Endometriosis and fibroids are two common gynecological conditions that affect millions of women, often leading to pain, heavy bleeding, and fertility issues. Though they may share some symptoms, they are distinct conditions with different causes and treatments.
Understanding Endometriosis and Fibroids
What is Endometriosis?
Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus — on ovaries, fallopian tubes, bladder, or intestines.
Common Symptoms:
- Painful periods (dysmenorrhea)
- Pelvic pain
- Pain during sex
- Heavy or irregular bleeding
- Infertility
- Fatigue and bloating
Diagnosis:
- Pelvic exam
- Ultrasound or MRI
- Laparoscopy (gold standard)
Treatment:
- Pain relievers (NSAIDs)
- Hormonal therapies (OCPs, GnRH agonists)
- Laparoscopic surgery
- Lifestyle changes and diet
- IVF or assisted reproduction for fertility
Understanding Endometriosis and Fibroids
A detailed information about Endometriosis and Fibroids
What are Uterine Fibroids?
Fibroids (leiomyomas) are non-cancerous tumors that grow in or on the uterus. They can vary in size from tiny seedlings to large masses.
Common Symptoms:
- Heavy or prolonged periods
- Pelvic pressure or pain
- Frequent urination
- Constipation
- Pain during intercourse
- Enlarged abdomen
Diagnosis:
- Pelvic exam
- Ultrasound (transvaginal or abdominal)
- MRI if needed
Treatment:
- Watchful waiting (if asymptomatic)
- Medications to shrink fibroids
- Hormonal therapy
- Minimally invasive procedures (UAE, myolysis)
- Surgery (Myomectomy or Hysterectomy)
Key Differences at a Glance
Feature | Endometriosis | Fibroids |
Origin | Uterine-like tissue outside uterus | Benign tumors in uterus |
Main Symptom | Pain | Heavy bleeding |
Effect on Fertility | Often causes infertility | Can affect fertility, less often |
Diagnosis | Laparoscopy | Ultrasound |
Treatment | Hormones, surgery, lifestyle | Medications, surgery |
When to See a Doctor
Seek help if you experience:
- Severe period pain
- Unusual or heavy bleeding
- Difficulty conceiving
- Chronic pelvic pain
Early diagnosis and treatment can significantly improve your quality of life and reproductive outcomes.