Category Archives: Endometrioma


Understanding and Managing Endo Belly: A Comprehensive Guide

Endo belly is a term used to describe the painful abdominal bloating experienced by individuals with endometriosis. It is characterized by severe distension and discomfort, often resembling the appearance of pregnancy. This article aims to provide a comprehensive guide to understanding and managing endo belly, including its causes, symptoms, and treatment options. We will delve into the underlying mechanisms of endo belly, explore various management strategies, and discuss the importance of seeking medical advice for an accurate diagnosis and personalized treatment plan.

What is Endo Belly?

Endo belly refers to the extreme bloating and distension of the abdomen in individuals with endometriosis. Unlike mild and temporary bloating associated with the menstrual cycle, endo belly is more severe and can cause significant physical and emotional distress. It is often accompanied by pain, tenderness, and a feeling of fullness. Many individuals with endo belly describe their abdomen as looking pregnant, which can profoundly impact their self-image and overall quality of life.

Read more: Endo Belly: A Guide to Understanding the Symptoms and Causes

The Causes of Endo Belly

The exact causes of endo belly are not fully understood, but there are several factors that contribute to its development. Endometriosis, a condition in which tissue similar to the lining of the uterus grows outside the uterus, plays a key role in the development of endo belly. The endometrial-like tissue can cause inflammation in the abdomen, leading to swelling, water retention, and bloating. Additionally, endometriosis can lead to the formation of ovarian cysts, which further contribute to abdominal distension. Gastrointestinal issues, such as constipation and gas, are also commonly associated with endometriosis and can contribute to the development of endo belly.

Symptoms of Endo Belly

The main symptom of endo belly is severe abdominal bloating, particularly during or before the menstrual period. The abdomen may feel tight, hard to the touch, and tender. Many individuals with endo belly report that their abdomen expands throughout the day, making it difficult to button their pants or wear fitted clothing. Other gastrointestinal symptoms, such as gas pain, nausea, constipation, and diarrhea, may accompany endo belly.

Diagnosis and When to Seek Medical Help

If you are experiencing severe and persistent abdominal distension or suspect that you may have endo belly, it is important to seek medical help for a proper diagnosis. Endo belly can mimic other health conditions, so consulting with a healthcare professional specializing in endometriosis or pelvic pain is crucial. The diagnostic process may involve:

  • A pelvic exam.
  • Imaging tests such as ultrasounds.
  • A thorough evaluation of your symptoms and medical history.

Early diagnosis and intervention can lead to more effective management and improved quality of life.

Managing Endo Belly: Strategies and Treatment Options

Various strategies and treatment options are available to manage endo belly and alleviate its symptoms. The choice of treatment depends on the severity of symptoms and individual needs. Here are some approaches that can help:

  • Pain Management

Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to manage pain and inflammation associated with endo belly. Over-the-counter NSAIDs, such as ibuprofen, can provide temporary relief. However, it is essential to consult with a healthcare professional before starting any medication.

  • Hormonal Therapy

Hormonal therapy is commonly used to manage endometriosis symptoms, including endo belly. Birth control pills, hormonal patches, and intrauterine devices (IUDs) can help regulate hormonal fluctuations and reduce the growth of endometriosis tissue. Gonadotropin-releasing hormone (GnRH) agonists or antagonists may also be prescribed to suppress the production of certain hormones and alleviate symptoms.

  • Dietary Changes

Making dietary changes can have a significant impact on managing endo belly. Avoiding trigger foods that can contribute to inflammation, such as caffeine, refined sugars, alcohol, and processed foods, may help reduce bloating and discomfort. Incorporating a diet rich in fruits, vegetables, lean proteins, and high-fiber options can promote gut health and reduce inflammation.

  • Heat Therapy

Applying heat to the abdomen can provide relief from pain and muscle tension associated with endo belly. A hot water bottle or heating pad can be used to soothe cramps and relax the abdominal muscles. Heat stimulates sensory receptors, blocking pain signals and providing instant pain relief.

  • Pelvic Floor Physiotherapy

Pelvic floor physiotherapy can be beneficial for individuals with endo belly. A pelvic floor physiotherapist can provide exercises and techniques to improve pelvic muscle strength and flexibility, alleviate pain, and promote proper alignment and breathing. Manual therapy techniques may also be used to release muscle tension and restore mobility.

  • Surgical Intervention

In severe cases of endometriosis, surgical intervention may be necessary to remove endometrial tissue and alleviate symptoms. Laparoscopic surgery is often the preferred approach, as it is minimally invasive and allows for precise removal of endometriotic lesions and scar tissue. However, surgery is not a cure for endometriosis, and a comprehensive treatment plan should include other management strategies to address symptoms and prevent recurrence.

Read more: Finding an Endometriosis Specialist: Your Guide to Effective Treatment.

Coping with Endo Belly: Self-Care and Emotional Support

Coping with endo belly involves not only managing physical symptoms but also addressing the emotional impact it can have on individuals. Here are some self-care strategies and emotional support options to consider:

  • Mindfulness and Meditation

Practicing mindfulness and meditation can help reduce stress and anxiety associated with endo belly. Deep breathing exercises and guided meditation can promote relaxation and provide a sense of calm.

  • Support Groups and Counseling

Joining a support group or seeking counseling can provide a safe space to share experiences, seek guidance, and receive emotional support from others who understand the challenges of living with endo belly. Professional counseling can also help individuals navigate the emotional aspects of their condition and develop coping mechanisms.

  • Body-Positive Practices

Embracing a body-positive mindset and practicing self-acceptance can help individuals with endo belly feel more confident and comfortable in their bodies. Wearing loose-fitting clothing, engaging in activities that promote body awareness and self-care, and reframing negative self-talk can contribute to a healthier body image.

