{"id":21853,"date":"2023-12-12T05:00:59","date_gmt":"2023-12-12T04:00:59","guid":{"rendered":"https:\/\/www.intimina.com\/blog\/?p=21853"},"modified":"2023-12-11T22:10:18","modified_gmt":"2023-12-11T21:10:18","slug":"endometriosis-after-menopause","status":"publish","type":"post","link":"https:\/\/www.intimina.com\/blog\/endometriosis-after-menopause\/","title":{"rendered":"Endometriosis After Menopause &#8211; What To Expect"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Endometriosis is one of the most common reproductive health disorders for female-bodied people. According to the World Health Organization (<\/span><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/endometriosis\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">WHO<\/span><\/a><span style=\"font-weight: 400;\">), about 10% of women and girls across the globe are impacted by endometriosis. Unfortunately, they do not have a gender-inclusive statistic, but this number most likely reflects other people who were assigned female at birth (AFAB).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of <\/span><a href=\"https:\/\/www.intimina.com\/blog\/talk-about-endometriosis\/\"><span style=\"font-weight: 400;\">endometriosis<\/span><\/a><span style=\"font-weight: 400;\"> are typically the worst before and during menstruation. Because of this, it would make sense that someone with the disorder would find relief when they reach menopause and are no longer menstruating.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That\u2019s not the case for everyone. Can you still experience symptoms of endometriosis after menopause? It\u2019s time to find out!<\/span><\/p>\n<h2>What Is Endometriosis?<\/h2>\n<p><span style=\"font-weight: 400;\">If you have endometriosis, then you know just how much pain and discomfort it can cause. But what exactly is this disorder?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Endometriosis occurs when tissue similar to endometrium (the lining of the uterus) grows in other places in the abdominal and pelvic cavity. The disease can cause growths in the lining of the pelvis, the fallopian tubes, ovaries, and other areas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These growths lead to chronic inflammation, causing some people to develop scar tissue in affected areas. People with endometriosis may experience symptoms that interfere with their daily lives, especially during their period.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of endometriosis:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heavy periods, may also experience heavy bleeding between periods<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal or lower back pain during period<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain during penetration<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain while using the bathroom<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bloating<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea and vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mental health symptoms like depression and anxiety<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infertility<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The cause of endometriosis is unknown, and while there is no cure, symptoms can somewhat be managed depending on the individual. Symptoms typically subside after menopause, but not always.\u00a0<\/span><\/p>\n<h2>Menopause Refresher<\/h2>\n<p><span style=\"font-weight: 400;\">Someone is considered to have reached <\/span><a href=\"https:\/\/www.intimina.com\/blog\/menopause-facts\/\"><span style=\"font-weight: 400;\">menopause<\/span><\/a><span style=\"font-weight: 400;\"> when they go 12 consecutive months without a period. The average age of menopause is 51, but people go through <\/span><a href=\"https:\/\/www.intimina.com\/blog\/peri-what-perimenopause\/\"><span style=\"font-weight: 400;\">perimenopause<\/span><\/a><span style=\"font-weight: 400;\"> for an average of four to eight years before fully reaching menopause.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During perimenopause, people may experience symptoms like hot flashes, difficulty sleeping, vaginal dryness, and emotional changes. These symptoms can often be managed with <\/span><a href=\"https:\/\/www.intimina.com\/blog\/hormone-replacement-therapy-menopause\/\"><span style=\"font-weight: 400;\">hormone replacement therapy<\/span><\/a><span style=\"font-weight: 400;\"> or natural methods like <\/span><a href=\"https:\/\/www.intimina.com\/blog\/acupuncture\/\"><span style=\"font-weight: 400;\">acupuncture<\/span><\/a><span style=\"font-weight: 400;\"> and dietary changes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People who have very difficult menstrual cycles are often relieved once menopause rolls around, as it means the end of uncomfortable symptoms. This is true for many people with endometriosis, but what about people who experience symptoms after menopause?<\/span><\/p>\n<h2><b>Can You Have Endometriosis After Menopause?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">While the exact cause of endometriosis isn\u2019t known, health professionals do know that estrogen plays a large part in the disease. The tissues of endometriosis respond to the hormone estrogen. After menopause, estrogen levels drop, which typically means no more symptoms of endometriosis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So can you have endometriosis after menopause? Yes, the <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19723958\/\" target=\"_blank\" rel=\"noopener\">first case of postmenopausal endometriosis was reported in <\/a><\/span><span style=\"font-weight: 400;\">1942<\/span><span style=\"font-weight: 400;\"> by Edgar Haydon, a general practitioner. While data isn\u2019t exactly clear, one study suggests that <\/span><a href=\"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14583?af=R#:~:text=Malignant%20transformation%20is%20the%20progression,severe%20disease%20is%20approximately%204%25.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">4%<\/span><\/a><span style=\"font-weight: 400;\"> of postmenopausal women still deal with endometriosis.\u00a0<\/span><\/p>\n<h2>What Causes Endometriosis After Menopause?