Could endometriosis be causing your pelvic pain?

Published: Wednesday, August 5, 2026
Keshma Saujani, MD
Obstetrics and Gynecology
Could endometriosis be causing your pelvic pain?

Painful periods are common, but they shouldn’t be something you simply accept as part of life. If pelvic pain is interfering with work, relationships or daily activities, endometriosis may be the reason.

Endometriosis affects more than 10% of women in the United States between the ages of 15 and 44, making it one of the most common gynecologic conditions. While symptoms can range from mild to severe, many women experience years of pain before receiving a diagnosis. The good news is that effective treatments are available, including advanced minimally invasive surgical options that can provide lasting relief

What is endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. These growths are most commonly found on the ovaries, fallopian tubes, bladder, bowel and other pelvic structures. 

Like the tissue inside the uterus, these growths respond to hormonal changes during the menstrual cycle. Over time, they can cause inflammation, scarring and pain. In some cases, endometriosis may also contribute to fertility challenges. 

Endometriosis is a chronic condition that typically requires ongoing management. Symptoms may improve for some women after menopause, but many patients benefit from medical or surgical treatment.

While researchers continue to study the exact cause of endometriosis, experts know the condition can significantly affect a woman’s quality of life when left untreated.

Common signs and symptoms of endometriosis

Endometriosis symptoms can vary from person to person. Some women experience mild discomfort, while others have pain that disrupts daily life.

Common symptoms include:

  • Painful menstrual cramps
  • Chronic pelvic pain
  • Lower back pain
  • Pain during or after intercourse
  • Painful bowel movements or urination during periods
  • Heavy menstrual bleeding
  • Spotting between periods
  • Digestive symptoms such as bloating or nausea
  • Difficulty becoming pregnant

One important thing to remember is that the severity of symptoms does not always match the extent of the disease. Even small areas of endometriosis can cause significant pain.

Treatment for endometriosis depends on several factors, including symptoms, age, fertility goals and the extent of the condition.

Many women find relief through medications that help manage pain or suppress hormonal activity. However, surgery may be recommended when:

  • Symptoms persist despite medical treatment
  • Endometriosis is affecting fertility
  • Imaging suggests significant disease involvement
  • Chronic pain is impacting quality of life
  • Endometriosis is affecting organs such as the bowel or bladder

Surgery can help remove endometriosis lesions and scar tissue that may be contributing to symptoms. For many women, this can provide significant pain relief and improve daily function.

gynecologist can review your symptoms, imaging and treatment history to determine whether surgery may be beneficial for your situation.

How robotic endometriosis resection is changing treatment

When surgery is needed, one of the most advanced options available today is robotic endometriosis resection.

Resection, also called excision surgery, involves carefully removing endometriosis lesions from affected tissues and organs. Unlike procedures that only destroy the surface of visible lesions, excision aims to remove the disease more completely.

Using robotic-assisted technology, surgeons can operate through small incisions while benefiting from a highly magnified three-dimensional view of the surgical area. Robotic surgery offers several potential benefits for women undergoing treatment for endometriosis including:

  • Smaller incisions
  • Enhanced precision
  • Less pain and blood loss
  • Faster recovery
  • Treatment for complex cases

The robot never performs the surgery on its own. Instead, it serves as an advanced tool that allows the surgeon to perform highly precise movements throughout the procedure.

Recovery varies based on the extent of surgery and each patient’s overall health. However, minimally invasive robotic surgery is designed to help reduce recovery time compared to traditional open approaches.

Find out if robotic surgery is right for you

At Northeast Georgia Health System, women have access to comprehensive gynecologic care and advanced robotic surgical options. Our team works closely with each patient to develop a personalized treatment plan focused on symptom relief, improved quality of life and long-term wellness.

If endometriosis pain is affecting your daily life, advanced surgical options may help. Northeast Georgia Health System’s GYN Robotic Center offers minimally invasive procedures designed to provide greater precision, less pain and a faster recovery.