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Highly prevalent chronic inflammation

Endometriosis

Endometriosis is a chronic inflammatory condition where tissue similar to the uterine lining grows outside the uterus - usually in the pelvis, but sometimes beyond. These growths can cause pain, fatigue, and fertility challenges. It is now understood endometriosis affects not only the body, but also how the brain processes pain.

Pain pathway sensitization

What makes endometriosis particularly challenging is that it is not just a reproductive condition; it affects pain processing in your brain. Even after physical lesions are treated, pain pathways may remain sensitized, requiring approaches that address both the body and nervous system.

Highly Prevalent

Endometriosis affects approximately 1 in 10 women, yet many experience years of pain before receiving a proper diagnosis. Symptoms often begin in adolescence but are frequently dismissed or misunderstood, leading to an average delay of 7-10 years before diagnosis.

Range of treatment options

Diagnosis often involves pelvic exams, imaging, or laparoscopic surgery - though non-invasive methods are improving. Treatment options include hormonal therapies, pain management, and surgery. More recently, brain-based approaches that target the nervous system's role in chronic pain are also being used.
Understanding

Possible Causes of Endometriosis

Retrograde menstruation

During your period, some menstrual blood flows backward through the fallopian tubes into the pelvic cavity. This blood contains endometrial cells that may attach to pelvic organs and grow.

Immune system dysfunction

Your immune system may fail to recognize and destroy endometrial-like tissue growing outside the uterus.

Hormonal factors

Estrogen appears to promote the growth of endometriosis, while progesterone sensitivity also plays a role.

Genetic predisposition

Endometriosis tends to run in families. If your mother or sister has endometriosis, your risk is approximately 7-10 times higher.

Brain pain processing changes

Research shows that endometriosis affects how your brain processes pain signals, leading to central sensitization, where your nervous system becomes hypersensitive to pain.

Samphire App
Understanding

Your experiences with precision

The Samphire App helps you track a comprehensive range of symptoms, giving you the insights you need to better understand your experiences and communicate effectively with those around you.

Commonly tracked with Endometriosis

Pelvic pain

Chronic pain in your lower abdomen and pelvis, often worse during menstruation

Digestive issues

Bloating, nausea, diarrhea, or constipation, especially during menstruation

Painful periods (dysmenorrhea)

Severe cramping that may begin before your period and extend several days into it

Infertility

Difficulty conceiving (endometriosis is found in 30-50% of women experiencing fertility challenges)

Pain during intercourse

Deep pain during or after sex

Brain fog

Difficulty concentrating, memory loss, and difficulty thinking clearly

Pain with bowel movements or urination

Particularly during menstruation

Anxiety

Anxiety about pain flare-ups, fertility concerns, or dismissal by healthcare providers

Heavy menstrual bleeding

Excessively heavy periods or bleeding between periods

Depression

Depression related to chronic pain and lifestyle limitations

Fatigue

Persistent tiredness that doesn’t improve with rest

Social withdrawal

Social withdrawal from activities, work, or social events due to unpredictable symptoms

Treatment Landscape

The Options Available

While this remains a not well understood area, promising options are emerging. From traditional approaches to innovative brain-based therapies that target the nervous system's role in chronic pain.

Over-the-counter NSAIDs

Medications like ibuprofen help reduce inflammation and provide pain relief for mild to moderate symptoms.

Prescription pain medications

For more severe symptoms, stronger prescription medications may be recommended by your healthcare provider.

Birth control pills, patches, or rings

Hormonal contraceptives help regulate hormones and reduce endometrial tissue growth.

Progestin-only treatments

These therapies suppress endometrial growth and can help manage symptoms.

GnRH agonists

Create a temporary menopause-like state to reduce endometriosis symptoms.

Laparoscopic surgery

Minimally invasive surgery to remove endometrial tissue and adhesions.

Hysterectomy

In severe cases, removal of the uterus may be considered, though this doesn't guarantee symptom relief.

Non-invasive neurostimulation

Brain-based approaches that address pain processing at its neurological source.

Pelvic floor physical therapy

Specialized therapy to reduce muscular tension and improve pelvic function.

Cognitive behavioral therapy

Psychological support for pain management and mental health, addressing the emotional impact of chronic pain.

Validated

Brain-based relief

Nettle™ supports pain and mood management through gentle neurostimulation — no hormones, no drugs, no known interactions.

20 minute sessions, a few days a month
All natural, drug and hormone-free
Clinically tested, studied and validated
Smart cycle predictions to help you plan ahead
Use at home – compatible with most other treatments
Learn more about Nettle
From Our Community

Dos and Don'ts

Track your symptoms: Use the Samphire App to log pain patterns and identify triggers
Prioritize anti-inflammatory foods: Focus on fruits, vegetables, omega-3 fatty acids, and whole grains
Move regularly: Gentle exercise like walking, swimming, or yoga can reduce inflammation
Apply heat: Heating pads or warm baths can ease cramping and pelvic pain
Manage stress: Meditation and breathwork help regulate your nervous system
Consider brain-based tools: Devices like Nettle (UK/EU) or Lutea (US/Canada) use neurostimulation to support emotional regulation and reduce pain perception
Advocate for yourself: Seek second opinions if symptoms are dismissed
Ignore worsening symptoms: Early intervention improves outcomes
Assume pain is “normal”: Severe period pain that interferes with daily life deserves medical attention
Skip follow-up appointments: Regular monitoring helps adjust treatment
Rely solely on pain medication: Address root causes and pain processing pathways for sustainable relief
Isolate yourself: Connect with support groups who understand your experience
From our community

Most Common Questions

Here are some of the most common questions about endometriosis we receive from our community.

Disclaimer

For educational purposes only

This information should not replace professional medical advice. Always consult with your healthcare provider for personalized medical guidance.

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