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Can endometriosis still occur after menopause?

People often assume that endometriosis goes away once your periods stop. But the truth is, this condition can persist even after menopause—and sometimes first appears around this age.

What is endometriosis?

This is a condition in which tissue similar to the lining of the uterus grows in other parts of the body. This can cause pain, swelling, and sometimes make it difficult to conceive.

Why might it continue after menopause?

  • Leftover estrogen in the body: Small amounts of the hormone continue to be produced by fat tissue.
  • Self-producing hormone tissues: Some tissues produce their own hormones.
  • Other causes: Genetic or environmental factors.

 Effect of HRT

Many women take HRT after menopause, but caution is necessary if you have previously had endometriosis. Taking estrogen alone can cause the disease to return, while taking estrogen and progestin is considered better.

⚠️ What symptoms to look out for? 

  • New or persistent pelvic pain
  • Flatulence, constipation, or diarrhea
  • Burning or frequent urination
  • abnormal bleeding
  • Lump in the stomach

🩺How is the investigation done?

  • pelvic exam
  • Ultrasound or MRI
  • laparoscopy

Methods of treatment 

  • pain relief medication
  • The right type of HRT
  • Surgery if needed
  • Healthy diet, moderate exercise, and stress reduction

The biggest myth 

“If your periods stop, endometriosis is gone!”—not always true.

If you experience abdominal pain, bloating, or new problems after menopause, don’t dismiss them as a result of aging. Timely diagnosis and proper treatment can help you stay healthy.

Endometriosis After Menopause

Can Endometriosis Still Happen After Menopause?

Most people believe that once periods stop, endometriosis also disappears. But the truth is—this condition can continue even after menopause, and in some cases, it appears for the first time.

What is Endometriosis ?

It’s a condition where tissue similar to the uterus lining grows outside it—on ovaries, fallopian tubes, bladder, or other areas—causing pain, swelling, and sometimes trouble getting pregnant.

Why Can It Continue After Menopause?

  • Leftover estrogen: Small amounts still made in fat tissue.
  • Self-producing tissue: Some lesions make their own estrogen.
  • Other triggers: Genetics or environment can reactivate it.

 The Role of HRT

Many women take HRT after menopause, but if you had endometriosis before, be careful. Estrogen alone can make it come back, while estrogen + progestin is generally safer.

⚠️ Warning Signs

  • New or persistent pelvic pain
  • Bloating, constipation, or diarrhea
  • Burning or frequent urination
  • Unusual bleeding
  • Lump in the pelvic area

🩺 Diagnosis

  • Pelvic exam
  • Ultrasound or MRI
  • Laparoscopy

🛠 Treatment

  • Pain relief medicines
  • Right type of HRT
  • Surgery if needed
  • Healthy diet, light exercise, stress control

The Biggest Myth

Periods stop, so endometriosis is gone!” — Not always true.

If you have pain, bloating, or unusual symptoms after menopause, don’t ignore them as “just age.” Early check-ups and treatment can keep you healthy and pain-free.

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