Endometriosis Specialist

Fresno Women's Care

Obstetrics and Gynecologist located in Fresno, CA

Is pelvic pain a semi-normal part of your life? It doesn’t have to stay that way. While you might think you’re just suffering from routine menstrual pain, endometriosis could be causing your pain. To learn more about this common condition and your options for putting an end to it, call Vasanth Vishwanath, MD, and his team at Fresno Women’s Care or schedule your appointment online at their Fresno, California, office.

Endometriosis Q & A

What is endometriosis?

Endometriosis is a condition that can cause mild to severe pelvic pain. The endometrium – the tissue that normally lines the interior of your uterus – growing outside the uterus characterizes it.

When endometrium grows normally inside your uterus, it thickens, then breaks down during the menstrual cycle. Your body is able to remove this broken down endometrium via your menstrual bleeding. When the endometrium grows outside the uterus, however, the body has no way to remove it after it breaks down. When trapped inside your body, it irritates the surrounding tissue.

How do I know if I have endometriosis?

The most common symptom associated with endometriosis is pelvic pain, especially during your period. This is problematic because many women confuse endometriosis with the normal pelvic cramping that comes with the menstrual cycle. Some of the other, easier to differentiate symptoms, include:

  • Pain that extends through the lower back and abdomen
  • Pain during urination and bowel movements, especially during the menstrual cycle
  • Pain during and after intercourse
  • Heavy bleeding during the menstrual cycle and bleeding between cycles
  • Diarrhea
  • Fatigue
  • Nausea
  • Fertility problems

How is endometriosis treated?

While there is no cure for endometriosis, there are multiple ways to manage the symptoms.

Pain medication

Some women find that over-the-counter pain medications help them manage their endometriosis symptoms.


Dr. Vishwanath can explore hormone therapy with you. This treatment regulates the hormones that would otherwise cause your endometrial tissue to grow. He can also use gonadotropin-releasing hormone (GRNH) agonists and antagonists to block the hormones that cause menstruation, minimizing your pain. Alternately, he can work with you to find the right hormonal contraceptive (e.g., birth control) to reduce your endometriosis symptoms.


To deliver the most dramatic results, Dr. Vishwanath offers minimally invasive endometriosis surgery. During this laparoscopic surgery, he can enter the pelvis via an extremely small incision in your abdomen to destroy the endometrial tissue that’s growing in the wrong places.

Alternately, if you want to put a permanent stop to your endometrial pain or want to ensure you don’t have any more children, you can explore having a hysterectomy, during which your uterus is removed. This stops your menstrual cycle and can significantly reduce – or even eliminate – your pain from endometriosis.  

If you’d like to learn more about endometriosis and your treatment options, call Fresno Women’s Care or request your appointment online today.

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