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Key Takeaways

  • Endometriosis pain can be effectively managed through a combination of medical treatments (like pain medication, and surgical procedures), non-medical methods (such as heat therapy, pelvic massage, and light exercise), and lifestyle modifications (including dietary changes, stress reduction, and pelvic floor exercises).
  • Medicine options like acupuncture, traditional Chinese medicine offer additional approaches to alleviate supplementing traditional pain management strategies.
  • The supplement MDrelief, containing natural ingredients such as full-spectrum hemp, geranylgeraniol, and anti-inflammatory compounds, represents a complementary option aimed specifically at reducing endometriosis-related pain.

Endometriosis pain doesn’t have to dominate your life. This article offers a concise guide to effective endometriosis pain relief, equipping you with both medical and non-medical strategies that have been found to help ease the discomfort. Whether through doctor-recommended treatments or self-care practices, take the first step towards reclaiming your comfort.

Understanding Endometriosis Pain

Illustration of a woman experiencing endometriosis pain

Endometriosis is a gynecological condition characterized by different forms of pain, including dysmenorrhea (painful periods), dyspareunia (pain during sexual intercourse), and chronic pelvic pain. This pain can be debilitating, affecting daily activities and reducing quality of life. Accompanying symptoms can include lower back pain, heavy menstrual bleeding, and gastrointestinal issues like diarrhea or constipation during menstrual cycles.

You might wonder, what causes such intense pain in endometriosis? It primarily stems from the shedding of the endometrial tissue outside the uterus during menstruation. This process triggers pain, inflammation, and the formation of scar tissue.

Chronic Pelvic Pain

Chronic pelvic pain in endometriosis is characterized by:
  • Persistent discomfort in the pelvic area
  • Discomfort linked to the presence of endometriosis tissue
  • Severe pain during menstrual periods
  • Discomfort during sexual intercourse
  • Discomfort when urinating or having a bowel movement
  • Symptoms that may resemble those of irritable bowel syndrome
Chronic pain, particularly chronic pelvic pain experienced by women with endometriosis, can have a substantial impact on their daily lives, leading to decreased quality of life and influencing their physical and mental health. Nevertheless, there are multiple strategies and treatments available to mitigate the pain associated with endometriosis. For instance, transcutaneous electrical nerve stimulation (TENS) can provide relief by sending electrical impulses to the nerves.

Severe Menstrual Cramps

Menstruation is a natural part of a woman’s life. However, for women with endometriosis, this period can bring about severe menstrual cramps, with reports indicating that up to 90% of women with endometriosis may experience this debilitating pain. The association between severe menstrual cramps and endometriosis is attributed to the pain, inflammation, and scar tissue resulting from the shedding of tissue outside the uterus during menstruation. Menstrual cramps caused by endometriosis are distinguished by the following symptoms:
  • Pelvic pain
  • Dysmenorrhea
  • Inflammation
  • Abdominal pain
  • Bloating
  • Irritability
  • Fatigue
The severity of these symptoms can vary among women, making it essential to have a personalized approach.

Non-Medical Pain Relief Methods

Photo of a woman using heat therapy for endometriosis

Beyond medical treatments, which are frequently used to alleviate non-medical alternatives can also offer substantial relief. These methods, such as heat therapy, pelvic massage, and light exercise, offer a natural approach to reduce pain. They enhance circulation, promote muscle relaxation, and improve overall physical well-being, making them a worthwhile addition to any endometriosis pain management plan.

Heat Therapy

Heat therapy, while simple, can effectively alleviate endometriosis-related pain. The application of heat to the lower abdomen or lower back can enhance circulation, dilate blood vessels, and induce muscle relaxation. This can result in a reduction in pain intensity and a significant improvement in comfort levels.

In the comfort of your home, you can apply heat using heat pads, hot water bottles, or warm baths. These methods are not only convenient but also cost-effective. However, it’s important to note that while heat therapy can provide relief, it is not a definitive solution for endometriosis. It offers temporary relief and should be employed with care and in combination with other pain management techniques.

Though there are no specific studies on the use of heat therapy for endometriosis pain, existing research suggests that heat can effectively reduce pain. Therefore, as part of a comprehensive pain management plan, heat therapy can play a significant role in easing endometriosis pain.

Pelvic Massage

Pelvic massage serves as another non-medical method that can effectively manage endometriosis pain. It provides much-needed relief by:
  • Promoting relaxation of the nervous system
  • Enhancing blood and lymph circulation
  • Diminishing smooth muscle holding patterns that can lead to discomfort.

