Endometriosis is a condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus — commonly on the ovaries, fallopian tubes, or pelvic lining. This abnormal growth leads to inflammation, pain, and sometimes infertility.

In Lahore, endometriosis is a growing health concern, particularly among women in their 20s and 30s. Unfortunately, many women still believe that severe period pain is “normal,” which delays diagnosis. Getting timely medical help is essential to prevent complications, protect fertility, and improve overall well-being.

Understanding Endometriosis

Endometriosis is often referred to as a “silent” or “hidden” condition because its symptoms overlap with other gynaecological issues. The endometrial-like tissue outside the uterus behaves just like normal uterine lining — thickening, breaking down, and bleeding during each menstrual cycle. The problem is that this blood has no way to leave the body, causing swelling, scar tissue (adhesions), and sometimes fluid-filled cysts called endometriomas.

This condition can make it difficult to conceive by blocking the fallopian tubes or reducing egg quality. It can also disrupt everyday life, as the pain and fatigue make work, exercise, and intimacy challenging. Many women also experience stress and anxiety because of delayed diagnosis or years of untreated pain.

Symptoms You Shouldn’t Ignore

Painful Periods & Pelvic Pain

Cramping that starts before your period and becomes so severe that it disrupts your daily activities may be a sign of endometriosis. Unlike normal menstrual cramps, this pain can radiate to the back and legs and worsen over time.

Painful Intercourse

Pain during or after sex is another common sign. This happens because inflamed tissue and adhesions make certain movements painful, affecting intimacy and emotional health.

Heavy or Irregular Bleeding

Endometriosis can cause very heavy periods, prolonged bleeding, or spotting between cycles. This constant blood loss can also lead to fatigue and anaemia if left untreated.

Infertility Issues

Around 30–50% of women with endometriosis face difficulty conceiving. This is because scar tissue and adhesions can block the fallopian tubes or create an environment that prevents fertilisation or implantation. 

Fatigue & Back Pain

Chronic pelvic pain often leads to fatigue and muscle tension, which can trigger lower back pain and make daily tasks harder to manage.

Digestive Problems

Painful bowel movements, diarrhoea, or constipation that occurs during periods can also be linked to endometriosis, as the tissue may affect the bowel area.

Endometriosis in Lahore: Why Awareness is Low

In Lahore, many women normalise pelvic pain or avoid discussing menstrual health due to cultural taboos. This results in delayed diagnosis — sometimes for years. Lack of awareness also means many women only seek help when they face infertility or unbearable pain.

Community education campaigns, school awareness programs, and encouraging open conversations about menstrual health can help women recognise symptoms early and seek timely treatment.

Causes & Risk Factors

Retrograde Menstruation

This occurs when menstrual blood flows backwards through the fallopian tubes into the pelvic cavity, allowing endometrial cells to implant outside the uterus.

Hormonal Imbalance

High estrogen levels can stimulate abnormal tissue growth, worsening endometriosis symptoms over time.

Immune System Issues

A weak or dysfunctional immune system may fail to destroy misplaced endometrial cells, allowing them to grow unchecked.

Family History

Having a mother or sister with endometriosis increases the likelihood of developing the condition yourself.

Lifestyle & Environmental Factors

Stress, poor diet, pollution exposure, and lack of physical activity — all common in Lahore — can make symptoms more severe.

Diagnosis & Tests Available in Lahore

Pelvic Examination

Your gynaecologist will check for cysts, nodules, or tenderness that may indicate endometriosis.

Ultrasound

An ultrasound helps detect endometriomas or other abnormalities affecting the ovaries and uterus.

MRI

In more complex cases, MRI scans give detailed images of pelvic organs, helping doctors plan treatment.

Laparoscopy

This is considered the gold standard for diagnosing endometriosis. A tiny camera is inserted into the abdomen to confirm the presence of endometrial tissue, and the doctor can often remove it during the same procedure.

Treatment Options in Lahore

Medical Treatment

For women with mild symptoms or those not trying to conceive, doctors may suggest pain relief medication (NSAIDs) and hormonal therapy such as birth control pills, hormonal IUDs, or GnRH analogues to slow tissue growth and manage pain.

Surgical Treatment

When pain is severe, fertility is affected, or large cysts are present, laparoscopic surgery is the most effective treatment. The procedure removes endometrial tissue and adhesions, relieving pain and improving fertility. Most women recover in one to two weeks and notice a significant improvement in their symptoms.

Choosing the Right Endometriosis Specialist in Lahore

Finding the right doctor makes a big difference in long-term outcomes. Look for a specialist with extensive experience treating endometriosis, particularly for women who wish to preserve fertility. Clinics with advanced laparoscopic equipment and a team approach — including hormonal, surgical, and emotional support — can offer the best results.

Post-Treatment Care & Lifestyle Tips

After treatment, following a hormone-friendly diet rich in vegetables, whole grains, and omega-3 fatty acids can help keep symptoms in check. Regular physical activity, stress management techniques like yoga or meditation, and consistent follow-ups with your doctor are essential to prevent recurrence.

Emotional Well-Being & Support

Endometriosis is not just a physical condition — it affects mental health too. Counselling, support groups, and open discussions with family can make coping easier. Sharing experiences with other women going through the same struggle can help reduce feelings of isolation.

Frequently Asked Questions (FAQs)

When is surgery necessary for endometriosis?

Surgery becomes necessary when pain is severe and no longer responds to medicines or hormonal therapy, when large ovarian cysts (endometriomas) are found, or when scar tissue is affecting fertility. Your gynaecologist will review your symptoms, imaging results, and pregnancy plans before recommending surgery.

Which country is best for endometriosis treatment?

Countries like the US, UK, and those in Europe have advanced centres for endometriosis care. However, many women prefer Pakistan and India for affordable, high-quality treatment with experienced specialists. In Lahore, laparoscopic surgery is available at leading fertility and gynaecology clinics without the high costs of travelling abroad.

When does endometriosis require emergency surgery?

Emergency surgery is rare, but it may be needed if you suddenly experience extreme abdominal pain, fainting, dizziness, or symptoms suggesting internal bleeding or a ruptured ovarian cyst. In such cases, immediate medical care is essential.

What does endometriosis surgery cost?

In Lahore, laparoscopic surgery for endometriosis generally costs between PKR 150,000 and PKR 300,000, depending on the hospital and complexity of the case. Internationally, the cost can range from USD $5,000 to $15,000. It’s always best to confirm whether hospital stay, anaesthesia, and follow-ups are included in the package.

Final Words

Endometriosis may be common, but it doesn’t have to control your life. With early diagnosis and the right treatment, women can reduce pain, restore fertility, and improve their quality of life. If you have persistent pelvic pain, heavy periods, or difficulty conceiving, don’t wait — consult a specialist.

Book your consultation at Sawa Perfect today and take the first step toward a pain-free, healthier future.