March is National Endometriosis Awareness Month – a time to bring attention to a condition that affects an estimated 1 in 10 women of reproductive age. Despite how common it is, endometriosis is often misunderstood, misdiagnosed, or dismissed. At WhidbeyHealth, we want women in our community to feel heard, informed, and empowered to seek care when something doesn’t feel right.

What Is Endometriosis?

Endometriosis occurs when tissue similar to the inner lining of the uterus grows outside the uterus – commonly on the ovaries, fallopian tubes, and other areas within the pelvis. This tissue responds to hormonal changes during the menstrual cycle, which can cause inflammation, scarring, and significant pain.

Endometriosis is a chronic condition, but with the right diagnosis and treatment plan, symptoms can be managed, and quality of life can improve.

Common Symptoms of Endometriosis

On average, it can take 4-11 years for someone to receive a diagnosis after symptoms begin, according to the American Medical Association. One reason is that symptoms can vary greatly from person to person and may be caused by other conditions. Some women experience severe symptoms, while others have mild or even no noticeable signs. Common symptoms include:

  • Painful periods that interfere with work, school, or daily life
  • Chronic pelvic pain
  • Pain during or after intercourse
  • Pain with bowel movements or urination, especially during menstruation
  • Heavy or irregular menstrual bleeding
  • Difficulty becoming pregnant
  • Fatigue, bloating, nausea, or digestive discomfort

If your period pain consistently disrupts your daily activities, that is not something to ignore.

Who Is at Risk?

Endometriosis can affect any woman who menstruates. Risk may be higher if you:

  • Have a family history of endometriosis
  • Started menstruating at an early age
  • Have shorter menstrual cycles
  • Have never given birth

However, anyone with symptoms should talk to a healthcare provider, regardless of risk factors.

When to Follow Up With a Doctor

You should consider scheduling an appointment if:

  • Your period pain prevents you from working, attending school, or participating in normal activities
  • Over-the-counter pain medications are no longer effective
  • You experience chronic pelvic pain outside of your menstrual cycle
  • You have pain during intercourse
  • You are trying to conceive and having difficulty
  • You simply feel that something about your cycle is not normal

Trust your instincts. You know your body best.

How Is Endometriosis Diagnosed and Treated?

Diagnosis often begins with a detailed medical history and pelvic exam. Imaging studies may help, but in some cases, a minor surgical procedure is needed to confirm the diagnosis.

Treatment options depend on your symptoms and goals and may include:

  • Pain management strategies
  • Hormonal therapies
  • Minimally invasive surgery
  • Fertility support when needed

Your care plan should be individualized and centered around your needs and preferences.

You Are Not Alone

Living with pelvic pain can be physically and emotionally exhausting. National Endometriosis Awareness Month is a reminder that painful periods are not something you just have to “push through.”

If you have concerns about your menstrual health or are experiencing symptoms of endometriosis, the Women’s Care team at WhidbeyHealth is here to help. Early evaluation and compassionate care can make a meaningful difference.