Endometriosis is a chronic and painful condition that affects many women in and around Montgomery County and Bethesda, Maryland. The team at Capital Women’s Care, which includes Dr. John Gschwend, Dr. Deena Kleinerman, Dr. Rachael Cleberg, Dr. Kirsten Beeson, and Morgan Wilkerson, PA-C, offers top-quality endometriosis management and can help you find relief from disruptive endometriosis symptoms. To explore diagnostic and treatment options in greater detail, call to schedule a visit today.
Endometriosis is a medical condition in which the tissue that lines your uterus (endometrium) begins to develop outside of your uterus. Normally, that tissue changes throughout your menstrual cycle, thickening before breaking down and eventually exiting your uterus during your period.
If you have endometriosis, you may have endometrium on your ovaries, fallopian tubes, and the tissues that line your pelvis. That abnormally situated endometrium still goes through the same changes as the tissue within your uterus, but it has no way to exit your body. That creates significant inflammation. Scar tissue can form, as well as adhesions, or bands of fibrous tissue connecting organs and pelvic tissues into abnormal configurations.
Pelvic pain is the most common symptom of endometriosis, and will often worsen during your period. Additional symptoms include:
Because these symptoms are common to many other gynecologic conditions, endometriosis often goes undiagnosed. Some women suffer for years before they come to Capital Women’s Care and finally learn the cause of their symptoms.
Your experience of endometriosis is unique, and your treatment plan at Capital Women’s Care is customized to suit your specific set of needs. There’s no cure for endometriosis, and treatment focuses on managing the condition and finding relief from symptoms.
Medication can play a role in your treatment plan. Some drugs work to relieve pain, while others alter your hormonal balance to prevent menstruation or reduce estrogen production.
Conservative surgery is another option. There are procedures your Capital Women’s Care gynecologist can perform to remove abnormal endometrial tissue and correct adhesions. A laparoscopic approach delivers results without the need for traditional open surgery and the associated risks.
If you’re trying to conceive, fertility treatments may be part of your endometriosis management plan. There are options that stimulate egg production and others that focus on in vitro fertilization.
In rare cases, surgical removal of your uterus, a procedure called hysterectomy, is the best treatment path. This option is for women who’ve tried other approaches and failed to achieve measurable improvement in pain and other symptoms.
If you’re concerned about symptoms and would like a comprehensive endometriosis evaluation and management plan, call to schedule an appointment today at Capital Women’s Care.