Understanding Endometriosis: Types, Stages, & Symptoms​​


Endometriosis: a word that carries so much weight, confusion, and fear for many women worldwide. 

If it feels like you’re navigating through a maze of medical jargon and unanswered questions about endometriosis, then this blog is your guiding light. 

We aim to simplify the complex world of endometriosis by discussing its types, stages, and symptoms – some even uncommonly known ones! 

Additionally, we’ll delve into options available for endometriosis treatment in Dubai and how life can be managed to live with this condition. So let’s demystify endometriosis together!

What is Endometriosis?​

Endometriosis is an often misunderstood and misdiagnosed medical condition affecting a significant chunk of the female population. As puzzling as the term may sound, it essentially describes a scenario where tissue similar to what lines the inside of your uterus – known as endometrium, grows outside your uterine cavity.


Now you might wonder why that’s concerning. 


These tissues thicken every month, break down and bleed in line with menstrual cycles. However, unlike normal uterine lining, which gets expelled out of the body during periods, this displaced tissue has no exit route causing painful complications.


While any woman can develop endometriosis post-puberty, those in their 30s or 40s are more prone to experience its effects. It carries significant implications for fertility and can severely impact one’s quality of life, making understanding this condition all the more crucial.

What is endometriosis

The different types of endometriosis​

Endometriosis is a complex condition that affects women worldwide. It occurs when the tissue lining the uterus, called endometrium, grows outside the uterine cavity. This misplaced tissue can implant itself on various organs within the pelvic region, such as the ovaries, fallopian tubes, and even the bladder or intestines.

There are different types of endometriosis based on where the abnormal growths occur in the body. 

  • The most common type is ovarian endometrioma, known as “chocolate cysts.” These cysts form when endometrial tissue attaches to and grows within an ovary.
  • Another type is deep infiltrating endometriosis (DIE), which involves lesions that penetrate deeply into surrounding tissues like ligaments or muscles. This can cause severe pain and potentially affect fertility.
  • Superficial peritoneal endometriosis refers to small implants of endometrial tissue found on the peritoneum – a membrane that lines the abdominal cavity and covers organs like the uterus.
  • Adenomyosis occurs when endometrial cells grow into the muscular wall of your uterus. This can lead to heavy menstrual bleeding and intense pelvic pain.

Understanding these different types helps healthcare providers diagnose and plan treatment accordingly for each patient’s unique circumstances. 

If you suspect you have any form of endometriosis or experience associated symptoms, consult an endometriosis specialist in Dubai Dr. Sandesh Kade will provide expert guidance tailored to your needs.

The stages of endometriosis​

Endometriosis is a complex and misunderstood condition affecting millions of women worldwide. It is essential to understand the different stages of endometriosis to manage better and treat this condition.

Minimal or mild endometriosis involves small lesions or implants on the pelvic lining. These lesions can cause slight irritation and inflammation, leading to symptoms such as mild pain during menstruation or intercourse.

This stage is also known as mild to moderate endometriosis; there may be more extensive implants and adhesions within the pelvis. Symptoms, including moderate pelvic pain and discomfort, may become more noticeable at this stage.

This phase is considered moderate to severe endometriosis. Deep infiltrating lesions and ovarian cysts called endometriomas may present at this stage. The symptoms can be quite debilitating at this point, with severe pelvic pain, heavy menstrual bleeding, and fertility issues.

This stage represents severe endometriosis with widespread adhesions throughout the pelvic cavity. This stage often results in chronic pain that can significantly impact a woman’s quality of life.

Uncommon symptoms of Endometriosis​

While common symptoms of endometriosis include pelvic pain, heavy menstrual bleeding, and infertility, there are also uncommon symptoms of endometriosis that some individuals may experience. Here are some of these uncommon symptoms of endometriosis:

  • Gastrointestinal issues: Endometriosis can cause digestive problems such as bloating, constipation, diarrhea, and nausea. 

  • Painful bowel movements: Some individuals with endometriosis may experience pain during bowel movements. This can occur due to endometrial tissue in the pelvic area, causing inflammation and irritation.

  • Pain during urination: Endometriosis can lead to pain or a burning sensation. 

  • Fatigue and chronic tiredness: Chronic fatigue is an uncommon symptom of endometriosis. The persistent pain and hormonal imbalances associated with the condition can contribute to excessive tiredness and a lack of energy.

  • Painful intercourse: Some individuals with endometriosis may experience pain during sexual intercourse, known as dyspareunia. 

  • Back and leg pain: Endometriosis can cause lower back and leg pain. This pain may be a dull ache or sharp sensation radiating from the pelvic region to the back or down the legs.


Treatment options for endometriosis​

The specific treatment plan may vary depending on the symptoms’ severity, the disease’s extent, and the individual’s reproductive goals. Here are some standard treatment options for endometriosis:

  • Pain medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help relieve mild to moderate pain associated with endometriosis. Prescription pain medications may be recommended for more severe pain.
  • Hormonal therapy: Hormonal medications are often prescribed to suppress the growth of endometrial tissue and reduce symptoms. Options include:
    • Combined hormonal contraceptives: Birth control pills, patches, or vaginal rings that contain estrogen and progestin can help regulate menstrual cycles, reduce pain, and slow the progression of endometriosis.
    • Progestin-only therapy: Progestin-based contraceptives, such as progestin-only pills or the intrauterine hormonal device (IUD), can help relieve pain and reduce the growth of endometrial tissue.
    • Gonadotropin-releasing hormone (GnRH) agonists and antagonists: These medications suppress ovarian function, temporarily inducing a menopause-like state. They can significantly reduce pain and shrink endometrial lesions. However, their use is often limited to short-term due to potential side effects.
  • Surgery: Laparoscopic surgery is the most effective way to diagnose and treat endometriosis. The surgeon can remove endometrial implants, scar tissue, and cysts during the procedure. This can provide relief from pain and improve fertility outcomes. 
  • Assisted reproductive technologies (ART): For individuals experiencing infertility due to endometriosis, ART procedures such as in vitro fertilization (IVF) can help increase the chances of pregnancy. 
  • Complementary therapies: Some individuals find relief from endometriosis symptoms through complementary approaches such as acupuncture, pelvic physical therapy, dietary changes, and stress management techniques. 

Consult Dr. Sandesh Kade - an endometriosis specialist in Dubai​

Suppose you suspect you may have endometriosis or are experiencing any of the above-mentioned symptoms. In that case, seeking medical attention and consulting with an endometriosis specialist in Dubai is crucial. Dr. Sandesh Kade is an endometriosis specialist in Dubai who can provide you with the necessary guidance and treatment options. Remember, early diagnosis and proper management of endometriosis can significantly improve your quality of life and prevent further complications. Don’t let this condition hold you back from living your best life.

Consult Dr. Sandesh Kade Today for endometriosis treatment in Dubai.