So... What is Endo?
- Tamar Zelovich
- Aug 8
- 1 min read

Endometriosis is a chronic, multi-systemic, inflammatory, and estrogen-dependent gynecological disease that affects 1 in 10 women.
The disease occurs when tissue similar to the lining of the uterus (the endometrium) grows outside the uterus, most often in the pelvic area. Like the endometrium inside the uterus, this tissue responds to hormonal changes, especially estrogen.
During menstruation, these misplaced cells can also bleed. But unlike normal menstrual blood, this blood has no way to leave the body. Over time, it can cause inflammation, scarring, adhesions between organs, deep lesions, and cysts (called endometriomas).
Why it’s hard to diagnose:
Endometriosis can be extremely difficult to diagnose. Many doctors are not fully trained in recognizing it, and the average delay in diagnosis worldwide is about 12 years. A definitive diagnosis requires laparoscopic surgery and tissue biopsy. However, specialists can often make a reliable diagnosis using a detailed symptom history, gynecological examination, and pelvic ultrasound.
Common symptoms include:
Severe menstrual cramps and/or pain during ovulation ; Pelvic pain ; Lower back ; Pain during intercourse ; Digestive problems such as bloating, constipation, rectal bleeding, pain with bowel movements (often mistaken for IBS), nausea, vomiting and more ; Urinary symptoms such as burning, urgency, difficulty urinating and more; Fatigue; Leg pain ; sciatica ; migraines ; depression ; Mood swings ; Infertility ; and more.
Endometriosis is a complex condition that can affect multiple systems in the body, and symptoms can vary widely from one person to another. Early recognition and specialist care are key to improving quality of life.
