Understanding Endometriosis


Endometriosis is a common condition that affects many girls and women, yet it often goes undiagnosed for years. Learning about the symptoms and treatment options can help you seek care sooner and find relief.


What is endometriosis?

Endometriosis happens when tissue similar to the lining inside the uterus (the endometrium) grows outside the uterus—on the ovaries, fallopian tubes, or other areas of the pelvis. Because this tissue behaves like the lining of the uterus, it thickens and bleeds during each menstrual cycle, but the blood has nowhere to go. Over time, this can cause pain, swelling, and scar tissue.


How common is it?

Endometriosis affects roughly 1 in 10 people who have periods. It can begin during the teenage years and may continue into adulthood. Because symptoms can vary widely, diagnosis is sometimes delayed.


What are the symptoms?

The most common symptom is pain, especially around the time of a period. Other symptoms can include:


  • Severe period cramps
  • Ongoing pain in the lower belly or back
  • Pain during or after sex
  • Pain when using the bathroom during a period
  • Bloating or tiredness
  • Trouble getting pregnant

How is it diagnosed?

If endometriosis is suspected, a doctor will review your symptoms and medical history, and may recommend:


  • Imaging: Ultrasound (more common) or MRI to screen for signs of endometriosis
  • Laparoscopy: a small surgical procedure to look directly inside the abdomen and confirm the diagnosis


What are the treatment options?

While there is no permanent cure, treatment can help reduce pain and improve quality of life. Options may include:


  • Pain relief medications such as anti-inflammatories
  • Hormone therapy to slow the growth of endometriosis tissue
  • Surgery to remove visible endometriosis tissue or cysts
  • Naturopathic medicine to reduce inflammation and pain - this includes a tailored diet, evidence-based anti-inflammatories, acupuncture, digestion and microbiome support.


Endometriosis is a chronic, inflammatory disorder. There is a wide toolbox of options, and finding the one that works best for you and your goals, sustainability, and overall improvement of your symptom profile is the goal. 


Does endometriosis affect fertility?

Endometriosis can sometimes affect fertility by causing inflammation or scarring around the reproductive organs. The inflammation may also impact the quality of the eggs. However, many patients with endometriosis can conceive—either naturally or with the help of fertility treatments. If you suspect endometriosis, let your healthcare provider know so you can formulate your fertility plan: what to think about, and when to seek support.



Questions about endometriosis? Book a free discovery call to learn more about how I can help.

A great resource is The Endometriosis Network Canada - found here. 



In Health,


Dr. Ashley Damm, BSc, ND, MSCP

Naturopathic Doctor - Vancouver, BC

Women's Health & Fertility