<\/h2>\n<p><span style=\"font-weight: 400;\">One reason people may continue to experience endometriosis symptoms after menopause is if they decide to use HRT to help manage symptoms of menopause. Besides managing symptoms, HRT can also help menopausal people to maintain bone health and overall quality of life. For people with a history of endometriosis, the use of estrogen may cause endometriosis symptoms to continue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It may even be possible for <a href=\"https:\/\/bmcwomenshealth.biomedcentral.com\/articles\/10.1186\/s12905-020-01054-x\" target=\"_blank\" rel=\"noopener\">those without a history of endometriosis to <\/a><\/span><span style=\"font-weight: 400;\">develop it after menopaus<\/span><span style=\"font-weight: 400;\">e. It\u2019s unclear if these cases are because of new developments or because someone previously went undiagnosed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other medications and treatments used in menopause may contribute to postmenopausal endometriosis. This includes phytoestrogens (plant-based estrogens) and <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532905\/#:~:text=Tamoxifen%20is%20a%20selective%20estrogen,against%20breast%20cancer%20in%20women.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">tamoxifen<\/span><\/a><span style=\"font-weight: 400;\"> \u2013 a selective estrogen receptor modulator.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although uncommon, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28777193\/\" target=\"_blank\" rel=\"noopener\">endometriosis has also been found in <\/a><\/span><span style=\"font-weight: 400;\">adolescents<\/span><span style=\"font-weight: 400;\"> who haven\u2019t started menstruating yet. Based on this, it\u2019s fair to say that endometriosis doesn\u2019t just affect people who are in their reproductive years. So how do you manage these often painful and debilitating symptoms?<\/span><\/p>\n<h2>Diagnosing Endometriosis After Menopause<\/h2>\n<p><span style=\"font-weight: 400;\">The first step in treating endometriosis after menopause (or at any stage) is getting a proper diagnosis. Your healthcare provider will take a detailed health history and most likely perform a pelvic exam. Further diagnostic tests and procedures may involve blood tests, a transvaginal ultrasound, MRI, or minimally invasive laparoscopy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A proper diagnosis is critical, as symptoms of endometriosis are similar to those of ovarian cancer. The risk of <\/span><a href=\"https:\/\/www.intimina.com\/blog\/ovarian-cancer-symptoms-risks\/\"><span style=\"font-weight: 400;\">ovarian cancer<\/span><\/a><span style=\"font-weight: 400;\"> increases with age, so it\u2019s vital to see a medical provider whether or not you had endometriosis before menopause.<\/span><\/p>\n<h2>Treating Endometriosis After Menopause<\/h2>\n<p><span style=\"font-weight: 400;\">Unlike people who are still menstruating, for postmenopausal women surgery is typically the first treatment providers turn to for endometriosis. <\/span><a href=\"https:\/\/doi.org\/10.3390%2Fdiagnostics10030134\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Surgery<\/span><\/a><span style=\"font-weight: 400;\"> can not only help minimize symptoms but also reduce the risk of cancer in the reproductive organs. Even those who have had a partial or <\/span><a href=\"https:\/\/doi.org\/10.3389\/fsurg.2019.00014\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">total hysterectomy<\/span><\/a><span style=\"font-weight: 400;\"> may continue to experience symptoms of endometriosis. This is especially true for people using estrogen therapy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other options include the use of two different medications \u2013 progestogens and aromatase inhibitors. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7961981\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Progestogens<\/span><\/a><span style=\"font-weight: 400;\"> mimic the hormone progesterone and can help manage symptoms of endometriosis while also suppressing the growth of further tissues.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/endometriosis.org\/resources\/articles\/aromatase\/#:~:text=The%20aromatase%20inhibitors%20used%20for,drug%20that%20suppresses%20the%20ovaries.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Aromatase inhibitors<\/span><\/a><span style=\"font-weight: 400;\"> act on the protein aromatase which is responsible for producing oestrogen. This can help suppress the growth of endometriosis, lower inflammation, and reduce symptoms. The difficulty in using this medication after menopause is that it can increase the risk of osteoporosis. Combining it with calcium and vitamin D supplements as well as bisphosphonate can help reduce the risk of osteoporosis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is little research on the effects of hormone therapy on menopausal women with endometriosis. While discontinuing it may help improve symptoms, that\u2019s not the case for everyone. Your healthcare provider can help you weigh the pros and cons of hormone therapy and decide if it\u2019s right for your particular needs.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Endometriosis is one of the most common reproductive health disorders for female-bodied people. According to the World Health Organization (WHO), about 10% of women and girls across the globe are&hellip;<\/p>\n","protected":false},"author":24,"featured_media":21644,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[12],"tags":[105,399],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Can you have endometriosis after menopause?<\/title>\n<meta name=\"description\" content=\"Endometriosis can cause painful and debilitating symptoms during menstruation, and for some, may even continue into menopause.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.intimina.com\/blog\/endometriosis-after-menopause\/\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Natasha Weiss\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.intimina.com\/blog\/endometriosis-after-menopause\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.intimina.com\/blog\/endometriosis-after-menopause\/\"},\"author\":{\"name\":\"Natasha Weiss\",\"@id\":\"https:\/\/www.intimina.com\/blog\/#\/schema\/person\/b6c60ecf47ec06a36c4b2f175253c5ff\"},\"headline\":\"Endometriosis After Menopause &#8211; 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