Endometriosis
Endometriosis can be associated with painful periods, pelvic pain, painful intercourse, bowel or bladder symptoms, and infertility. Symptoms vary widely from person to person.
Gynecology
Endometriosis, Pelvic Pain & Painful Periods
Pelvic pain is real, often complex, and worth investigating—especially when it interferes with work, sleep, exercise, intimacy, or plans for pregnancy.
Painful Periods
Severe menstrual pain that disrupts normal activities deserves evaluation. Endometriosis is one possible cause, but it is not the only one.
Pain With Intercourse
Pain during or after sex may be related to pelvic floor problems, endometriosis, ovarian conditions, vaginal or vulvar conditions, infection, hormonal changes, or other causes.
Ovarian Cysts
Many ovarian cysts are benign and resolve on their own, while others need follow-up or treatment based on size, appearance, symptoms, and life stage.
A Broader Pelvic-Pain Evaluation
Pelvic pain may arise from gynecologic, urinary, gastrointestinal, musculoskeletal, or pelvic-floor conditions. A careful history helps guide testing rather than assuming a single cause.
Medical & Surgical Options
Depending on the diagnosis and your goals, treatment may include medication, hormonal therapy, pain-management strategies, pelvic-floor therapy, or minimally invasive surgery.
Common Questions
What Patients Often Want to Know
Does endometriosis always show on ultrasound?
No. Imaging can be useful for some findings, but a normal ultrasound does not by itself rule out endometriosis.
Can endometriosis affect fertility?
It can. If pregnancy is a goal, treatment planning can take fertility goals and timing into account.
Is severe period pain something I just have to live with?
No. Pain that repeatedly disrupts your life is a reasonable reason to seek evaluation and discuss treatment options.
Individualized Care, Clear Guidance
Symptoms can have more than one cause, and the right evaluation or treatment depends on your history, examination, goals, and preferences. Dr. Allison Alexander works with patients to understand what is happening and choose an appropriate next step together.
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