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Endometriosis Treatment

Endometriosis is a harrowing condition that can result in both physical and emotional pain while causing difficulty conceiving.

Fortunately, the symptoms of endometriosis can often be managed, and patients who wish to conceive have options.

Houston Fertility Center in Houston, TX, can provide endometriosis treatment so your dreams of becoming a parent can become a reality.

What Is Endometriosis?

Endometriosis diagram

Endometriosis is a painful condition in which the inner lining of the uterus grows outside the uterus. The endometrial-type tissue looks and acts like endometrial tissue, and can spread to your ovaries, fallopian tubes, and pelvis, irritating the structures it touches.

In a healthy uterus, the uterine tissue thickens throughout the menstrual cycle and then breaks down and exits during menstruation. When tissue develops outside the uterus, it can't be shed monthly through menstruation, causing uncomfortable symptoms.

In the United States, an estimated 2% to 10% of women ages 25 to 40 are affected by endometriosis. The condition typically develops several years after beginning menstruation, but the symptoms can be debilitating for people of all ages.

The Symptoms of Endometriosis

The most common side effects of endometriosis occur during the menstrual cycle and can include:

  • Nausea
  • Vomiting
  • Fatigue
  • Constipation
  • Diarrhea
  • Bloating
  • Pelvic pain

Other symptoms associated with endometriosis include:

  • Painful periods
  • Abnormal or heavy periods
  • Intermittent bleeding between periods
  • Pain when urinating
  • Pain during bowel movements
  • Pain during intercourse
  • Infertility

The symptoms of endometriosis may temporarily improve during pregnancy and may go away completely once a patient reaches menopause, unless the patient is taking estrogen. If you are experiencing debilitating symptoms of endometriosis, treatment is available.

What Causes Endometriosis?

The exact cause of endometriosis has not been proven. However, there are certain theories about what may cause the condition. Some of these theories include:

Retrograde Menstruation

This occurs when menstrual blood flows back into the fallopian tubes. Instead of exiting the body, this blood containing endometrial cells goes into the pelvic cavity. 

Surgical Scar Implantation

Some doctors believe that endometrial cells may attach to the surgical incision following a hysterectomy, C-section, or other surgery.

Immune System Disorder

In some cases, doctors believe immune system disorders may leave the body unable to recognize and destroy endometrial tissues that grow outside of the uterus.

Other Causes

Other potential causes include embryonic cell transformation, transformation of peritoneal cells, and endometrial cell transport.

Endometriosis Treatment Can Improve Your Fertility

The American Board of Obstetrics and Gynecology recommends that patients seek advanced infertility treatments from someone who is board certified in Reproductive Endocrinology and Infertility (REI), like Dr. Sonja Kristiansen. Our doctor has treatment options for patients who wish to manage the symptoms of endometriosis, as well as options for patients who want to become pregnant. She can help prevent complications and improve your chances of having a safe pregnancy and smooth delivery.

Safe and effective endometriosis treatment is available at our Houston, TX, practice. To explore your options, reach out to us by completing this form or calling:

Dr. Kristiansen serves patients throughout Greater Houston.

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Diagnosing Endometriosis

Because the symptoms of endometriosis can be nonexistent or mistaken for other conditions, such as IBS (irritable bowel syndrome), ovarian cysts, uterine fibroids, or pelvic inflammatory disease (PID), it is often misdiagnosed.

To get an accurate diagnosis you should:

Discuss Your Symptoms

When meeting with your gynecologist during routine exams, it is important to review any symptoms you may be experiencing to ensure a proper diagnosis. Your gynecologist may refer you to a specialist like Dr. Kristiansen in Houston if they believe you may have endometriosis.

Undergo Transvaginal Ultrasound

If Dr. Kristiansen suspects endometriosis, she will perform a transvaginal ultrasound to view the inside of your uterus and ovaries. During testing, Dr. Kristiansen will insert a small device called a transducer into your vagina. This tool uses high-frequency soundwave technology to capture images and display them on a nearby computer screen. These scans can be used to identify any uterine fibroids and ovarian cysts causing complications.

Receive Laparoscopy Evaluation

If further testing is required, our Houston doctor may recommend an advanced laparoscopy evaluation. This procedure involves the use of a special camera inserted through a small abdominal incision, which will allow her to determine the location, size, and extent of the endometrial growth. Removal of the endometrial tissue can sometimes occur during this procedure.

Understanding the Stages of Endometriosis

The American Society of Reproductive Medicine has outlined four stages of endometriosis, depending on the spread of the endometrial-type tissue, its depth, and the areas that are being affected. Depending on your stage, your treatment options may be different. Your condition can be ranked as follows:
Endometriosis isn't always a progressive condition that moves from one stage to the next. Additionally, some patients may stay in one stage, even if they don't seek treatment.
Endometriosis isn't always a progressive condition that moves from one stage to the next. Additionally, some patients may stay in one stage, even if they don't seek treatment.

Stage One: Minimal

Few lesions are found on your organs or the tissue lining the abdomen and pelvis. Little to no scar tissue is present.

Stage Two: Mild

More lesions are present on your organs or the tissue lining the abdomen and pelvis, and they are deeper. Some scar tissue may be present.

Stage Three: Moderate

Deep lesions are present and one or both ovaries may have small cysts. Adhesions (thick bands of scar tissue between two organs) may be present.

Stage Four: Severe

Your condition is widespread. Lesions and thick adhesions are both present, along with large cysts on one or both ovaries.

Why Endometriosis Causes Infertility

Though it's not completely understood how endometriosis causes infertility, doctors have come up with a few hypotheses. They believe endometriosis can lead to a variety of conditions that can cause infertility, such as:

  • Distorted pelvis
  • Adhesions
  • Scarred or obstructed fallopian tubes
  • Inflammation
  • Altered egg quality
  • Damaged sperm or eggs
  • Impaired implantation

You're Not Alone

30% to 50% of women with endometriosis may experience infertility

Conceiving With Endometriosis

If you have endometriosis, conceiving may be more difficult, but you have options that can improve your chances of getting pregnant. Dr. Sonja Kristiansen in Houston, TX, can allow you to explore these options and make your dreams of being a parent a reality.

If you're ready to explore assisted fertility options, we invite you to reach out to us by filling out our contact form or calling:

(713) 225-5375

"This Doctor is a miracle worker, she worked very closely with my husband and I, she understood our concerns and stood with us through everything...if you want a doctor that really cares along with an awesome staff you are stopping at the right place!! Sheena R.

Assisted Fertility Options

Assisted fertility options are available to patients in Houston, TX, and beyond who are struggling with infertility.

Intrauterine Insemination (IUI)

IUI 3D model being shown to patient by doctor

During this procedure, sperm are placed directly into the uterus at the time of ovulation. IUI is usually the first assisted fertility option endometriosis patients try because it is less invasive.

In Vitro Fertilization (IVF)


IVF is a procedure in which eggs are removed from the ovaries and fertilized in a lab. An embryo is then transferred into the uterus. If you have severe endometriosis, you may benefit from IVF.

Treatment Options for Endometriosis

Treatment for endometriosis depends on the severity of your condition and whether you wish to become pregnant. Doctors typically recommend more conservative methods first, but may resort to surgical methods if treatment fails. Your treatment options include:
Pain Medication

Pain Medication

Over-the-counter pain medication taken during the menstrual cycle may be enough to alleviate the symptoms associated with mild endometriosis, like pelvic pain. This may be used in combination with hormone therapy like birth control in patients who aren't trying to get pregnant.

Birth Control

Birth Control

Endometriosis requires estrogen to develop. Birth control pills, patches, intrauterine devices, and vaginal rings that lower or block estrogen can help manage the condition.

Gonadotropin-Releasing Hormones (GnRH)

Gonadotropin-Releasing Hormones (GnRH)

GnRH therapy can lower estrogen levels and prevent menstruation, causing endometrial tissue to shrink. It can also reduce pelvic discomfort.

Abdominal surgery


A doctor can remove endometrial tissue while preserving your uterus and ovaries to alleviate your symptoms and increase your chances of conceiving if you have mild to moderate endometriosis. Most surgical procedures can be performed by laparoscopy, during which our doctor will make small incisions in the abdomen to insert a laparoscope, a viewing instrument. Our doctor can then remove endometrial tissue through the incisions.



The removal of the uterus (hysterectomy) and sometimes the cervix, fallopian tubes, and ovaries (oophorectomy) won't completely cure endometriosis, but it can alleviate the symptoms. This method is used as a last resort.

Treatment is highly individualized for each patient, and a combination of treatments may be used. Requesting a consultation with Dr. Kristiansen in Houston will allow you to explore your options.

Isn't Surgery the Best Option?

Not necessarily. Even laparoscopy involves some recovery time and risk despite being less invasive than traditional open surgery. Surgery also is not a guarantee that your endometriosis will be cured. In some cases, a small number of patients have experienced a reoccurrence of their endometriosis even after surgery. During your consultation, we will discuss your options in order to develop a custom treatment plan to give you the best possible chance at relieving your symptoms.

Dr. Sonja Kristiansen is board-certified in Reproductive Endocrinology and Infertility. Our doctor has treatment options for patients who wish to manage the symptoms of endometriosis, as well as options for patients who want to become pregnant.

Get the Help You Need to Relieve Your Pain Call us today.

Endometriosis can be painful, not just during your period, but during other times in your cycle. It can also make intercourse and bowel movements painful. We are here to help. Our fertility clinic in Houston, TX, helps patients achieve their dreams of expanding their families by getting to the root cause of their fertility struggles. Diagnosing and treating endometriosis can mean relief from your pain and a better chance of becoming pregnant.

We offer comprehensive treatment options. Dr. Kristiansen knows that each patient is different, and treatment is highly individualized for each patient. This may mean a combination of treatments may be used in order to address your unique situation. 

Get started today and explore your options by requesting a consultation with Dr. Kristiansen at our Houston fertility clinic. Use our online form or give us a call.

(713) 225-5375

Risk Factors for Endometriosis

Some factors may increase your chances of developing endometriosis, such as:

  • Starting your period at an early age
  • Having a first-degree relative with endometriosis
  • Having a low BMI
  • Having short menstrual cycles
  • Having heavy periods that last longer than seven days
  • Having higher levels of estrogen
  • Never giving birth
  • Going through menopause at an older age
  • Certain medical conditions

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Dr. Sonja Kristiansen

Houston Fertility Center

Dr. Sonja Kristiansen is the founder and Medical Director of Houston Fertility Center. She is a board-certified Reproductive Endocrinologist Infertility (REI) specialist who is proud to help hopeful parents fulfill their dreams of having children. Our center is affiliated with the:

  • American College of Obstetricians and Gynecologists
  • American Society for Reproductive Medicine
  • Texas Medical Association

We provide convenient care for patients from greater Houston and visitors from out of town. For more information about our services, contact our office online or call (713) 225-5375 today.

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