Endometriosis: The Reality Behind Painful Periods

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Endometriosis is an often painful disorder in which tissue similar to the tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. It is a painful condition to have and can be treated accordingly but the first thing to prevent it is by start talking about it.
Endometriosis: The Reality Behind The Painful Periods- Delik House
Illustration, Light and Paper

Amidst the pandemic, we are facing another pandemic; we do not know what we are supposed to know on matters reproductive health!

It is time that we introduce a reproductive health new normal. Let’s normalize talking and sharing experiences openly. I am not a health practitioner but I believe that we all can learn and make a change in our society.

You might have had a girlfriend, sister, cousin, mother or a colleague who every few days in a month complains of very painful menstrual cramps (dysmenorrhea).

Do you perhaps mention the myth that she wouldn’t experience painful labor?

If you say or think so then maybe its time that you stop.

Painful menstrual cramps are NOT normal!

What is Endometriosis?

Illustration by Marta Pucci

Endometriosis is a female reproductive disorder in which the tissue that normally lies in the uterus -the endometrium- grows outside the uterus. In some cases, endometriosis has been observed in other organs, not in the female reproductive system like the nasal passages, pleural cavity, lymph nodes and the umbilicus.

Endometriosis is an enigmatic disease despite a long history of research into clinical and basic science. It is important to note that there is no clear cause that can be pinpointed to cause endometriosis.

Researchers have only mentioned theories that cause endometriosis:

1. Retrograde menstrual flow which causes menstrual blood to flow backwards into the pelvis instead of out of the vagina during menstruation.

2. Genetic inheritance:
Endometriosis can also occur during the peri and post-menopausal period due to factors like obesity, Remnant Ovarian Syndrome (ROS) that happens when endometriosis is reactivated after the removal of the Fallopian tubes (salpingo-oophorectomy). It can also happen when the uterus is removed through a process known as hysterectomy leaving behind the ovaries. The endometriosis is likely to recur.

Common Signs And Symptoms Of Endometriosis 

  • Painful periods (dysmenorrhea). Pelvic pain and cramping are likely to begin before and extend several days into the menstrual period.
  • Pain with intercourse.
  • Pain with bowel movements or urination
  • Excessive bleeding
  • Infertility

Treatment Of Endometriosis

Although the most effective way of treatment has not been found, the following are the ways in which endometriosis is treated:

  • Analgesics
  • Medical therapy
  • Ovulation Suppression Agents
  • Surgical therapy which involves excision of the ovaries and the uterus (hysterectomy and bilateral oophorectomy respectively).
  • Hormonal therapy which treats the endometriosis-related pain includes contraceptives, progestins, Selective Progesterone Receptor Modulators (SPRM) and anti-progestins.


Let’s learn to raise awareness of reproductive health disorders. Its time we sanitize our thoughts about endometriosis. This is a matter that needs no social distancing. Let’s embrace reproductive health awareness.

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Chapa mupa
Chapa mupa
3 years ago

Big up darling we gat your back

Susan wangui
Susan wangui
3 years ago

Goood piece my dear,keep up

Jane naliaka
Jane naliaka
3 years ago

Like your article ??

3 years ago

Wow very informative. I love your articles. Keep on creating.

Emmah njeri
Emmah njeri
3 years ago

Thankyou for this educative article dear

Pravati Mishra
Pravati Mishra
3 years ago

That is very enlightening as to not much people know about this disease ?

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