Top
30
Doctor insights on: Why Is Endometriosis Pain Worse During The Night

Share
1

1
Can endometriosis br diagnosis w/o surgery? Diangosis today with endo based off monthly r pelvic pain during mens that is getting worse.

Can endometriosis br diagnosis w/o surgery? Diangosis today with endo based off monthly r pelvic pain during mens that is getting worse.

No: #endometriosis is a curious disorder without proven cause, and commonly used treatments are speculative. Pelvic and operative interventions commonly cause pelvic and abdominal organ (intestine) adhesions resulting in tethered, twisted, and constricted intestine; a set-up for ibs-like symptoms. Women with joint hypermobility syndrome (see brighton criteria) have terrible menstrual pains. ...Read more

Dr. Michael Traub
1,247 doctors shared insights

Endometriosis (Definition)

An abnormal condition where the lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more


2

2
Should women w/endometriosis avoid lymphatic massage? I had it a few times, 2x during period, then read it cld cause spreading. Symptoms progresvly worse.

Should women w/endometriosis avoid lymphatic massage? I had it a few times, 2x during period, then read it cld cause spreading. Symptoms progresvly worse.

Spread: I have not heard this nor if I read it. I think if it helps you and make you feel better than you should continue doing it. If it makes it worse than stop. I cannot believe there's evidence either way. ...Read more

3

3
Are period cramps worse during teenage years? I used to get bad cramps as a teenager which slowed down in my 20s. Could it be endometriosis?

Are period cramps worse during teenage years? I used to get bad cramps as a teenager which slowed down in my 20s. Could it be endometriosis?

Endometriosis ?: Because a young teenage woman is unfamiliar with the effects of larger doses of hormones produced in the menstrual cycle, the effects seem stronger than when regular cycles predominate in one's 20s and up. Endometriosis is treated well with low dose oral contraceptives, and fertility is preserved better than with untreated endometriosis, which can seriously affect fertility negatively. ...Read more

5

5
Lower abdomen pain during intercourse mean endometriosis or worse?

Lower abdomen pain during intercourse mean endometriosis or worse?

Endometriosis common: Endometriosis is far and away the most common cause of female pelvic pain. The list of possible causes is just not that long in most patients. Pain during or after intercourse should be evaluated by your gynecologist. Other causes include pid (pelvic inflammatory disease, a bacterial infection of the uterus/tubes/ovaries) but usually there is a low grade fever and some extra vaginal discharge. ...Read more

6

6
Having watery diarhhea/vomiting /pain before and during period. Got dehydrated and went to hospital. Periods getting worse. Could it be endometriosis?

Having watery diarhhea/vomiting /pain before and during period. Got dehydrated and went to hospital. Periods getting worse. Could it be endometriosis?

Period pain: There are many causes of painful periods, but endometriosis is a common one — and it can be accompanied by changes in bowel movements, painful urination, pain with sex, and excessive bleeding with periods. Talk with your gynecologist about your diagnosis and the best ways to manage your symptoms. ...Read more

8

8
How to know if I have worsening from my endometriosis?

Endometriosis: It is not uncommon for menstrual cramps to increase over time with endometriosis. Please see your gynecologist for evaluation to get the correct answer for this question. Take care. ...Read more

10

10
Which is worse: dealing with endometriosis or hysterectomy?

Which is worse: dealing with endometriosis or hysterectomy?

Complicated: A very complicated question you should talk over with a gynecologist expert in the management of endometriosis. Assuming you are the patient we are talking about (49 years old), you have very little to lose in having a hysterectomy and potentially a lot to gain. It is very dependent, however, on specifics of each case. ...Read more

11

11
Is it normal for endometriosis to get worse after having a baby?

Is it normal for endometriosis to get worse after having a baby?

Well, sort of: No, not specifically because of having a baby, but endometriosis is a progressive disease so it tends to worsen over time. Also, endometriosis growth is reduced or arrested during pregnancy, so it can 'worsen' or progress once cycling resumes. ...Read more

12

12
What's worse dealing with endometriosis or hysterectomy my entire life?

What's worse dealing with endometriosis or hysterectomy my entire life?

If your endometriosi: Is bad enough then u may need after other measures like meds and less invasive surgery has been tried, hopefully if u have to have the hyesterec then your endometriosis will be gone or markedly lessened so u can enjoy life, bad endomtriosis is not compatible with enjoying life. ...Read more

13

13
Can clomaphene cause problems when I have endometriosis? Did clomaphene work or make endometriosis worse?

Can clomaphene cause problems when I have endometriosis? Did clomaphene work or make endometriosis worse?

Talk to your doctor: Clomiphene alters hormonal balances in the body, especially of estrogen. This is how it works as an infertility drug. Endometriosis can be worsened by the presence of high levels of estrogens. Clomiphene use is relatively contraindicated in women with endometriosis. But again, you should talk to your doctor since only they know why you may still need to take the drug despite your condition. ...Read more

14

14
Removed nuvaring for break week after skipping for 3month. Endometriosis like symptoms returned within 24hrs. Normal or getting worse? What can I do?

