnosis. Doctors emphasise that severe menstrual pain is not normal and warrants careful evaluation.
The emotional toll is significant. Women may rearrange work, social life, and intimate relationships around pain, carrying medication everywhere and feeling guilty or self-doubting. Early diagnosis allows for hormonal therapy, pain management, and in some cases, surgery to remove disease and preserve fertility. Awareness, open conversations, and attentive healthcare providers are crucial.
The author stresses that listening to the body, seeking care, and asking about endometriosis when symptoms are life-disrupting can change lives. Pain is information, not weakness, and acknowledging it early empowers women to reclaim control over their health and daily life.