Pelvic massage encompasses the manipulation of the pelvis and lower back. Increasing muscle contraction, accelerating blood circulation, and promoting relaxation in the pelvic area are just a few of the benefits of this technique. However, it is advisable to refrain from deep abdominal or pelvic massage as it can cause significant discomfort for individuals with endometriosis.

Research indicates that pelvic massage, particularly through physiotherapy and massage therapy, has demonstrated effectiveness in reducing endometriosis pain. This makes it a worthy strategy to consider in the fight against endometriosis pain.

Light Exercise

Light exercise is instrumental in managing endometriosis pain. Regular physical activity can promote flexibility in ligaments and muscles, facilitating improved mobility despite the discomfort. Additionally, exercise offers mental health advantages, which are crucial for addressing the difficulties associated with endometriosis.

Recommended light exercises for endometriosis relief typically include:

Engaging in these activities can aid in reducing pain and enhancing overall physical well-being. However, it’s important to note that not all types of exercise are suitable for individuals with endometriosis. High-impact exercises like burpees, box jumps, or running should be avoided. Instead, low-impact activities and posture-correcting exercises, diaphragmatic breathing, lunges and squats, and stretches for the back and pelvic floor should be considered.

Exercise contributes to maintaining hormonal balance and managing endometriosis by promoting mental well-being, targeting specific muscle groups, and potentially reducing inflammation. So, while dealing with endometriosis pain might seem like an uphill battle, incorporating light exercise into your daily routine can make the journey a little more bearable.

Medical Treatments for Endometriosis Pain

Illustration of a woman practicing stress reduction techniques

Despite the relief provided by non-medical methods, medical treatments are still foundational in managing endometriosis pain. These treatments, which include pain medication, and surgical procedures, are often the first line of defense against the pain brought about by endometriosis.

Every treatment option comes with its set of pros and cons. Understanding these can guide you toward more informed decisions for your endometriosis pain management plan.

Hormone Therapy

It is a critical part of medical treatments for endometriosis pain. By inhibiting the production of hormones, such as estrogen, by the ovaries, It slows the growth of endometrial tissue and alleviates pain. This treatment option includes various therapies like:

  • GnRH agonists
  • antagonists
  • progestins
  • danazol, a synthetic androgen known for its effectiveness as a medical treatment.

It does come with some side effects. These may encompass hot flashes, fatigue, sleep disturbances, headaches, mood changes, joint and muscle stiffness, bone density reduction, and vaginal dryness. Pain medications, such as ORILISSA, can lead to hot flashes, night sweats, headaches, nausea, insomnia, menstrual cycle irregularities, anxiety, joint pain, depression, and mood alterations. Therefore, it’s important to discuss these potential side effects with your healthcare provider before starting physical therapy or any other therapy.

The administration of hormone therapy can be done via various methods such as:

  • pills
  • patches
  • vaginal rings
  • nasal sprays
  • shots

This flexibility makes it a versatile option in managing endometriosis pain.

Pain Medication

Another key component of medical treatment for endometriosis pain is pain medication. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen function by inhibiting or reducing the production of prostaglandins, thereby aiding in the alleviation of the painful cramps linked to endometriosis.

While NSAIDs are available over-the-counter, opioids are another pain medication option for managing endometriosis pain. However, their usage should be cautiously evaluated in light of potential risks. It’s always important to discuss the risks and benefits of any medication with your healthcare provider before starting a new medication regimen.

Even though they are effective, pain medications shouldn’t be the sole strategy in managing endometriosis pain. They are most effective when used in combination with other treatments, such as surgical procedures, and lifestyle modifications.

Surgical Procedures

Surgical procedures, such as laparoscopy, can offer long-term relief from endometriosis pain. Unlike pain medications, which manage symptoms, surgical procedures address the underlying cause of the pain. They do this by removing endometriosis tissue and providing long-term relief.

Laparoscopy offers sustained pain relief for endometriosis by addressing the underlying structural causes of pain and other symptoms linked to the condition. It’s a minimally invasive procedure that can provide significant relief for many women suffering from endometriosis pain.

Recovery from a laparoscopy can vary, but it generally ranges from 2 to 6 weeks. It may take approximately a week or more before returning to regular activities.

Although laparoscopy is an effective treatment option, it’s important to discuss the potential risks and benefits with your healthcare provider before undergoing any surgical procedure.

Lifestyle Modifications for Endometriosis Pain Management

Beyond medical treatments and non-medical pain relief methods, lifestyle modifications are pivotal in managing endometriosis pain. Dietary changes, stress reduction techniques can make a significant difference in managing your symptoms.

These techniques can complement medical treatments to treat endometriosis and offer a holistic approach to endometriosis pain management.

