Treatments for Endometriosis and Pelvic Pain: A Guide for Young Women

Endometriosis is a condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus, often causing pelvic pain, heavy periods, and other symptoms.

If you’re a young woman experiencing these symptoms, you’re not alone—endometriosis affects about 1 in 10 women.

The good news? There are effective treatments to help manage both endometriosis and the pelvic pain it causes.

Understanding Your Treatment Options

The best treatment for endometriosis depends on your symptoms, how much they affect your life, and your plans, like having children. Here are some common treatments:

1. Pain Relief Medications

Over-the-counter medications, like ibuprofen or naproxen, can reduce inflammation and relieve mild to moderate pain. For more severe pain, your doctor might prescribe stronger pain relief options.

2. Hormonal Treatments

Hormonal therapy can slow the growth of endometrial-like tissue and reduce pain. These include:

●     Birth Control Pills: Help regulate periods and reduce pain.

●     Progestin Therapy: Includes pills, implants, or IUDs that reduce menstrual flow or stop periods altogether.

●     GnRH Agonists: Temporarily stop ovarian hormone production, putting your body into a temporary menopausal state to manage pain and reduce endometriosis.

3. Surgical Treatments

If medications don’t work or if the endometriosis is severe, surgery may be an option:

●     Laparoscopy: A minimally invasive surgery to remove or burn endometrial-like tissue. This is often used to confirm a diagnosis of endometriosis as well.

●     Hysterectomy: Rarely recommended for young women, but in severe cases, it may be considered after careful discussion with your doctor.

4. Lifestyle Changes and Self-Care

Making small changes can complement medical treatments:

●     Dietary Adjustments: Eating anti-inflammatory foods like fruits, vegetables, and omega-3 fatty acids may help.

●     Regular Exercise Can reduce inflammation and improve mood.

●     Stress Management: Yoga, meditation, or therapy can help you cope with chronic pain.

5. Complementary Therapies

Some women find relief with acupuncture, physical therapy, or pelvic floor therapy. While these don’t cure endometriosis, they can help manage symptoms.

What to do next

While polycystic ovaries are a physical characteristic seen on an ultrasound, PCOS is a broader health condition that involves hormonal imbalances and other symptoms. If you’re experiencing irregular periods, acne, or other concerning symptoms, talk to Dr Anmar Mariud to understand whether you have PCOS or simply polycystic ovaries.

Early management can help you stay healthy and avoid complications.