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Endometriosis symptoms can vary widely from person to person. This is one of the main reasons why it is so difficult to diagnose.

On average, patients with endometriosis experience a delay in diagnosis of 10 years. Our healthcare team at HerMD is on a mission to end the delays in diagnosis for our patients.

What is Endometriosis?

Endometriosis is a condition that occurs when tissue similar to the inside lining of the uterus is present outside of the uterus, such as in the ovaries, fallopian tubes, nearby organs, and/or on the pelvic tissues surrounding the uterus. These tissues can thicken, break down, and shed, but because there is no way for them to leave the body, they cause bleeding and inflammation within the pelvis. This leads to swelling and the development of scar tissue inside the pelvic area or between the pelvic tissues and organs.

Endometriosis is common

According to the World Health Organization (WHO), about 10 percent of girls and women are affected by endometriosis worldwide, which equates to approximately 190 million people.

What are the symptoms of endometriosis?

Endometriosis can cause a wide variety of symptoms in some patients, but many do not experience any symptoms at all.

In symptomatic patients, common symptoms associated with endometriosis include:

  • Chronic pelvic pain
  • Pain with menstruation
  • Pain with sexual intercourse
  • Painful bowel movements
  • Heavy or irregular menstrual cycles

Certain factors may increase the risk of endometriosis

  • Nulliparity
  • Early onset of periods
  • Short frequent menstrual cycles
  • Heavy menstrual  bleeding
  • Family history, especially with a mother or sister. If your mother or sister has endometriosis, you have a 7x higher risk of developing endometriosis.

What can I expect from a consultation for endometriosis?

During your visit, you can expect your care team to listen to and address all of your concerns in a safe and trusted space. A consultation for endometriosis may include:

  • A history and physical examination
  • Labs
  • Imaging

Can endometriosis be treated?

When endometriosis causes symptoms, treatment with certain medications and/or surgery can help to alleviate symptoms. Endometriosis may lead to infertility. Treatments will vary depending on the severity of symptoms and an individual’s desire to have children. 

Medication treatment options can include:

  • Non-steroidal anti-inflammatory agents, to manage endometriosis-related pelvic pain
  • Oral contraceptives, to regulate the menstrual cycle and to manage endometriosis-related pelvic pain
  • GnRH analog, to manage endometriosis
  • Oriahnn
  • Myfembree

Surgical treatment options can include:

  • Diagnostic laparoscopy
  • Operative laparoscopy (ablative/excisional)
  • Other surgical interventions when warranted
What is endometriosis?

Endometriosis is a chronic disorder that occurs when tissue similar to the inside lining of the uterus is present outside of the uterus.

What are the symptoms for endometriosis?

The most common symptoms of endometriosis include:
– Chronic pelvic pain
– Pain with menstruation
– Pain with sexual intercourse
– Painful bowel movements
– Heavy or irregular menstrual cycles

Other symptoms can include fatigue, anxiety or depression, abdominal bloating, nausea, diarrhea, constipation, and infertility.

What are the common treatment options for endometriosis?

The common treatments for endometriosis include medical and surgical options. Medical options can include non-steroidal anti-inflammatory agents, oral contraceptives, and GnRH analogs. Surgical treatment options can include diagnostic laparoscopy, operative laparoscopy (ablative/excisional), and other surgical interventions when warranted.

The HerMD Difference

  • 10 minute appointments
  •  20 – 60 minute appointments
  • Fragmented
  • In-person only
  • Hybrid: in-person and virtual
  • Sterile environment
  • Patient-centric, beautiful and warm
  • Focus on obstetrics, annuals, and STI care
  • Gynecology, sexual health and menopause focused with ISSWSH and NAMS trained providers

HerMD Trailblazers and Changemakers

Meet Your Women’s Healthcare Leadership Team

We’re Revolutionizing Women’s Health Care

But don’t just take our word for it…

  • Patty Penuell

    I would recommend this practice/office to anyone. The people are friendly and attentive. The office is new, bright and pretty and Teri is amazing! I felt at ease and important from the time I walked in, to the time I left. Top-notch!

  • Stephanie Norris

    The whole experience with HerMD in Franklin TN from start to finish has been amazing. I was a new patient and met with Terri Greer. She was fantastic! She listened to all of my concerns and helped me sort through which options would be best for me. She spent over an hour with me and never once did I feel rushed or that she needed to get to the next appointment. She talked with me like a friend and never down to me if I had questions. I am so happy that I chose to go with HerMD and cannot recommend them enough!

  • Madison Hair

    I had my first ever Botox experience here and all the employees made me feel so comfortable. They are very informative and always have your best interest in mind. I can’t wait for my gyno appointment!

  • Shelby Southerland

    The office is so inviting and the staff is so knowledgeable. I really felt heard and understood when visiting the Carmel location. The women here take the time to listen to the needs of their patients and not rush them along. Hannah was my Botox injector and I’m so pleased with my results!!!Gynecological care and esthetic services all in one place, thank you for such great care.

  • Julie Virag

    Such a great experience. I was very nervous about my appointment due to some abnormal test results I received from my primary doctor. Teri Greer made me feel heard. She told me all of the possible scenarios, but was very calming and helped me not stress about my condition. She really put me at ease. Terri is amazing and I would highly recommend!!!

  • Elizabeth Mercer

    I just love everything about HerMD! The office is so girly, pretty and welcoming. Terri Greer NP is warm and caring. She always makes me feel comfortable and is extremely knowledgeable in anything and everything female! Karen Medieros RN has mad injector skills and always makes me look and feel beautiful. This is definitely an office I look forward to visiting!

  • Yarymary Diaz

    Excelente facilidad, cálida y acogedora. Su personal muy amable y profesional. Mi Dra. Michelle Montville es la mejor por su carisma, empatía y se toma su tiempo en explicarte todo lo que necesitas saber

  • Katie Woods

    It’s so very rare to find a provider that will truly sit and listen to you and work with you. Dr. Montville is amazing and the front office goes above and beyond to help.

  • Candice mcIntyre

    I have had a wonderful experience here. Staff is professional and never makes you feel like they are in hurry to run out the door. Very knowledgeable about women’s health. Finally a place that has an interest in what’s going on with women after the birthing years! Refreshing!


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