What Is Endometriosis?

Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside the uterus, often around the ovaries and other structures in the pelvis.

This tissue can respond to hormonal changes and contribute to inflammation, scar tissue, and adhesions—bands of tissue that may cause organs to stick together. Endometriosis can affect physical comfort, daily activities, and, for some people, fertility.

What Causes Endometriosis?

The exact cause is not fully understood. One theory involves menstrual blood flowing backward through the fallopian tubes into the pelvis. However, this alone does not explain why some people develop endometriosis and others do not.

Genetics, immune system function, and hormonal factors may also contribute. Endometriosis is not caused by something you did wrong, and it should not be dismissed as simply a result of stress.

Recognizing the Symptoms

Endometriosis may cause:

• Period pain that interferes with daily activities

• Pelvic pain during or between periods

• Pain during or after sex

• Pain with bowel movements or urination, particularly around menstruation

• Difficulty becoming pregnant

  
  

Some people have few symptoms. The amount of pain does not necessarily reflect how extensive the condition is. Persistent or worsening symptoms deserve evaluation by a gynecologist.

How Acupuncture May Help

Acupuncture may help some people manage endometriosis-related menstrual pain.

A clinical trial found reductions in period pain intensity and duration, along with improvements in quality of life during treatment. Benefits became less apparent after treatment stopped, and improvements were not consistent across every type of pelvic pain. Acupuncture is therefore best considered as a complementary option for symptom relief.

What Care May Focus On

Your care begins with the symptoms that affect you most. Appointments may focus on menstrual pain, physical tension, relaxation, and the impact of recurring discomfort on daily life.

Dr. Michiko considers when symptoms occur, your current medical treatment, and your comfort when planning sessions. Your response is reviewed over time so care can be adjusted.

Alongside Your Gynecologic Care

Medical treatment may include pain medication, hormone therapy, or surgery, depending on your symptoms and reproductive goals. Acupuncture can complement this care, but it does not remove endometriosis lesions or replace treatment for the underlying condition.

Tracking symptoms across your cycle can help you explain their pattern and impact to your healthcare team.

Begin With What Matters to You

Whether your priority is getting through painful periods or feeling more comfortable in everyday life, a consultation can help you explore how acupuncture may fit into your existing care.