Do you have to skip your period due to unbearable period pain? Learn when to get tested for endometriosis.

New Delhi (Special Health Report): Mild to moderate abdominal pain and cramps are common for most women during their periods. However, when the pain becomes so severe and unbearable that even painkillers don’t work and you have to take time off work or school, ignoring it as “normal” can be extremely dangerous for your health. According to gynecologists, this extremely sharp and crippling period pain can be a major sign of a serious medical condition called endometriosis .

What is endometriosis and why does it occur?

Endometriosis is a condition of the female reproductive system in which cells similar to the lining of the uterus (endometrium) grow outside the uterus—such as on the ovaries, fallopian tubes, lining of the pelvis, or intestines. When hormonal changes occur in the body during periods, this layer formed outside the uterus also swells and bleeds. Since this blood has no way to exit the body, it can cause internal swelling, painful cysts (Ovarian Cysts) and internal scar tissue (Adhesions) between organs.

Key symptoms of endometriosis: When is it important to be alert?

If you experience any of the following symptoms along with period pain, you should immediately contact a doctor:

1. Severe and persistent pain: Pain that begins several days before your period and continues after your period ends.

2. Pelvic and lower back pain: Severe pain radiating to the groin, lower abdomen, and thighs.

3. Painful Intercourse: Deep and sharp pain during or after sex.

4. Painful passing of stool or urine: Straining or pain while going to the washroom, especially during periods.

5. Excessive bleeding: Very heavy bleeding during periods or spotting in between cycles.

6. Infertility: Long-term difficulty conceiving or not being able to conceive.

When and why should you get yourself examined by a doctor?

Delaying the diagnosis of endometriosis can have lasting effects on women’s health and fertility.If your pain doesn’t subside even after taking painkillers or if it disrupts your daily routine, consult an experienced gynecologist without delay. Specialists usually diagnose the condition through a pelvic exam, advanced ultrasound, MRI, or laparoscopy. Its pain can be controlled to a great extent through medicines, hormonal therapy or surgery at the right time.