Articles

Understand the questions. Keep the limits visible.

General educational reading about pelvic pain, assessment, and care. These articles do not assess an individual situation.

Understanding the conditions

What endometriosis is
Understand endometriosis, its symptoms, and how clinical assessment, imaging, and surgery contribute different information, with evidence and limits explained.
What adenomyosis is
Understand adenomyosis, symptoms, imaging language, and evidence limits, including why diagnosis, bleeding, pain, and fertility need separate consideration.
Endometriosis and adenomyosis compared
Compare endometriosis and adenomyosis: where they occur, overlapping symptoms, imaging, fertility research, and why one finding does not explain every symptom.

Why endometriosis diagnosis can take years
What delay research measures, why estimates differ, and how symptom recognition, assessment, imaging, and care pathways contribute to an unfinished diagnosis.
Ultrasound and MRI: what they can and cannot show
Understand ultrasound and MRI evidence in endometriosis and adenomyosis, including focused protocols, different targets, and the limits of a negative result.
Laparoscopy and the role of surgery in diagnosis
Explore how laparoscopy, imaging, pathology, and clinical assessment contribute different information, and why diagnostic and treatment questions stay separate.

Pelvic pain beyond endometriosis
Explore possible contributors to chronic pelvic pain across bladder, bowel, uterine, muscle, and pain systems, with study findings and their limits explained.

Heavy menstrual bleeding: causes and evaluation
Understand heavy menstrual bleeding, causes, life impact, iron-related concerns, and how evidence guides assessment without a universal testing checklist.

Medical treatments for endometriosis-related pain: the evidence
Read what trials and reviews show about medical treatment of endometriosis-related pain, including comparators, side effects, uncertainty, and follow-up limits.
Endometriosis surgery: excision, ablation, and outcomes
Compare evidence on endometriosis surgery across superficial, ovarian, and deep disease, with pain, recurrence, fertility, and surgical harms kept distinct.

Adenomyosis treatment options: what the evidence shows
What trials, guidelines and reviews report on hormonal drugs, embolization, ablation and surgery for adenomyosis, with the size and limits of each study.

Endometriosis and fertility: what research shows
Research on endometriosis and fertility: how common it is in infertility, surgery, hormones, ovarian reserve, IVF, egg freezing and pregnancy outcomes.

Pain science: central sensitization and chronic pelvic pain
Central sensitization and nociplastic pain are real changes in nervous system pain processing, and do not mean pain is imagined. What pelvic pain studies show.

Pelvic floor physical therapy: what the evidence shows
A plain review of randomized trials and meta-analyses of pelvic floor physical therapy for incontinence, prolapse, pelvic pain and endometriosis pain.

Fibroids, polyps and adenomyosis: the PALM-COEIN framework for abnormal uterine bleeding
How the FIGO PALM-COEIN framework sorts causes of abnormal uterine bleeding, and what studies report on polyps, fibroids and adenomyosis, with their limits.

Symptom records, pain diaries and patient-reported outcomes: what research says
What research reports on pain diaries, pain scales, bleeding charts and questionnaires such as the Endometriosis Health Profile, and where each one falls short.

Gender and pain care: what research shows about dismissal, disparities and diagnostic delay
What studies report on endometriosis diagnostic delay, pain-treatment differences by sex, race and ethnicity, patient accounts and tested remedies, with limits.

Endometriosis outside the pelvis: bowel, bladder, diaphragm and other sites
Research on endometriosis in the bowel, bladder, diaphragm and other sites: how common it is, how it is assessed, and what is uncertain in referral-center data.

Hormonal contraception and menstrual suppression: what trials show
What trials report about hormonal contraceptives, progestins, intrauterine systems and GnRH therapies for pain and bleeding, and the limits of that evidence.

Adolescents and endometriosis: what research shows
Research on endometriosis in adolescents and young adults: prevalence, presentation, diagnostic delay, assessment, guidelines, treatment results and follow-up.