Endometriosis Resources

A guide to endometriosis resources, including support groups, locating specialists, mentions in the media, and information on inclusive care

This is part 10 of the  Endometriosis Series

The following are trusted informational resources that explain endometriosis, discuss possible causes, compare diagnostic methods, and critically examine the treatment options that are available. While each source may offer a variety of tools, they have been categorized according to their main focus. Many of these same resources have been cited as references throughout the site. Unfortunately, some of the sources do not use inclusive language. This is not meant to be an exhaustive list of resources, only a helpful starting point. It's likely that there are excellent sites, studies, and doctors not listed.

Endo 101

These organizations, studies, and websites are dedicated to raising disease awareness, furthering research, empowering patients, and promoting self advocacy. Exploring multiple platforms for information will help expand your understanding of this complex condition. Learn more about the basics of endometriosis through these links.

  • Endometriosis from A to Z is an informational guide on endometriosis that was written by a variety of doctors and healthcare providers. The authors hope that endometriosis patients will educate themselves on endometriosis and the treatment modalities to make informed decisions in their care. This is a must read.
  • Endopaedia is a highly accurate, important, and informative resource that was founded by Dr. David B. Redwine, M.D., a leading endometriosis excision specialist and researcher. This is an excellent starting point for your endometriosis research.
  • Center for Endometriosis Care is an excision clinic that's dedicated to raising awareness and furthering research. They are a trustworthy and respected source for learning everything about endometriosis. Their content library provides additional resources and links.
  • The Endometriosis Association is a self-help organization of people with endometriosis, doctors, scientists, and others interested in exchanging information about the disease.
  • Endometriosis Foundation of America is a non-profit that strives to increase disease recognition, provide advocacy, facilitate expert surgical training, and fund landmark endometriosis research.
  • Endometriosis Research Center was among the first endometriosis organizations to be formed in the United States. They're addressing the ongoing need for international endometriosis awareness, advocacy, support, education, legislative efforts and research facilitation.
  • The Endometriosis Association of Ireland was formed in 1987, to provide information and support for people with endometriosis.
  • Endometriosis Australia endeavors to increase recognition of endometriosis, provide endometriosis education programs, and help fund endometriosis research.
  • The World Endometriosis Society (WES) advances evidence-based standards and innovations for education, advocacy, clinical care, and research in endometriosis, adenomyosis, and related disorders, to improve the lives of all affected people and their families.
  • Endometriosis News is a science and health publishing website for endometriosis. They feature the latest news on endometriosis.
  • EndoWhat? is a film created by endometriosis patient Shannon Cohn to educate and bring more widespread awareness to the disease. It's available for public screening.
  • Endographics creates educational infographics designed to spread awareness about endometriosis. They are easy to share, eye-catching, and provide accurate information.

Finding a Specialist

Though endometriosis is a common condition affecting over 176 million people worldwide, there are very few specialists in the medical community that can provide support. It's estimated that there are as few as 100 excision surgeons in practice worldwide. What a stark lack of medical support for an epidemic-scale disease! Finding a knowledgeable and compassionate provider can be one of the hardest aspects of managing the disease. Without proper medical support, the symptoms can become chronic comorbidities that will need their own medical intervention. Knowing how to communicate with your doctors and how to gauge their expertise in endometriosis care are important skills to learn. Several communication and screening techniques are offered below, as well as tools for finding an endometriosis specialist near you.

Hormonal Medications and Hormonal Health

Many doctors use hormonal medications as a first line treatment for endometriosis. Hormone medication can come in the form of oral contraceptives like birth control pills, progestin-only pills, progestin medicines, and GnRH agonists. While hormonal medications are the most commonly prescribed drugs for endometriosis, they have been shown to not eradicate, stop progression, or improve the disease long-term.

Medical therapy represents only a symptomatic treatment and not the definitive solution to endometriosis lesions that may persist despite different medications, dosages, and duration of the therapy.

