One of the most sensitive aspects of endometriosis is its link to infertility. It is estimated that a significant percentage of women with difficulty conceiving have endometriosis. This can be due to inflammation, adhesions that alter the anatomy of the reproductive organs, or problems with egg quality. However, it is important to clarify that not all women with endometriosis will be infertile, and many are able to conceive with or without treatment.
In addition to physical symptoms, endometriosis has a significant emotional impact. Living with constant pain, feeling misunderstood, or hearing that “it’s normal to suffer with menstruation” can generate anxiety, frustration, and even depression. Late diagnosis, which in many cases can take years, exacerbates this psychological impact.
As for the causes of endometriosis, there is still no single, definitive explanation. Several theories exist, such as retrograde menstruation (when part of the menstrual flow flows back into the pelvis), genetic factors, immune system disorders, and hormonal imbalances. It is most likely a combination of several factors.