Endometriosis

Overview

Endometriosis is a condition in which tissue that normally grows in the lining of the uterus abnormally grows outside of it in the pelvis.

It is now understood as a chronic inflammatory condition, meaning the immune system and inflammatory pathways play a key role in how symptoms develop and persist. This can lead to scar tissue formation and worsen irritation within the pelvis and abdomen.

Symptoms

In some cases, endometriosis can also involve or irritate nerves within the pelvis, which can contribute to more complex pain patterns, including sharp, radiating, or nerve-type pain within the pelvis, lower back, vagina, buttock, and upper thighs.

Importantly, endometriosis frequently overlaps with other chronic pain conditions affecting the bowel, bladder, and vagina. Many patients experience symptoms consistent with irritable bowel syndrome (IBS)—such as bloating, constipation, or diarrhea—and interstitial cystitis (painful bladder syndrome), which can cause urinary urgency, frequency, and bladder discomfort. Vaginal and pelvic floor conditions, including vaginismus, vestibulodynia, and vulvodynia, are commonly associated and contribute to pain, burning and heightened sensitivity with penetrative intercourse. These overlapping conditions are often linked through shared nerve pathways, pelvic floor dysfunction, and inflammation.

Our Approach

We take a comprehensive approach to care, recognizing the role of inflammation.

In some patients, overlapping conditions such as mast cell activation syndrome—in symptom patterns. We offer a range of personalized treatment options, including medical and surgical approaches, focused on improving symptom management and overall quality of life.

See Endometriosis Resources