208: Endometriosis – Dr. Allyson Shrikhande

Dr. Allyson Shrikhande, a rehabilitation doctor who specializes in pelvic rehabilitation medicine, gives us an in-depth discussion about endometriosis. What is endometriosis, the disorder affecting one out of ten women? How does it show up and what are the treatment options?

What is endometriosis?
Endometriosis is a disorder wherein cells that are similar to the cells lining the inside of the uterus (endometrium) grow outside of the uterus. These cells can settle basically anywhere in the body but most commonly in the pelvic cavity and can cause pain and infertility.

How common is endometriosis?
Depending on the study, one out of ten, or one out of nine women can have endometriosis. It is as common as breast cancer with a strong genetic predisposition.

What are the symptoms of endometriosis?
The challenge is that it is a silent disease, making it hard to diagnose. The way it presents itself is as a person being infertile and/or having pelvic pain. Pain during intercourse, tampon use and the like as well as GI problems (constipation, abdominal bloating, abdominal pain), and a UTI that will not go away are very common symptoms.

Treatment options for endometriosis
The major challenge in the medical community is that there is no proper diagnostic other than surgery right now. The gold standard for a proper diagnosis is laparoscopic surgery, then some pathology. Because of the complexity and systemic nature of endometriosis, Dr. Shrikhande also takes on a holistic approach to treatment, discussing additional things like nutrition and even medication with patients.

Endometriosis awareness
Dr. Shrikhande underlines the need for more research and studies to help in diagnosing endometriosis in its early stages. Unfortunately, it is a very complex disease with strong genetic disposition making it even harder to prevent. Awareness is key as there is still nothing conclusive as to what is causing endo. It’s important th