Pain, Period! The Truth of Endometriosis

Monthly periods can be a nightmare for some women especially when they come with severe and incapacitating pain. It’s possible that your pain could be due to endometriosis. Endometriosis is so painful that some women are forced to abandon everyday activities. “Women live years suffering in silence as Endometriosis can take several years to diagnose,” says Dallas Obstetrician and Gynecologist Dr. Nathan Thomas, “on average it can take up to seven years to diagnose correctly.”

What Is Endometriosis?

Endometriosis is a disorder in which the endometrium; the tissue that normally lines the inside of your uterus, grows outside your uterus. Endometriosis most commonly involves your ovaries, bowel and/or the tissue lining your pelvis. In rare cases, endometrial tissue may spread beyond your pelvic region. When left untreated Endometriosis can eventually travel to your colon putting you at risk for a much bigger surgery.

These displaced tissues go through a cycle identical and simultaneous with the uterine lining— it thickens, breaks down and bleeds with each menstrual cycle. This displaced tissue has no way to exit the body and becomes trapped. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions between organs.


Endometriosis is either classical or atypical. Classic symptoms of endometriosis are premenstrual pain, severe period pain lasting for more than two days, and pain during intercourse.

Occasionally patients get chronic fatigue, lower back pain, and for some patients with endometriosis, their only symptom will be infertility.

Atypical symptoms usually link to where the endometriosis is located in the body. For example, when situated on the rectum, there may be pain during defecation. Women who have endometriosis in their bladder will have frequency and burning when passing urine, and on occasion, blood in the urine.

For a diagnosis of endometriosis, your OBGYN will schedule a laparoscopy, a minimally invasive procedure. However, for young patients with classical symptoms, medical treatment can begin before diagnosis. Women who observe these symptoms should make an appointment with their board-certified gynecologist.

Schedule an appointment with Dallas Functional Medicine Specialist and Gynecologist Dr. Maryann Prewitt today.

Dallas Gynecologist and Functional Medicine Specialist Dr. Maryann Prewitt is Director and Founder of HealthWellnessMD. Dr. Prewitt is a Fellow and Board Certified by the America College of Obstetricians and Gynecologists. Dr. Prewitt holds a Master’s Certification in the da Vinci Surgery System – this minimally invasive technology has revolutionized the way surgery is performed today. Named Top10MD in 2016 an honor only 1-in-3 doctors succeed within the United States. Call Dr. Prewitt’s office today and schedule an appointment at 972.380.1099.