If you suffer from very painful periods (dysmenorrhoea), it’s possible that you’re suffering from endometriosis and this will need to be checked.Endometriosis is a common condition in which cells from the endometrium (the lining of the uterus) spread to other sites in the ovaries, pelvis, and tubes. These respond to the cyclical changes of ovarian hormones and so they bleed internally when you’re menstruating, causing severe abdominal and pelvic pain.Endometriosis may affect fertilization, thus causing fertility problems. Ovarian cysts, known as endometriomas or “chocolate cysts”, may also form and affect the woman’s fertility
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