What is Endometriosis?

Endometriosis is a long-term condition where tissue similar to the lining of the uterus grows in places it should not — like the ovaries, fallopian tubes, and other pelvic organs.

Each month, this tissue acts like it is inside the uterus: it builds up, breaks down, and bleeds. But since it has no way to leave the body unlike menstrual blood, it can cause inflammation, swelling, scarring, and significant pain over time.

How Common Is Endometriosis?

Affects 2–10% of women in reproductive age globally.
Found in 30–50% of women with infertility issues.
In Malaysia, an estimated 350,000 women are affected.
Accounts for 5–21% of cases of severe pelvic pain.

Despite how common it is, many cases go undiagnosed for years — so awareness and timely help really matter.

Recognising the Signs

Endometriosis does not look the same for everyone. Some may have severe pain, while others may have few or no symptoms at all.

1. Common Menstrual-Related Symptoms

Severe menstrual cramps: intense pain in the lower belly during your period
Heavy or irregular periods: bleeding that is much heavier than usual or periods that come unpredictably
Painful urination or bowel movements during periods: a burning or cramping sensation when peeing or passing stools
Pre-menstrual spotting or bleeding between periods: light bleeding that happens before your period starts or at random times between cycles

2. Chronic Symptoms

Chronic pelvic pain (includes pelvic or lower back pain)
Chronic fatigue
Trouble getting pregnant despite trying for months or years
Deep pain during or after intercourse

Symptoms can range from mild to severe and may significantly affect quality of life. If these symptoms sound familiar, know that you are not alone — and help is available.

Who Gets Endometriosis?

Several factors may increase your risk:

• Family history of endometriosis
• Starting periods before age 12
• Menstrual cycles shorter than 24 days
• Primary infertility: Having trouble getting pregnant despite trying for a year or more
• Low body mass index (BMI <22)

How is Endometriosis Diagnosed?

Diagnosis can be challenging – endometriosis is not always easy to spot through regular check-ups or scans. If your symptoms continue, it is important to see a gynaecologist who can guide you through further testing.

Diagnostic methods may include:

Transvaginal ultrasound

Non-invasive imaging technique

MRI scans

Detailed cross-sectional imaging

Blood test for CA-125 levels

Biomarker assessment

Laparoscopy

Gold standard diagnostic procedure (keyhole surgery)

Note: With advancements in medical imaging and assessment tools, surgery may not always be necessary for diagnosis. Please consult a gynaecologist for personalised advice and evaluation.

Advanced Pelvic Pain Screening for Endometriosis at Hospital Picaso

If you are experiencing pelvic pain, painful periods, or other symptoms that might be related to endometriosis, do not delay seeking answers. At Hospital Picaso, our Advanced Endometriosis Screening Package is designed to provide clarity, support, and a personalised care plan.

The package includes:

Comprehensive Pelvic Pain Evaluation by a Gynaecologist
Detailed Pelvic Scan (Transvaginal or Abdominal Ultrasound)
CA125 Tumour Marker Blood Test – used to support endometriosis diagnosis

Why Choose This Package?

Comprehensive Care

A complete approach from consultation to diagnostics—all in one visit.

Personalised Women's Health Support

Our women's health team specialises in endometriosis and pelvic pain care.

Focus on Early Detection

Catching symptoms early helps you start treatment sooner and live better.

Learn More About the Package

What Are Your Treatment Options?

While there is currently no permanent cure, there are many ways to manage symptoms, reduce flare-ups, and improve your quality of life.

1. Hormonal Treatment

These treatments aim to reduce or stop menstruation, helping shrink endometrial tissue and relieve pain.

Options include:

Oral contraceptives
Progestins therapy
Danazol and aromatase inhibitors
Gonadotropin-releasing hormone agonists (GnRHa) – powerful medications that lower hormone levels to relieve symptoms and reduce recurrence

GnRHa have shown effectiveness in reducing symptoms, suppressing disease progression, and lowering relapse rates, especially when combined with surgery.

2. Fertility Treatment

Women experiencing infertility may require:

Ovulation-inducing medications
Assisted reproductive techniques (e.g., IVF)
Surgery to restore anatomy and improve chances of conception

3. Surgical Treatment

When symptoms are severe, surgery may be recommended:

3D-Laparoscopic Surgery: to resect and clear all endometriosis lesions
Robotic Surgery: for severe and deep endometriosis lesions
Hysterectomy: laparoscopic or robotically for older women and completed family

Frequently Asked Questions (FAQ)

1. Can endometriosis be cured?

There is currently no permanent cure, but treatments can effectively manage symptoms and improve quality of life.

2. Is severe period pain normal?

Painful periods are common, but pain that interferes with daily life may indicate endometriosis and should be evaluated.

3. Does having endometriosis mean I can't get pregnant?

Not necessarily. Many women with endometriosis conceive naturally. However, if you have been trying to get pregnant for over a year without success, it's best to consult a medical professional.

4. Can treating endometriosis early improve fertility outcomes?

Early diagnosis and management can help reduce complications and preserve fertility. Seeking timely medical advice is key.

5. Can endometriosis come back after treatment?

Yes, symptoms can recur. Ongoing medical therapy and lifestyle management help reduce the risk of recurrence.

6. How is robotic surgery different?

Robotic surgery, like the da Vinci Xi system used at Hospital Picaso, allows for greater precision, smaller incisions, and faster recovery compared to traditional methods.

About Hospital Picaso

Hospital Picaso, short for PJ Integrated Centre of Advanced Surgery and Oncology, is a premier cancer centre located in the heart of Petaling Jaya offering a full spectrum of advanced cancer treatment. As a leading centre for advanced surgery and integrated oncology in Malaysia, we are committed to delivering personalised medical solutions tailored to each patient's journey.

Equipped with cutting-edge technologies, including robotic operating theatres and specialised therapy centres, and supported by a team of dedicated multidisciplinary team, we are here to keep hope alive. At Hospital Picaso, we believe that recovery is a fight worth winning — and no one should have to face it alone.

Book a Consultation with Our Endometriosis Treatment Specialist Doctors Today

If you or someone you love is living with symptoms of endometriosis, or simply looking for answers — our team is here to help. Let’s explore your treatment options together and take the next step towards relief and recovery. Schedule your appointment now:

Call us: +603 - 7457 2888

Email: info@picasohospital.com

Address: 110, Jalan Professor Khoo Kay Kim, Seksyen 19, 46300 Petaling Jaya, Selangor