Endometriosis is a chronic and sometimes painful disorder in which endometrial-like tissue develops outside the uterus. This can result in conditions such as, pelvic pains, heavy menstrual flow and one is likely to experience infertility. The root of endometriosis is unknown , but most specialists consider it an outcome of genetic, hormonal and immunological dysfunction. In this article, I provide a brief background of the disease and the available management strategists.

Symptoms of Endometriosis
Symptoms can vary widely among individuals but often include:

Chronic Pelvic Pain: This is the most common symptom and may be aggravated during menstruation.
Menstrual Irregularities: The climacteric can be accompanied by heavy bleeding or even bleeding between months.
Pain During Intercourse: Pain that is experienced during or after intercourse is not rare.
Pain with Bowel Movements or Urination: This can be so especially especially when the wife is in her menstrual cycle or struggle period.
Infertility: Infertility is a common complaint that is associated with the disease endometriosis in women.
Other Symptoms: Fatigue, diarrhea or constipation, distension and nausea.

Diagnosis
It can be quite tricky diagnosing endometriosis. Doctors may begin first with a pelvic exam and then possibly ordering an ultra sound or MRI. Nevertheless, the definite diagnostic often requires the laparoscopic surgery during which the physician can make direct observation of the tissue and take the biopsy.

Treatment Options
Management in endometriosis depends on the prevailing symptoms, the stage, intensity and desire of the female to conceive.

1. Pain Management
Over-the-Counter Pain Relievers: For mild to moderate pain you can take acetaminophen or natural anti-inflammatories such as aspirin, ibuprofen or naproxen folapping.
Prescription Medications: For severe cases, the doctor may be forced to prescribe stronger pain killers or offer alternative treatment.

2. Hormonal Therapies
Hormonal treatments are directed at absenting or minimizing menstruation; these are usually effective in the diminution of endometrial growths as well as the lessening of symptoms.

Birth Control Pills: Consequently, periods can be controlled or even ceased with using combined oral contraceptives in order to ease the symptoms.
Progestins: These can be in the form of pills and injections as well as in the shape of devices; IUDs which assist in controlling growth of endometrial tissue.

3. Surgical Options
Surgery may be needed if the symptoms are very bad or if other treatments do not work.

Laparoscopy: This is a least invasive approach that helps in elimination of endometrial implants and scar tissues as well as fertility conserving. Sometimes it offers a lot of symptomatic relief.
Laparotomy: If the endometriosis is severe, more invasive surgery is required and if the endometriosis is extensive, part of the abdomen may need to be removed.
Hysterectomy: Laparoscopic surgery is utilized with less frequency when women refuse to have children and have severe endometriosis; in some cases, the uterus is removed, and sometimes the ovaries as well.

4. The lifestyle and alterative therapies are common in the treatment of the disorder.

Dietary Adjustments: Many women claim that they get better from chronic inflammation when following an anti-inflammatory eating plan that includes high amounts of fruits, vegetables, whole grains, and omega-3 fatty acids, but low in red meat and processed foods.
Exercise: It is a good idea to exercise, as regular physical activity will benefit the symptoms and the patient’s general health.
Physical Therapy: Pelvic floor physical therapy has been prescribed and shown to reduce pain and improve the living standards.
Complementary Therapies: Symptom management can also be obtained using such measures as acupuncture, yoga and practicing mindfulness.

5. Fertility Treatments
For women with endometriosis who wish to conceive, fertility treatments may be necessary:

Intrauterine Insemination (IUI): This method may be helpful in making conception possible.
In Vitro Fertilization (IVF): In case the patient’s condition is severe or if earlier approaches to fertility treatment have not worked, IVF is often suggested.