Read more: Types of Endometriosis Pain & Natural, Medical & Surgical Treatment


Endo belly is a distressing symptom experienced by individuals with endometriosis. Understanding its causes, symptoms, and available management strategies is essential for effectively addressing this condition. Seeking medical help, implementing lifestyle changes, and exploring various treatment options can significantly improve the quality of life for individuals living with endo belly. Remember, each person’s experience with endo belly is unique, and finding a personalized approach to managing symptoms is key. With the right support, empowerment, and self-care, individuals with endo belly can navigate the challenges of this condition and live their lives to the fullest.

Additional Information: It is important to consult with a healthcare professional before implementing any treatment or management strategies mentioned in this article.


Endometrioma 101: Understanding Deep Ovarian Endometriosis

Your Guide to Ovarian Endometrioma: Treatment, Symptoms, Doctors, Etc.

Endometrioma (deep ovarian endometriosis) can be difficult to treat due to controversies and challenges surrounding the best approaches, treatment, and diagnosis. Many of these hurdles result from misunderstandings about the condition and underlying disease process – deep ovarian endometriosis.

If you suffer from these ovarian endometriosis lesions, our sincere thoughts go out to you. Often known as “chocolate cysts,” some consider endometriomas as the most severe threat to a woman’s reproductive system (aside from cancerous tumors found in the reproductive tract). Furthermore, these lesions don’t always respond well to medical treatment and can potentially ruin the health of ovarian tissue. This article will help you understand endometrioma, symptoms, and deep ovarian endometriosis treatment.

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Table of contents:

1- What is Endometriomas (Deep Ovarian Endometriosis)? 

2- Recurrence of The Lesions Following Surgery

3- linical Impact of Endometriomas (in Women of Reproductive Age)

4- Major Concerns

5- Treatment and Surgery Options

6- Final Thoughts and Question for Readers

What is Endometriomas (Deep Ovarian Endometriosis)? 

Endometriomas happen when endometrial-like tissue grows inside the ovary or sometimes outside. Endometrioma is very common and affects between 17-44% of endo patients. Endometriomas are typically an advanced form of endometriosis, meaning stage three or four.

Surgery is often necessary to remove the endometriomas. However, eliminating endometrioma cysts and capsules is an advanced procedure and needs excellent skills. This surgery can potentially lead to partial or complete loss of ovarian function, especially if done by less experienced surgeons. These cystic masses can cause extreme challenges for women undergoing fertility treatments, i.e., assisted reproductive technologies (ART).

Endometriomas are dark-fluid-filled cavities, and they can present in a variety of shapes and sizes. An ultrasound can show suspected cases of endometrioma, but confirmation needs surgery and histology. Therefore, getting a diagnosis of endometrioma can be riddled with challenges.

Recurrence of The Lesions Following Surgery

On our social media accounts, we receive many questions about the topic of endometrioma recurrence. We took to Instagram to get the responses from endometriosis specialists about this recurrence. Here are some of their responses:

“It depends on several factors including the age of the patient, method of surgery, the experience of the surgeon, etc. In the literature, recurrence rates of over 30% have been reported, although I have personally not seen that high of recurrence risk.”

“We’ve had ovarian recurrence rates of less than 10 percent in our two years of follow-ups of about 85 patients with ovarian endometriomas.”

“What’s important is to completely free the ovary and excise the peritoneum or uterosacral ligament it was adherent to, apart from excising the cyst. This will truly help reduce recurrence rates compared to just doing a cyst excision and leaving peritoneal disease behind.”

“I share the same opinion, in my center, our recurrence rate is less than 8% a good technique and excision of all zone of endometrioma even peritoneal improve outcomes, also as previously said it depends on many factors like endometrioma size, multiple endometriomas, and post-op treatment.”

“We have a very low recurrence rate. This is because often, during surgery, only the visible endometrioma cysts are removed. Anything under 2 cm is out of our visual field.”

Clinical Impact of Endometriomas (in Women of Reproductive Age)

Endometriomas does not cause infertility in all women it affects. However, studies show that between 25% to 50% of women with infertility have endometriosis, and 30% to 50% of women with endometriosis have infertility. However, that does not mean that endometrioma will necessarily cause infertility in women of reproductive age, especially when diagnosed and treated early with the best-practice treatments that have evolved over the years. 

One of the leading fertility challenges is that ovarian lesions affect the number of eggs in ovarian tissue. Endometrioma can also impair the maturation of the egg and cause the woman to have a lower antral follicle count (AFC) and Anti-Müllerian hormone (AMH). Also, women with endometriomas often have high follicle-stimulating hormone (FSH) levels.

Major Concerns:

  • Intense pelvic pain
  • Possible infertility
  • Decrease ovarian function
  • It can place women of child-bearing age at a higher risk of cancer

Treatment and Surgery Options

Treatment for endometriomas will vary from person to person. The number of lesions and the staging of the disease progress are just a couple of the factors that will influence the right treatment plan for you. 

Treatment for Females of Reproductive Ages

Many OB-GYNS and other healthcare providers still practice old treatments for endometriosis that don’t effectively manage the disorder. It’s a complicated condition. Thus, there are many myths and misconceptions about endometriosis

Women of reproductive ages who wish to maintain fertility should have a fertility specialist in their multidisciplinary endometriosis team. Women with endometriomas may respond to some of the following treatments: 

Non-surgical treatments: These treatment options are temporary choices to manage pain and complications in the short term.

  • Medication therapy 
  • Observation

Surgical treatment: this may include:

  • Drainage
  • Laser ablation
  • Capsule excision (the procedure of choice for most top experts)

Final Thoughts and Question for Readers

Have you had to deal with endometrioma? If so, please share how it has impacted your endo journey.