Endometriosis

Endometriosis is a chronic condition that affects millions of women, often leading to pelvic pain, heavy periods, fatigue, and fertility challenges. Although common, it is frequently underdiagnosed or mistaken for other conditions. At Care for Womens Medical Group, our OB/GYN specialists provide compassionate, comprehensive care for patients across Upland, Rancho Cucamonga, Chino Hills, and Eastvale, helping you find lasting relief and regain control of your health.

What Is Endometriosis

Endometriosis occurs when tissue similar to the lining of the uterus (endometrium) grows outside the uterus. These growths can appear on the ovaries, fallopian tubes, bladder, bowel, or other pelvic structures. Unlike regular endometrial tissue, this misplaced tissue has no way to exit the body, causing inflammation, scarring, and pain over time.

Common Symptoms

Endometriosis symptoms vary widely from person to person. Some may have severe pain, while others experience few or no symptoms. The most common signs include:

• Pelvic pain or cramping, especially during menstruation
• Pain during or after intercourse
• Pain with bowel movements or urination
• Heavy or irregular periods
• Fatigue and low energy
• Bloating or digestive issues
• Difficulty conceiving

If painful or irregular periods interfere with your life, it’s important to seek care from an experienced OB/GYN.

What Causes Endometriosis

The exact cause of endometriosis remains uncertain, but several factors may play a role:

• Retrograde menstruation (menstrual blood flowing backward into the pelvis)
• Immune system dysfunction
• Hormonal influences, especially estrogen
• Genetics and family history

Endometriosis most often affects women in their 20s to 40s but can develop during adolescence. Establishing care early helps track symptoms and manage the condition before it progresses.

When to See a Provider

You should schedule a visit with Care for Womens Medical Group if you:

• Have painful periods that disrupt daily activities
• Experience pelvic pain throughout the month
• Have pain during sex or bowel movements
• Are struggling to get pregnant without a known cause
• Have been told your symptoms are “normal,” but they persist or worsen

Prompt evaluation and treatment can help prevent long-term complications and improve your quality of life.

Diagnosis

Because endometriosis symptoms often mimic other conditions, accurate diagnosis requires a thorough evaluation. Your OB/GYN may recommend:

• A detailed review of symptoms and medical history
• Pelvic exam
• Pelvic ultrasound to check for ovarian cysts (endometriomas)
• MRI for more detailed imaging, if needed
• Laparoscopy, a minimally invasive procedure that allows direct visualization and potential removal of endometrial tissue

Laparoscopy is the only definitive method to confirm endometriosis, though many patients receive treatment based on strong clinical evidence before surgical confirmation.

Treatment Options

While there is no cure for endometriosis, effective treatments can manage symptoms, reduce pain, and support fertility. Your care plan is personalized based on your age, symptoms, and reproductive goals.

Medication Options:

• Hormonal birth control (pill, patch, ring) to regulate or suppress menstruation
• Gonadotropin-releasing hormone (GnRH) agonists to reduce estrogen and control symptoms
• Progestin therapy (IUD, implant, or oral medication)
• NSAIDs such as ibuprofen for pain relief

Surgical Options:

• Laparoscopic excision or ablation to remove endometrial implants
• Hysterectomy (removal of the uterus) for severe, treatment-resistant cases where childbearing is complete

Fertility-Focused Care:

• Surgical removal of endometrial growths to improve fertility
• Referrals to reproductive endocrinologists or fertility specialists
• Assisted reproductive technologies such as in vitro fertilization (IVF)

Living With Endometriosis

Endometriosis is a long-term condition, but with proper management, many women experience significant relief and restored quality of life. At Care for Womens Medical Group, we focus on empowering our patients with knowledge, treatment options, and compassionate support at every stage of care.

Schedule an appointment with Care for Womens Medical Group today to discuss your symptoms and explore personalized treatment options for endometriosis.