Endometriosis is a very painful condition that affects over 5 and one half million women and girls in the United States.  The name comes from the word "endometrium", which is the tissue that lines the inside of the uterus.  It occurs when this tissue is found outside the uterus -- usually in the abdomen on the ovaries, fallopian tubes, and ligaments that support the uterus; the area between the vagina and rectum; the outer surface of the uterus; and the lining of the pelvic cavity. Other sites for these endometrial growths may include the bladder, bowel, vagina, cervix, vulva, and in abdominal surgical scars. They may also be found in the lung, arm, thigh, and other locations.

This tissue responds to the menstrual cycle, as it would in the uterus.  At the end of every cycle, the endometrial tissue outside the uterus tends to break apart and bleed.  However, the blood from the misplaced tissue cannot be discharged as it is from the uterus. This causes tissues surrounding endometriosis to become inflamed and swollen.  This may produce scar tissue around the endometriosis, as well as pain, adhesions, bowel problems and infertility.

The cause of this condition is unknown and it is unknown why some women with endometriosis may have severe pelvic pain, while others who have the condition experience no symptoms. Endometriosis may cause abdominal, low back or pelvic pain or dysfunction. 

The most common symptoms of endometriosis are:

Pain before and during periods
Pain with sex
Infertility
Fatigue
Painful urination during periods
Painful bowel movements during periods
Other Gastrointestinal upsets such as diarrhea, constipation, nausea
Occasional heavy periods

In addition, many women with endometriosis also suffer from allergies, chemical sensitivities and frequent yeast infections.

Diagnosis is usually made by a procedure called laparoscopy, which is a minor surgical procedure done under anesthesia.  This will show the location, extent and size of the growth.

Standard treatment for endometriosis relies on drugs and surgery. However, many women do not obtain relief even after one or more surgeries.

Myofascial release and other manual therapy used to release tension in the body and tissues and break down adhesions is effective in relieving the pain from this condition and balancing the body.  Patients can usually tell within three treatments or after their first menstrual cycle if there has been any pain relief.

This website last updated on 31 July 2010

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