Endometriosis is a chronic condition in which tissue similar to the uterine lining grows outside the uterus — on the ovaries, fallopian tubes, bladder, bowel, or elsewhere in the pelvic cavity. Like the uterine lining itself, this tissue responds to the monthly hormonal cycle: it thickens, breaks down, and tries to shed. But with nowhere to go, it causes inflammation, scarring, and persistent pain.
The most common symptoms include severe menstrual cramps, chronic pelvic pain, pain during sex (dyspareunia), painful urination or bowel movements around menstruation, and infertility. The pain is often far beyond what is typically described as "period pain" — many women cannot work or carry out daily activities during their cycle.
There are several reasons why endometriosis is so frequently missed. First, society has long normalised severe period pain, discouraging women from seeking help. Second, its symptoms overlap with other conditions such as irritable bowel syndrome, recurrent UTIs, and ovarian cysts, leading to misdiagnosis. Third, a definitive diagnosis requires laparoscopic surgery, creating a high diagnostic threshold in many healthcare settings.
At THE FIT CLINIC Bangkok, our specialist urogynecology team is experienced in evaluating and managing endometriosis comprehensively — from detailed history-taking and pelvic ultrasound, to personalised treatment planning that may include pain management, hormonal therapy, or surgical referral when needed. You do not have to keep tolerating debilitating pain.
If you have been dismissed with "it's just bad periods," please come and see us. The average woman waits 7–10 years for a diagnosis. With the right specialist, that does not have to be your story.
Frequently Asked Questions
What are the first signs of endometriosis?
The earliest signs include period pain severe enough to interfere with daily life, pain during or after sex, and pelvic pain outside of menstruation. Bloating and fatigue during your cycle are also common. If any of these sound familiar, a specialist assessment is worthwhile.
Is endometriosis the same as fibroids?
No — they are different conditions. Endometriosis involves tissue growing outside the uterus, while fibroids are non-cancerous muscular growths inside or on the uterine wall. Both can cause heavy or painful periods, which is why an accurate diagnosis from a urogynecology specialist is important.
Can endometriosis be treated without surgery?
Yes, for many women. Hormonal therapies (such as the pill, progesterone, or GnRH analogues) can suppress the condition and reduce pain significantly. Pain management strategies and pelvic floor physiotherapy also help. Surgery is considered when medical management has not provided sufficient relief. Our team at THE FIT CLINIC will assess the most appropriate plan for you.