- Management of Women Affected by Endometriosis: Are We Stepping Forward?

Complementary and Alternative Therapies

A comprehensive, multidisciplinary approach that is individualized to the patient’s needs will provide the most successful, long-term outcome in endometriosis management. Often this will include seeking out a variety of doctors and specialists to address wide-reaching symptoms. This can include working with gynecologists, nutritionists, integrative doctors, urologists, and many other types of healthcare providers. Research has shown several potential benefits of complementary and alternative therapies for endometriosis patients. Examples of complementary therapies include physical therapy, acupuncture, yoga, and meditation. These therapies include various methods that work on mitigating symptoms, stress reduction, and/or disease management.

For Adolescents and Teens

The adolescent population is commonly affected by endometriosis and experience an early onset of symptoms. This makes sense when you consider the hormonal changes taking place at this transitional time. During the developmental stages of teenage years, hormones begin to fluctuate and the body starts producing estrogen. This change in hormones can initiate the pain and symptoms of endometriosis. Endometriosis lesions have been found to occur in patients both before menstruation and early after it.

In addition, when endometriosis appears during adolescence, there is likelihood that the disease will progress and, if left untreated, produce adverse effects that go beyond pain, and include infertility. Finally, a majority of adolescent girls with chronic pelvic pain not responding to conventional medical therapy have endometriosis. For all these reasons, an early identification of the disease may go a long way in slowing or preventing progression.

- Endometriosis In Adolescents Is A Hidden, Progressive and Severe Disease that Deserves Attention, Not Just Compassion

Support Groups

Finding adequate support, receiving validation, and maintaining one's self worth and dignity are all important components of disease management and basic human rights. Below are some online communities to join for support, advice, and disease information.

The internet community created by these forums provides a lifeline through the four to ten years it often takes to receive a diagnosis of endometriosis and for the years of no known cure afterwards. While WebMD and the abundance of resources out there that serve as tools for self-diagnosis can at times do more harm than good, supportive communities like those Furseth and Norman describe can be crucial outlets for needs that aren’t being met by the medical establishment, needs that are overwhelmingly felt by women, especially Women of Color, whose pain consistently goes unrecognized and untreated by doctors. These forums and the homespun cures they prescribe will and should continue until health professionals recognize their failings and acknowledge that sometimes, the patient may actually know her own body better than the practitioner.

- Why Online UTI and Endometriosis Communities Are a Godsend for Many Women

Inclusive Care: Trans and Non-binary Patients

Inclusion in endometriosis care is even more stark. Gendered language surrounds the discussion of endometriosis. Anyone with a uterus, regardless of identity, can have the disease. This includes individuals who menstruate and those who do not. Incorrectly, trans men and non-binary individuals are excluded from a majority of medical texts, research, and awareness. This leads to an even longer delay in diagnosis or a complete exclusion from appropriate care. The resulting isolation, stress, and burden are profound.

It is also imperative to look beyond gendered health and include all persons, many of whom who are often struggling to access endometriosis diagnosis, treatment and supportive, quality care in a traditionally female-identified space. The oft-overlooked, unique considerations in healthcare settings that fail to be inclusive can lead to additional stressors, further isolation and impaired treatments. Without a doubt: endometriosis has a significant social and psychological impact on the diverse population affected – across several domains of their lives. The time for the disease to receive recognition as a major public health issue is long past due.

- Center for Endometriosis Care

Gender Bias in Medicine

Incorrectly labeled as hysteria, women's health has been marginalized since the beginning of medicine. Gender bias in medicine has historically hindered diagnoses, research, and funding, and continues to do so. Since endometriosis largely affects cis females, the stigma surrounding menstruation and female pain has damned it to be dismissed by society. Patient education and empowerment has led to more awareness surrounding menstrual health and gender bias in medicine.

