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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

TYPICAL OB GYN OFFICE HerMD
  • 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

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  • Michele Steele


    I’ve been searching for a place and provider like this most of my adult life! from the moment you walk in you are greeted with a spa like experience in a dr.’s office wow! then combine that with an amazing provider like Courtney what a huge win! Looking forward to my future opportunities with her on managing my care.

  • Diane M.

    Cincinnati, OH

    The experience was wonderful! The office personnel and Dr. Davidson was great. I’ve informed my sister that she might want to go here. Thank you

  • Sara Stallcop


    Highly recommend this place to any woman looking for care after they are done having children!! And also be sure to see Kendra for all your anti aging needs ❤️❤️

  • Susan Burgio


    I had my fist visit today with Melanie Zavala and I felt heard, and we were able to address my questions and make a plan for treatment. I’m very happy with my visit, this practitioner and the professionalism and courtesy at the office. I look forward to continue my post-menopause health care at HerMD Millburn.

  • Diane Davis


    My doctor listened, took me seriously, and ordered the right tests. I’m so glad this place exists!

  • Liz Gregory

    Cincinnati, OH

    Absolute amazing work experience!!! Michelle is amazing and only wants what is best for her patients!! Highly highly recommend!!

  • Elijiah Gray


    Great atmosphere- felt like a spa not a doctors office. Staff was great

  • Kelsey Burtchaell


    My first appointment and I loved it. Everyone so friendly and helpful. Teri is a fellow breast cancer survivor which was all the better. So happy I made the switch to HerMD.

  • Carly Beth Gamble


    Katie RN and Terri Greer NP are actual angels! So supportive and caring! Would recommend to anyone wanting GYN care!

  • Natalie Fletcher


    A girl’s kind of place. Awesome people & a comfy/inviting office 🙂

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