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Endometriosis

10 strategies against cycle-related pain

Severe period pain, fatigue, discomfort when sitting, during sport or even in everyday life — all these symptoms may at first seem unrelated. Endometriosis can, however, cause a wide range of such symptoms that do not always point immediately to the lower abdomen. So how can you tell when there is more behind the symptoms than a "normal" cycle?
  • Take recurrent pain seriously

Even if the condition is not malignant, persistent and severe pelvic pain can significantly restrict your daily life. Pay close attention to when and how symptoms occur, and seek medical advice early instead of continually downplaying the pain.

  • Keep a structured symptom diary

Record the type, location and timing of your pain. This information is an important basis for the medical consultation and helps guide targeted diagnostic steps.

  • Have unexplained infertility investigated

Because the condition can affect fertility, you should seek specialist advice early if pregnancy does not occur. This allows possible causes to be investigated and further steps to be planned.

  • Use the gynaecological exam purposefully

A careful clinical examination of the vagina, abdominal wall and rectum can provide initial clues. Prepare for this appointment and describe your symptoms as precisely as possible.

  • Consider imaging procedures

Larger lesions are often detectable by transvaginal ultrasound. With more severe symptoms, an abdominal ultrasound or magnetic resonance imaging can be useful to depict changes more clearly.

  • Learn about laparoscopy

Because smaller lesions are often not visible or palpable, laparoscopy is frequently performed to secure the diagnosis. Tissue can be taken at the same time to confirm the diagnosis definitively.

  • Use painkillers consciously

Anti-inflammatory medications can relieve acute symptoms. Note, however, that they only treat the symptoms and do not eliminate the underlying cause.

  • Consider hormonal treatment

Hormonal preparations can inhibit the growth of lesions and reduce symptoms in the long term. For a stable effect, regular intake at the prescribed dosage is essential.

  • Think about complementary approaches

Approaches such as acupuncture, homeopathy or traditional Chinese medicine can be used as complementary measures to help relieve pain. They do not replace medical treatment but can support it.

  • Be mindful of your diet

Emphasise fresh fruits and vegetables with antioxidant properties and include omega-3 rich foods such as flaxseed oil or oily fish in your diet. Reduce highly processed products, sugar, white flour, alcohol and caffeine, as these can promote inflammation and negatively affect hormonal balance.

editorial.facts

  • Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus — often in the pelvic cavity, on the ovaries or fallopian tubes, but sometimes also on the bowel or bladder. In rare cases, lesions have even been found on the diaphragm or in the lungs.
  • Recurrent bleeding and inflammatory processes can lead to the formation of scar tissue. This favours adhesions between organs, which can cause additional symptoms.
  • Endometriosis is considered a chronic inflammatory disease that mainly affects women of reproductive age. It is most commonly diagnosed between the ages of 25 and 35, although it can occur at other stages of life.
  • Estimates suggest that about six to ten percent of women of reproductive age are affected. The actual number can vary depending on the method of investigation and the study.