Endometriosis is a chronic gynecological disease that affects millions of women worldwide, and often goes undetected for years. It is characterized by the presence of endometrial-like tissue outside the uterus, causing inflammation, severe pelvic pain, painful periods, and even infertility. Clínica del CarmenWe understand the physical and emotional impact of this condition, and we offer a comprehensive medical approach to the early diagnosis and effective management of chronic pelvic pain.
What is endometriosis?
Endometriosis occurs when endometrial tissue—which normally lines the inside of the uterus—grows in other areas of the body, such as the ovaries, fallopian tubes, bladder, or even the intestines. This tissue responds to the hormonal changes of the menstrual cycle, leading to internal bleeding, inflammation, and the formation of adhesions or cysts.
Although it is estimated to affect between 10% and 15% of women of childbearing age, it is often diagnosed late due to the normalization of menstrual pain and the lack of visibility of this disease in routine gynecological check-ups.
Most common symptoms of endometriosis
Symptoms can vary from woman to woman, but the most common include:
- Chronic pelvic painespecially before or during menstruation.
- Severe dysmenorrhea (incapacitating menstrual pain).
- Pain during or after sexual intercourse (dyspareunia).
- Heavy or irregular menstrual bleeding.
- Pain when urinating or defecating, especially during the period.
- Fertility problems or difficulty getting pregnant.
- Chronic fatigue, nausea, or digestive discomfort.
These symptoms can be confused with other disorders such as irritable bowel syndrome or urinary tract infections, which further complicates the diagnosis.
What causes endometriosis?
Although the origin of this disease is still not known for certain, the most widely accepted theories include:
- Retrograde menstruation: when menstrual blood flows into the fallopian tubes and pelvic cavity instead of leaving the body.
- Genetic factors: Family history increases the risk.
- Immunological alterations: the body does not properly eliminate ectopic tissue.
- Environmental and hormonal factors.
In any case, it is a multifactorial disease and requires a specialized medical approach.
Diagnosis of endometriosis at Clínica del Carmen
Diagnosis can be complex and, according to studies published in PubMed, can take between 7 and 10 years from the onset of the first symptoms. At Clínica del Carmen, we prioritize early detection through a comprehensive gynecological evaluation that includes:
- Detailed medical history.
- Gynecological examination.
- Transvaginal ultrasound to observe indirect signs such as endometriotic cysts.
- Magnetic resonance, if deep injuries are suspected.
- Diagnostic laparoscopy, when it is necessary to visually confirm the presence of endometriosis and assess its extent.
This approach allows us to offer an accurate and personalized diagnosis for each patient.
Treatment options for endometriosis
Treatment will depend on the patient's age, the severity of symptoms, the desire for pregnancy, and the location of the lesions. The most common options include:
Medical treatment
- Anti-inflammatories to control pain.
- Hormonal contraceptives (pill, vaginal ring, patch) to reduce bleeding and relieve pain.
- Progestins and GnRH analogues, which reduce ovarian activity and endometrial tissue growth.
Surgical treatment
- Surgical laparoscopyTo remove visible lesions, cysts, or adhesions. It can improve fertility and reduce pain.
- In severe cases, more complex surgery is considered, always respecting the patient's reproductive wishes.
Multidisciplinary approach
En Clínica del Carmen We also work with specialists in nutrition, psychology, and pelvic physiotherapy to offer a comprehensive approach, especially in cases of chronic pelvic pain that affects emotional, work, and sexual life.
Tips for women with endometriosis
- Don't normalize pain: Intense menstrual pain is not something you should have to live with.
- Keep track of your symptoms and cycles to share with your gynecologist.
- Eat an anti-inflammatory dietavoiding ultra-processed foods and prioritizing fruits, vegetables and omega 3.
- Practice relaxation techniques and gentle exercise, such as yoga or pilates, to reduce pelvic tension.
- seek emotional support if the pain is affecting your psychological well-being.
Frequently asked questions about endometriosis
- Is there a cure for endometriosis? There is no definitive cure, but with early diagnosis and appropriate treatment, it is possible to control symptoms and improve quality of life.
- Does endometriosis always cause infertility? No. Although it can make pregnancy difficult in some cases, many women with endometriosis are able to conceive with or without fertility treatment.
- Can I live a normal life with endometriosis? Yes, with the right management, many women lead active and fulfilling lives. The key lies in medical support and personalized treatment.
At Clínica del Carmen, we are with you.
If you suspect you may have endometriosis or suffer from recurring pelvic pain, don't wait any longer. Clínica del Carmen, with offices in Las Palmas de Gran Canaria, Arucas and VecindarioWe offer specialized gynecological care with state-of-the-art technology and an empathetic, compassionate approach. Schedule your appointment today and take back control of your health and well-being.
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