Your period?: Many women experience pain from endometriosis just prior to their period.

When you remove the Nuvring for your break week, your body begins to prepare to have a period. It doesn't mean your endometriosis is worse, just that it is changing with your hormones as it would each month if you were not skipping the break week. You can take Ibuprofen and shorten the break week to 4 days. ...Read more

15

15
During time of ovulation, Some months I notice pain on lower right side. When I do notice the pain, its always right side. Can this mean endometriosis?

Probably Not: Unless you have a family history or some reason to think endometriosis it might be more common to be experiencing Middleschmertz pain. This is pain from the ovary ovulating the egg. Some people feel this. Why only on your right side not known. ...Read more

16

16
Does endometriosis make pmdd worse?

Does endometriosis make pmdd worse?

Yes: If your endometriosis is causing severe pain that can negatively affect your mood worsening pmdd symptoms. ...Read more

17

17
What kind of pains during intercourse are caused by endometriosis?

What kind of pains during intercourse are caused by endometriosis?

Varies: Everyone experiences pain differently. For some it may feel like cramping, others sharp or stabbing pains and yet others may feel a burning sensation. You can reduce this by teaching your partner to avoid deep penetration. The outer third of the penis and vagina are the most sensitive, so deep insertion isn't needed and for you is painful. ...Read more

19

19
Does endometriosis cause pain during penis penetration?

Absolutely: The inflammation in the pelvis due to endometriosis is often located deep in the pelvis just behind the uterus and cervix which means it is just above the top of the vagina. This area is indeed, during penetration apt to get bumped and can indeed cause what is called "deep dyspareunia" (pain with deep penetration). A very common cause of this pain is endometriosis. ...Read more

20

20
Can endometriosis of the bowel be found during a colonoscopy?

Can endometriosis of the bowel be found during a colonoscopy?

Endometriosis of gut: Most GI doctors consider endometriosis in women with complaints of chronic discomfort. Crampy, nonpelvic pain can be seen in extensive endometriosis, & symptoms do not always intensify prior to or during menses. The disease can mimic inflammatory bowel disease on barium studies. On colonoscopy, submucosal lesions like endometriosis may be polypoid. Endoscopic ultrasound may be of further help. ...Read more

21

21
Would endometriosis cause my Crohn's to flare during my period? Ceohns only flares during my period.

Would endometriosis cause my Crohn's to flare during my period? Ceohns only flares during my period.

Endometriosis/Crohns: Endometriosis (endo) and crohn's disease seem to be related in that women with endo have a higher incidence of crohn's. Endo implants on your intestines can mimic crohn's symptoms- is this a flare caused by endo? Probably sometimes yes, sometimes no. Clearly if one has both, it's important to treat both as they seem to feed the painful symptoms of one another. ...Read more

22

22
Would endometriosis or fibroids be found during a colposcopy and biopsy?

Would endometriosis or fibroids be found during a colposcopy and biopsy?

No: A colposcopy is for evaluating the cervix and vagina for abnormal appearing areas that could be dysplasia (pre-cancer cells), typically done after an abnormal Pap smear. ...Read more

24

24
Does Cyproheptadine have a negative effect on Endometriosis? Will it make it worse?

Not likely: I can not find any reference in the clinical literature regarding Cyprohepatine and endometriosis. There are some research oriented papers on histamine relationship with chronic pain conditions ...Read more

26

26
Endometriosis reoccurred after 2nd surgery, dr refused 3rd surgery said would cause it to spread and become worse, I have an endometrioma, is this true?

Fertility Specialist: At this point you would likely benefit from seeing a specialist. There are different options and different concerns. Surgery is still an option but you really need to know what your goals are. I would not do anything before seeing a specialist. And yes only surgery will remove an endometrioma but not all of them need to be removed. ...Read more

27

27
Can my endometriosis grow back during pregnancy?

Possible: I can grow during pregnancy but usually the high hormones during pregnancy actually suppress the endometriosis and make it better. It is more likely to grow after pregnancy is over. ...Read more

28

28
Can your endometriosis symptoms start during pregnancy?

Not Common: To be honest, the high Progesterone levels in pregnancy usually make endometirosis a lot better. But lots of other things can cause aches and pains in pregnancy. That is much more likely. ...Read more

29

29
Does endometriosis pain get worse when you have your period?

Does endometriosis pain get worse when you have your period?

Yes: The endometrial glands that are not in the endometrial cavity ("endometriosis") bleed and shed the same time as the endometrial ones, except they're trapped where they are (in the ovary, in the abdomen, in the lung, etc) and causes pain by mass effect. Later, as that tissue gets trapped long term the body sips it up and it becomes scar tissue. ...Read more

30

30
What do they do during laparoscopy surgery for endometriosis?

Steps: Anesthesia, small port openings, introduce carbon dioxide to allow exposure, introduce devices to view and work, visualize abnormalities, cauterize, remove, drain, Lyse adhesions, remove cysts are all possibilities, then close port sites ...Read more