Endometriosis is a complex and often debilitating condition that affects approximately one in ten women of reproductive age. It occurs when tissue similar to the lining of the uterus (endometrium) grows outside the uterus, causing pain, inflammation, and potential fertility issues. As a board-certified obstetrician/gynecologist with over 25 years of experience in Forest Hills, NY, Dr. Barbara Hessel, MD, understands the challenges and concerns women with endometriosis face. She is dedicated to providing comprehensive and compassionate care, helping patients manage their symptoms and improving their overall quality of life.

In this article, we will discuss endometriosis in-depth, outlining its symptoms, diagnostic methods, and various treatment options available for women who struggle with this condition. We will provide expert guidance and practical tips for managing endometriosis in daily life, informed by the professional insights of Dr. Barbara Hessel. Our goal is to demystify this often misunderstood condition and support women in their quest for understanding, relief, and improved well-being.

Endometriosis can be a complicated and distressing condition, but there is hope for women seeking effective management and relief from its symptoms. Through a combination of expert medical care from professionals like Dr. Hessel, personalized treatment plans, and self-advocacy, women can navigate the challenges of endometriosis and reclaim their sense of health and vitality.

If you suspect that you or a loved one may have endometriosis or require guidance for managing this condition, schedule an appointment with Dr. Hessel today to discuss your concerns, receive a competent diagnosis, and develop an effective treatment plan tailored to your unique needs.

Understanding and Managing Endometriosis: A Comprehensive Guide for Women’s Health | Dr. Hessel MD

Symptoms of Endometriosis

Endometriosis can present a variety of symptoms, with severity and duration varying from one woman to another. Some common symptoms include:

1. Pelvic pain: Many women with endometriosis experience chronic pelvic pain, which often worsens during their periods or intercourse.

2. Heavy or irregular periods: Endometriosis can cause abnormally heavy bleeding, prolonged periods, or irregular menstrual cycles.

3. Bowel and bladder issues: Endometrial tissue growth can impact bowel and bladder function, leading to pain during urination, frequent urination, constipation, or diarrhea.

4. Infertility: Endometriosis can contribute to fertility issues, making it more challenging for affected women to become pregnant.

Diagnosing Endometriosis

An accurate diagnosis is essential for creating an effective treatment plan for endometriosis. Here are a few diagnostic methods used by healthcare professionals like Dr. Barbara Hessel:

1. Medical history and physical examination: Your healthcare provider may review your medical history and perform a pelvic examination to identify any abnormalities that could suggest endometriosis.

2. Imaging tests: Ultrasound or magnetic resonance imaging (MRI) can provide a detailed view of the reproductive organs and help identify endometrial tissue growth.

3. Laparoscopy: A minimally invasive surgical technique, laparoscopy allows your healthcare provider to view endometrial tissue growth directly and potentially confirm an endometriosis diagnosis.

Treatment Options for Endometriosis

There is no cure for endometriosis, but various treatments can help alleviate symptoms and improve patients’ quality of life. Dr. Hessel may recommend one or more of the following treatment options based on individual needs:

1. Hormonal therapy: Hormonal medications, such as birth control pills or progesterone therapy, can help regulate menstrual cycles and reduce pain associated with endometriosis.

2. Pain management: Over-the-counter pain relievers and anti-inflammatory medications can help alleviate endometriosis-related pain. In some cases, prescription pain medications may be necessary for effective pain management.

3. Conservative surgery: Laparoscopic surgery can be used to remove endometrial tissue growth, providing relief from symptoms for many women. This option may also improve fertility in some cases.

4. Hysterectomy: In severe cases of endometriosis and when other treatments haven’t been effective, a hysterectomy (removal of the uterus) may be recommended. This decision should be carefully considered, as it is a permanent and irreversible procedure.

Coping Strategies for Living with Endometriosis

Living with endometriosis can be challenging, but adopting effective coping strategies can help improve daily life for women struggling with this condition:

1. Emotional support: Connecting with others who have endometriosis, whether through support groups or online forums, can provide emotional solace and practical advice for managing the condition.

2. Self-care: Engaging in regular self-care rituals, such as restorative yoga, gentle exercise, or meditation, can help reduce stress and soothe the physical and emotional impact of endometriosis.

3. Nutritional focus: A balanced and anti-inflammatory diet can alleviate some endometriosis symptoms. Incorporate foods rich in omega-3 fatty acids, antioxidants, and fiber to support overall well-being.

4. Communicate openly: Discuss your symptoms and needs openly with your healthcare provider, partner, and support network. Honest communication can facilitate better understanding, support, and care.


Endometriosis is a complex and often misunderstood condition that affects many women worldwide. With proper guidance, personalized treatment plans, and effective coping strategies, women can manage their symptoms and improve their overall well-being. Dr. Barbara Hessel, MD, is dedicated to providing comprehensive and compassionate care for women with endometriosis, helping them find relief and control their condition.
Schedule an appointment with Barbara A. Hessel, MD. FACOG if you suspect endometriosis, need support in managing your symptoms, or seek further guidance in navigating this challenging but manageable condition. With expert care from our certified gynecologist, it is possible to live a fulfilling and healthy life while managing endometriosis.