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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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  • Sandy Gibson


    Wonderful experience! Dr. Montville is so kind and listens attentively.

  • Amanda Sensing


    Love this practice & Teri Greer. The staff is professional, friendly and always pleasantly helpful.

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    Lovely setting and compassionate practitioner!

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    I have been seen by Brooke Faught and she is wonderful. She really knows her stuff. She is down to earth and very understanding. It is like talking to your sister. I highly recommend.

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    I was seen quickly and the staff is so friendly. Dr. Montville is the absolute best.

  • Beth Croley


    Really wonderful experience. I felt heard and supported.

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