• Painful Periods
  • Heavy Periods
  • Chronic Pelvic Pain
  • Painful Sex
  • Bleeding After Sex
  • Difficulty Falling Pregnant

It is a common misperception that menstrual pain is “normal” and just something women have to “put up with”. This might not be the case. If pain interferes with daily quality of life and has an impact on work and personal relationships… then it could be Endometriosis and should be investigated.2, 3

Back to top

Can young girls also get Endometriosis?

Yes! Adolescents who suffer from pelvic pain that does not respond to conventional therapy may have endometriosis. Symptoms in young girls often differ from those of adults who have endometriosis. Many young girls with endometriosis have severe pain during menstruation and in between menstruation. Bowel and bladder symptoms leading to pain during urination or when having a stool are also common in young girls.7

Young girls who suspect they may have endometriosis should seek medical help as soon as possible. With an early diagnosis it may be possible to decrease life-long effects associated with endometriosis – including pain and infertility – and improve quality of life.7

Back to top

What is Endometriosis?

Endometriosis is a common condition that affects up to 10 % of all women during their childbearing years.4 Endometriosis is defined as the presence of endometrial-like tissue that grows outside the uterine cavity. These include on the surfaces of organs in the pelvic and abdominal cavity. 5

Back to top

About Endometriosis pain

One of the most common symptoms of endometriosis is pelvic pain. Pelvic pain associated with endometriosis usually occurs more or less at the same time as menstruation. The pain may increase in intensity as the disease worsens.4

Back to top

Other symptoms of Endometriosis

Endometriosis should be considered if you are experiencing:5, 6

  • pelvic pain
  • painful periods
  • pain during sexual intercourse
  • fertility problems
  • low back pain or
  • have a family history of endometriosis.

If your doctor suspects that you may have endometriosis he/she will take a history, examine you and prescribe treatment.

Treatment options are:4, 5

  • Medication
  • Laparoscopy
These treatment options can reduce your pain, and / or reduce your endometriotic lesions, preserve fertility as far as possible, and improve your quality of life.4, 5

A laparoscopy is performed under general anaesthetic by a trained surgeon.2 This procedure which is used to confirm the presence of endometriosis, is performed through three small cuts made in the wall of the abdomen. A needle is inserted through the navel to fill the abdomen with gas. The gas pushes the abdominal wall away from the internal organs so that a small camera (laparoscope) can be inserted through the navel.

While looking through the laparoscope, the doctor can see the reproductive organs including the uterus (womb), fallopian tubes, and ovaries.8

Back to top

What causes Endometriosis?

We do not know the exact cause of endometriosis, but it is postulated that during menstruating, some of the blood that a woman sheds during her period, flows into her pelvis and attaches to surfaces in the pelvis.

Genetic Factors:

There appears to be a familial tendency of endometriosis which suggests that this disease could be inherited, or it could result from genetic errors, which makes some women more likely than others to develop the condition.4, 6

Medical References

REFERENCES – Further reading: 1. Dunselman GAJ, Vermeulen N, Becker C, et al. ESHRE guideline: management of women with endometriosis. Human Reproduction 2014; 29(3): 400-412. Accessed 13 June 2016. 2. Hummelshöj L et al. Update on endometriosis. Women’s Health. 2006;2(1):53–56. 3. Ballard K et al. What’s the delay? A qualitative study of women’s experiences of reaching a diagnosis of endometriosis. Fertility and Sterility. 2006;86(5). 4. Crosignani P et al. Advances in the management of endometriosis: an update for clinicians. I Clinica Obstetrica e Ginecologica. 2006;12(2):179–189. 5. Winkel C. Evaluation and Management of Women With Endometriosis. Obstetricians and Gynecologists. 2003;102(2). 6. Jackson B et al. Managing the misplaced: Approach to endometriosis. Can Fam Physician. 2006;52:1420-1424. 7. Laufer M et al. Adolescent Endometriosis: Diagnosis and Treatment Approaches. J Pediatr Adolesc Gynecol. 2003;16:S3-S11. 8. American Society for Reproductive Medicine (ASRM). Laparoscopy and hysteroscopy. A guide for patients. Birmingham, USA: ASRM, 2016. 9. Fischer JR, Giudice LC, Milad M, et al. Diagnosis and management of endometriosis: Pathophysiology to practice. Crofton, MD, USA: Association of Professors of Gynecology and Obstetrics (APGO); 2013. https://www.apgo.org/binary/EndometriosisCMEMonograph.pdf. Accessed 17 January 2017. Bayer (Pty) Ltd, Reg. No.:1968/011192/07. 27 Wrench Road, Isando, 1609. Tel: 011 921 5000. L.ZA.MKT.WH.02.2017.1095

Mental Health
Infant Health

For more health information

Click on the body area you want to know more about. Select a related health topic from the menu

Select a body area


World Immunization Week

World Immunization week 24 - 30 April 2022



Warts and how to remove them


Minor Cuts and Scratches

How to treat cracked fingers and heels


Corns and Calluses

How to get rid of a corn / how to remove a corn / how to treat a corn



Will there be a flu season this year?

Content Disclaimer:
You understand and acknowledge that all users of the Dis-Chem website or app are responsible for their own medical care, treatment, and oversight. All of the content provided on the website, are for INFORMATIONAL PURPOSES ONLY and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. The content is not intended to establish a standard of care to be followed by a user of the website. You understand and acknowledge that you should always seek the advice of your physician or other qualified health provider with any questions or concerns you may have regarding your health. You also understand and acknowledge that you should never disregard or delay seeking medical advice relating to treatment or standard of care because of information contained in or transmitted through the website. Medical information changes constantly. Therefore the information on this website or on the linked websites should not be considered current, complete or exhaustive, nor should you rely on such information to recommend a course of treatment for you or any other individual. Reliance on any information provided on this website or any linked websites is solely at your own risk.
Back to top