People of Color and Black Women

Racial bias in medicine is a rampant problem that costs People of Color the proper diagnosis, access to treatments, inclusion in studies, and much more. People of Color and Black Women with Endometriosis have more challenges getting a diagnosis and accessing costly surgeries and treatments. Black women are only about half as likely to be diagnosed with endometriosis compared to white women. According to a systematic review and meta-analysis, the prevalence of endometriosis appears to be influenced by race/ethnicity. Several comorbidities of endometriosis, including fibroids, stroke, and depression affect Black women at a higher rate. To make matters worse, white doctors have been shown to view Black patients as less sensitive to pain.

Prevalence of endometriosis appears to be influenced by race/ethnicity. Most notably, Black women appear less likely to be diagnosed with endometriosis compared with White women. There is scarce literature exploring the influence of race/ethnicity on symptomatology, as well as treatment access, preference, and response.

- Influence Of Race/Ethnicity On Prevalence and Presentation Of Endometriosis

Period and Symptom Trackers

These Apps provide tools to track and monitor your symptoms, menstrual cycle, medications, diet, and more. Charting and tracking provide insights into your symptoms that can be useful for you and your doctor as you work towards successful disease management.

  • Phendo is a multipurpose app that allows patients to track their symptoms, medicines, etc. and at the same time contributes to the largest collection of clinical data about endometriosis which will be used to begin phenotyping the disease. It's created by Noemie Elhadad, PhD, an associate professor of Biomedical Informatics at Columbia University and an endometriosis patient.
  • The Five Helpful Endometriosis Apps You Need Now can help you choose which app is right for you.
  • My Flo: A Functional Medicine Period Tracker and Hormone Balancing App is a smart scheduling and symptom tracking app that can find patterns in your symptoms.
  • Flutter can help identify signs of trouble in your cycle early on so you can seek treatment sooner than later.
  • Clue can create a detailed record of your symptoms, their frequency, and severity. This record can give your healthcare provider information that may help with diagnosis and in forming a management plan.
  • FlareDown is a comprehensive symptoms tracker that includes food, medications, mental health, and customizable fields.

Featured In The Media

As our understanding of endometriosis continues to grow, more awareness is being raised through publications, articles, and blogs. The more awareness that society has, the more research and funding can be dedicated to endometriosis. Patients' personal stories can be informative and validating. These are great for sharing on social media or with friends and family to educate them and to bring awareness to endometriosis.

At Work

The burden of cost is twofold for an endometriosis patient: the cost of medical treatments and the cost of lost productivity. The available literature and data suggest that endometriosis impairs health-related quality of life and work productivity and is a considerable burden on patients. Learning to be vocal about sensitive and marginalized issues, especially in the workplace, is important in creating space and building understanding for endometriosis.

Get Involved

The following are opportunities to get involved in endometriosis research and contribute to the data that we have on the disease. Hopefully our efforts will expand our understanding and bring about early detection, a less invasive diagnosis, and more successful treatments.

  • Phendo is a multipurpose app that allows patients to track their symptoms, medicines, etc. At the same time, it contributes to the largest collection of clinical data about endometriosis, which will be used to begin phenotyping the disease. It's created by Noemie Elhadad, PhD, an associate professor of Biomedical Informatics at Columbia University and an endometriosis patient.
  • The ROSE Study (Research OutSmarts Endometriosis) is researching how to diagnose endometriosis by analyzing menstrual blood. Learn more and sign up for the Clinical Study.

For the next article in the Endometriosis Series, see Endometriosis Books

Endometriosis Series

  1. Endometriosis 101
  2. Symptoms of Endometriosis
  3. Causes of Endometriosis
  4. How Endometriosis Is Diagnosed
  5. Treatments for Endometriosis
  6. Surgical Treatment for Endometriosis
  7. Hormonal Medications for Endometriosis
  8. Complementary and Alternative Therapies for Endometriosis
  9. Endometriosis in Adolescents and Teens
  10. Endometriosis Resources
  11. Endometriosis Books

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