If you have trouble with menstrual pain and suspected to have endometriosis, make an appointment with an obstetrician-gynecologist to diagnose and carefully plan for early treatment which would be more effective in the long run.

• Early menstrual period
• Never given birth before
• Short menstrual period
• Late menopausal age
• Family history
• High exposure of estrogens in lifetime

Signs and symptoms can be nonspecific and hard to distinguish. Patients with endometriosis usually describe the intense pain experienced far worse than the usual menstrual cycle. Symptoms can include:

• Dysmenorrhea (Disabling painful menstrual period)
• Pain with urination and sexual intercourse
• Excessive bleeding
• Infertility
• Feeling sick, constipated, and diarrhea during menstrual period

• Pain medication as symptomatic treatments such as the nonsteroidal anti-inflammatory drugs (NSAIDs)
• Hormone therapy such as hormonal contraceptives, gonadotrophin-releasing hormone (GnRH) analogues, and aromatase inhibitors
• Conservative surgery to cut away the endometriosis implants
• Surgery to remove uterus (hysterectomy) and ovaries (oophorectomy) in which must be considered very carefully weighing risk versus benefits