Endometriosis — A Mystery Disease

28. Oktober 2025

2 Min. Lesezeit

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Endometriosis occurs for no reason, often without symptoms, but leads to extremely negative consequences. How to detect the disease in time and what to do then?

Wichtigste Erkenntnisse

Endometriosis occurs for no reason, often without symptoms, but leads to extremely negative consequences.
What are the symptoms?
What happens if you don’t treat it?

Für wen das ist

Für alle, die Gesundheit von Frauen über endometriosis, gynäkologie erkunden.

Warum es wichtig ist

Dieser Artikel hilft dir, dich schnell zu orientieren, und führt dich dann zu einer Sammlung oder Serie, wenn du weitermachen möchtest.

Artikelautor

Dr. Zelina

Gynäkologe/Geburtshelfer, Arzt für Ultraschalldiagnostik

Endometriosis is a mystery disease where endometrial tissue, the lining of the uterine cavity, grows beyond its limits. Scientists and doctors cannot explain the cause of this disease. Most often, it is a consequence of a hormonal imbalance where estrogen levels increase and a progesterone deficiency develops.

The disease may also develop due to genetic predisposition. Sometimes endometriosis develops after a medical abortion, surgical treatment of the cervix, or a cesarean section.

What are the symptoms?

In the earliest stages, the disease can be almost asymptomatic. A woman may easily ignore any unpleasant symptoms, or confuse them with ordinary menstrual discomfort.

There is a wide variety of symptoms depending on how developed the disease is. Moreover, the symptoms listed below are typical of many other pelvic diseases. If they occur, urgent consultation with a doctor is necessary for an accurate diagnosis. The main symptoms of endometriosis are:

Irregular periods
Profuse bleeding during menstruation (hypermenorrhea)
Bleeding between periods
Strong pain during menstruation
Uterine bleeding during ovulation
Pain in the pelvic region, aggravated before menstruation
Pain in the lower abdomen during exercise or after sex
Weakness and fatigue
An increase in ESR and white blood cells in the blood
Prolonged fever
Difficulties with getting pregnant
Problems with feces (if the endometriosis affects the intestines)
Pain in the posterior area during urination.

Treatment depends on the form, severity, and spread of endometriosis. Hormone therapy is often included. In some cases, surgery is required.

What happens if you don’t treat it?

When left untreated, endometriosis can lead to a number of negative consequences, including:

Infertility or spontaneous abortions
Malignant tumors
Chronic pain syndrome
Irregularities in the menstrual cycle
Hormonal imbalances
Neurological abnormalities.

What tests can help diagnose endometriosis?

Non-invasive diagnosis of endometriosis is often done through ultrasound, as well as CT or MRI scans. An endometrial biopsy is required before prescribing treatment and will be done at a hospital with the use of local anesthesia.

Blood and urine tests are not used to detect endometriosis but may help reveal relevant issues. Keeping relevant test results available for visits to the gynecologist is highly recommended. Ornament can help keep results organized and ready. How to prepare for an ultrasound properly - read here.

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