Hello Dear. Most probably you are having endometriosis. The symptoms of endometriosis vary. Some women experience mild symptoms, but others can have moderate to severe symptoms. The severity of your pain doesn’t indicate the degree or stage of the condition. You may have a mild form of the disease, yet suffer from agonizing pain. It’s also possible to have a severe form and have very little discomfort. Pelvic pain is the most common symptom of endometriosis. You may also have the following symptoms: 1. painful periods 2. pain in the lower abdomen before and during menstruation 3. cramps one or two weeks around menstruation 4. heavy menstrual bleeding or bleeding between periods 5. infertility 6. pain following sexual intercourse 7. discomfort with bowel movements 8. lower back pain that may occur at any time during your menstrual cycle You may also have no symptoms. It’s important that you get yearly gynecological exams. This will allow your gynecologist to monitor any changes. This is particularly important if you have two or more symptoms. Treatment: Understandably, you want quick relief from pain and other symptoms of endometriosis. This condition can disrupt your life if it’s left untreated. Endometriosis has no cure. Medical and surgical options are available to help reduce your symptoms and manage any potential complications. Your doctor may first try conservative treatments. They may then recommend surgery if your condition doesn’t improve. Everyone reacts differently to these treatment options. Your doctor will help you find the one that works best for you. Treatment options include: Pain medications: Over-the-counter pain medications such as ibuprofen can be used, but these aren’t effective in all cases. Hormonal therapy: Taking supplemental hormones can sometimes relieve pain. This therapy helps your body to regulate the monthly changes in hormones that promote the tissue growth that occurs when you have endometriosis. Hormonal contraceptives: Hormonal contraceptives decrease fertility by preventing the monthly growth and buildup of endometrial tissue. Birth control pills, patches, and vaginal rings can reduce or even eliminate the pain in less severe endometriosis. Gonadotropin-releasing hormone (GRNH) agonists and antagonists: Women take what are called gonadotropin-releasing hormone (GnRH) agonists and antagonists to block the production of estrogens that stimulate the ovary. Estrogen is the hormone that’s mainly responsible for the development of female sexual characteristics. This prevents menstruation and creates an artificial menopause. The therapy has side effects like vaginal dryness and hot flashes. Taking small doses of estrogen and progesterone at the same time can help to limit or prevent these symptoms. Danazol: Danazol is another medication used to stop menstruation and reduce symptoms. However, it can have side effects including acne and hirsutism, which is abnormal hair growth on your face and body. Medroxyprogesterone (Depo-Provera): The medroxyprogesterone (Depo-Provera) injection is also effective in stopping menstruation. It stops the growth of endometrial implants. It relieves pain and other symptoms. However, it can also decrease bone production, cause weight gain, and lead to depression in some cases. Conservative surgery: Conservative surgery is for women who want to get pregnant or suffer from severe pain. The goal of conservative surgery is to remove or destroy endometrial growths without damaging your reproductive organs. This can be done through traditional open surgery, in which endometrial growths are removed through a wide incision. Laparoscopy, a less invasive surgery, is another option. Your surgeon will make some small incisions in your abdomen to remove the growths in this type of surgery. Radical surgery (hysterectomy): Your doctor may recommend a total hysterectomy as a last resort if your condition doesn’t improve with other treatments. During a total hysterectomy, your surgeon will remove your uterus and cervix. Your doctor will also remove your ovaries because they make estrogen and estrogen causes the growth of endometrial tissue. You’ll be unable to get pregnant after a hysterectomy. Get a second opinion before agreeing to surgery if you’re thinking about starting a family. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini