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How You Can Detect Endometriosis Symptoms Before It’s Too Late

Endometriosis greatly impacts women's lives, but awareness about the disease is very low. Learn how to spot endometriosis symptoms here.

A woman sitting up on her bed while holding a part of her stomach in pain.

Did you know that around 350,000 Malaysian women are affected by endometriosis symptoms? You or someone you know could be suffering from it. 

There’s a chance that you haven’t heard of endometriosis before. The condition is underdiagnosed and lacks awareness, which means that some people don’t know it exists. Consequently, many women might don’t realise that they have it before it’s too late. 

Before a visit to your doctor, read more about endometriosis and its symptoms below to find out if you’re at risk. This article also explores treatments and how to live with the condition if you do have it. 

What is Endometriosis? 

It is a condition where tissue resembling the lining of the womb (endometrium) grows in other places such as: 

  1. The ovaries
  2. Fallopian tubes
  3. Ligaments around the womb (uterosacral ligaments)
  4. Between the womb and rectum
  5. Between the womb and bladder
  6. The outside surface of the womb
  7. Inside the lining of the pelvic cavity 

Abnormal growth experienced during endometriosis doesn’t just look similar to endometrial tissue, it also behaves like one. Every month during a menstrual cycle, it builds up and is shed if a woman isn’t pregnant, resulting in bleeding at the site of the growth and pain in some parts of the body. 

Endometriosis can be divided based on the intensity of the condition, starting from Stage 1 (minimal), Stage 2 (mild), Stage 3 (moderate) and Stage 4 (severe). 

What Causes Endometriosis? 

The exact cause of endometriosis is still uncertain. However, the condition is genetic so if it runs in your family, you need to be aware of the symptoms so you can spot it early.

With no proven cause, there is no known way of preventing it. Experts have offered a few theories regarding the origin of the condition, including: 

  1. Retrograde menstruation, which is when some endometrial cells flow back through the fallopian tubes into the pelvic cavity, rather than leaving the body during periods.
  2. Cellular metaplasia, or a condition where cells change forms.
  3. Endometrial cells spread through the body via the blood or lymphatic system.
  4. Surgical scar implantation. After a surgery, such as hysterectomy or C-section, endometrial cells may attach to a surgical incision. 

Endometriosis According to Traditional Chinese Medicine 

Traditional Chinese Medicine (TCM) diagnoses endometriosis as zhen jia, menstrual cramps and infertility. It is thought that the disease is caused by Qi Stagnation and Blood Stasis, with a combination of phlegm, Dampness, Heat and Kidney Deficiency. TCM believes that it is Stagnation that causes the pain in endometriosis patients.

A partial view of a woman sitting at a gynaecologist's office.
Endometriosis symptoms are still hugely underdiagnosed.

Endometriosis Symptoms  

The main symptoms of endometriosis are: 

  1. Pain in the lower abdomen
  2. Heavy periods
  3. Pelvic pain that gets worse during periods
  4. Unbearable period pain that interferes with your daily activities
  5. Pain during or after sex
  6. Pain when going to the bathroom during periods
  7. Gastrointestinal issues such as constipation, diarrhoea, nausea, bloating or blood in urine during periods
  8. Infertility 

These symptoms may manifest differently for everyone. Some patients don’t even show symptoms at all. This is one reason why endometriosis is underdiagnosed.

Treating Endometriosis Symptoms  

Unfortunately, there is no cure for endometriosis yet and patients may have to live with life-altering pain for a long time. However, there are ways to ease the symptoms: 

1. Hormone therapy 

Hormone treatments are used to soothe the pain. This usually works by blocking the ovaries from producing hormones to prevent ovulation. This may help slow the development and activity of both the endometrium and abnormal growth. It can also prevent more adhesions in new areas.

2. Pain medication 

Depending on the pain level, medications may vary from over-the-counter drugs to prescription pain relievers.

3. Surgery 

A procedure called laparoscopy may help remove tissue growth. Even so, it’s quite risky because it can impact a patient’s fertility. There is also a chance that pain and other symptoms may return over time after the surgery. 

How TCM Treats Endometriosis Symptoms 

The focus of TCM-approved remedies always lies in treating the root of the issue. In the case of endometriosis, Stagnated Qi is believed to cause pain, while Dampness, phlegm and a weak Spleen cause fatigue. It is why TCM treatments for endometriosis centre around creating better qi circulation, strengthening the Spleen and eliminating phlegm and Dampness. TCM also emphasises invigorating the Kidneys to promote fertility and regulate the menstrual cycle.

Natural herbs and medications that can treat the symptoms of endometriosis include: 

Gui Zhi Fu Ling pills 

A series of studies have proven that consuming Gui Zhi Fu Ling pills (桂枝茯苓丸) alone or in combination with Western medicine is effective in treating endometriosis symptoms. The pills owe this ability to its five components—cassia twig (gui zhi, 桂枝), poria cocos (fu ling, 茯苓), peach kernel (tao ren, 桃仁), red peony root (chi shao, 赤芍) and cortex moutan (mu dan pi, 牡丹皮) — that possess anti-inflammatory, anticoagulant, analgesic, immune-strengthening and blood circulation-encouraging properties.  

French maritime pine bark extract  

A 2007 study found that French maritime pine bark extract can reduce endometriosis menstrual pain-related symptoms by 33%.


Several studies have shown that curcumin can decrease the number of and the process of abnormal cell growth, due to its anti-inflammatory role.

Bak Foong pills 

A 2015 study has found that Bak Foong pills (白凤丸) can regulate hormones, making them a viable treatment for menstrual pain. Furthermore, TCM believes that the pills can help nourish qi


Also known as Indian ginseng, Ashwagandha has been found to improve fertility, due to its role in balancing hormones.

A partial view of a woman holding her stomach with one hand and a yellow ribbon in her other hand.
There is still a lack of awareness around endometriosis and its symptoms

Living with Endometriosis Symptoms 

There’s another reason why there isn’t much awareness surrounding endometriosis: social stigma. 

Endometriosis is often dismissed as a “woman’s problem”. There are reports of female employees feeling reluctant to disclose their period pain to their colleagues or employers for fear of being perceived as lazy, weak or overdramatic. As a result, their diagnoses could come too late. According to the Endometriosis Association of Malaysia (EAM), on average, there is a delay of seven to 11 years before a woman is diagnosed with the condition. 

Once diagnosed, endometriosis symptoms might have a prolonged impact. With a selection of both modern and traditional treatments and support from an organisation such as EAM, endometriosis doesn’t have to be endured alone. 


This is an adaptation of an article, “How to Soothe Your Endometriosis Symptoms for Good”, which first appeared on the All Things Health website


  1. New Straits Times. 2022. Some 350,000 Malaysian women affected by endometriosis [online]. Available at: <https://www.nst.com.my/news/nation/2022/02/771679/some-350000-malaysian-women-affected-endometriosis> [Accessed 4 June 2022] 
  2. National Health Service. 2021. Endometriosis [online]. Available at: <https://www.nhs.uk/conditions/endometriosis/> [Accessed 4 June 2022] 
  3. World Health Organization. 2021. Endometriosis [online]. Available at: <https://www.who.int/news-room/fact-sheets/detail/endometriosis> [Accessed 4 June 2022] 
  4. MyEndosis. 2020. Endometriosis Information [online]. Available at: <https://myendosis.org/about-endometriosis/endometriosis-information/> [Accessed 4 June 2022] 
  5. NICHD. 2020. What are the treatments for endometriosis? [online]. Available at: <https://www.nichd.nih.gov/health/topics/endometri/conditioninfo/treatment> [Accessed 4 June 2022] 
  6. National Center for Biotechnology Information. 2021. Traditional Chinese medicine prescription Guizhi Fuling Pills in the treatment of endometriosis [online]. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8100639/> [Accessed 5 June 2022] 
  7. EurekAlert. 2007. New study: Pine bark significantly reduces endometriosis [online]. Available at: <https://www.eurekalert.org/news-releases/918475> [Accessed 5 June 2022] 
  8. National Center for Biotechnology Information. 2020. Curcumin and Endometriosis [online]. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177778> [Accessed 5 June 2022] 
  9. National Center for Biotechnology Information. 2015. Bak Foong pills combined with metformin in the treatment of a polycystic ovarian syndrome rat model [online]. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533727/> [Accessed 5 June 2022] 
  10. National Center for Biotechnology Information. 2018. Effects of Withania somnifera on Reproductive System: A Systematic Review of the Available Evidence [online]. Available at: < https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833251/> [Accessed 5 June 2022] 

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