Dietary Changes

Diet is a significant factor in managing endometriosis pain. Incorporating anti-inflammatory foods rich in omega-3 fatty acids and fibrous foods like fruits, vegetables, legumes, and whole grains into your diet can decrease the intensity of pain associated with endometriosis.

Specific fruits and vegetables that are beneficial in managing endometriosis pain include:

  • Dark leafy greens
  • Broccoli
  • Beans
  • Whole grains

These foods not only provide essential nutrients but also have anti-inflammatory properties that can help reduce endometriosis symptoms.

However, it’s not just about what you add to your diet, but also what you should avoid. Here are some foods to avoid if you have endometriosis:

  • Alcohol
  • Caffeine
  • Gluten
  • Red meat
  • Saturated and trans fat
  • Processed foods
  • Dairy
  • High-FODMAP foods

These foods can exacerbate endometriosis symptoms.

Stress Reduction Techniques

Stress can intensify endometriosis symptoms. Higher stress levels are linked to increased pain severity and disease extension. Therefore, utilizing stress reduction techniques can be advantageous in managing endometriosis pain.

Practicing yoga, employing positive coping strategies, utilizing warm baths or heating pads on the lower abdomen, and engaging in mindful practices such as meditation can all help reduce stress and alleviate endometriosis pain. Mindfulness meditation has been shown to assist women with endometriosis in symptom management, including pain relief, and in enhancing mental well-being by decreasing levels of depression and anxiety.

Deep breathing exercises can contribute to reducing endometriosis pain by alleviating tension in the body and enhancing posture. Additionally, yoga can aid in managing pelvic pain, easing menstrual cramps, decreasing stress and anxiety, enhancing circulation, and relieving cramps and pelvic pressure. Engaging in these stress reduction techniques can provide a valuable addition to your endometriosis pain management plan.

Pelvic Floor Exercises

Illustration of pelvic floor exercises for endometriosis pain management

Pelvic floor exercises, designed to improve the strength and flexibility of the muscles in the pelvic floor, are another useful tool. These exercises encompass activities such as quick flick Kegels, heel slides, and gently contracting the muscles to experience the lifting and squeezing of the pelvic floor muscles.

By addressing dysfunctions or imbalances in the pelvic floor can alleviate pelvic pain, discomfort, and reduced mobility. Additionally, these exercises can also help with endometriosis-related issues such as urinary and bowel problems, pain during intercourse, and muscle spasms.

However, it’s important to maintain proper posture during pelvic floor exercises for pelvic floor muscles. While lying on your back with knees bent and feet shoulder-width apart, inhale and allow gravity to assist in relaxing the muscles.

Additionally, yoga and stretching can aid in alleviating tension and enhancing circulation in the pelvic region.

Alternative Medicine Approaches

Beyond medical treatments, non-medical pain relief methods, and lifestyle modifications, medicine approaches can offer supplementary pain relief for those suffering from endometriosis. Approaches such as acupuncture offer alternative treatment options that may be beneficial for some women with endometriosis.


Acupuncture is a technique that has been used for thousands of years to treat various health conditions. In the context of endometriosis, acupuncture is believed to reduce pain by raising pain thresholds, triggering the release of endorphins, and enhancing the overall quality of life.

While acupuncture can be a valuable component of an endometriosis pain management plan, it’s important to ensure it is administered by a trained professional. The process involves:

  • The insertion of tiny needles into specific points on the body
  • The stimulation of the central nervous system
  • The release of chemicals into the muscles, spinal cord, and brain

These biochemical changes may stimulate the body’s natural healing abilities and promote physical and emotional well-being.

While acupuncture is generally safe, it can cause mild soreness, minor bleeding, or bruising at the needle insertion points. However, these side effects are typically mild and short-lived. Studies have shown that acupuncture can improve pain, gastrointestinal symptoms, and mood for individuals with endometriosis, making it a potential treatment option for managing this condition.

Traditional Chinese Medicine

Traditional Chinese Medicine (TCM) presents another medicine approach that could potentially offer relief for those suffering from endometriosis. TCM addresses endometriosis by targeting the underlying causes that lead to blood stasis and restoring the harmonious circulation of Qi and Blood in the body. Treatment options in TCM may involve the utilization of Chinese herbal products to alleviate pain-related symptoms and the application of acupuncture to enhance blood flow, alleviate inflammation, and reduce pain.

TCM has been used for centuries to treat a wide range of health conditions, including endometriosis. Its holistic approach takes into account the individual’s entire body, rather than focusing solely on the symptoms of the disease. This can make TCM a valuable component of a comprehensive endometriosis pain management plan. Some benefits of TCM for endometriosis include:

  • Reducing inflammation
  • Balancing hormones
  • Improving blood circulation
  • Relieving pain
  • Boosting the immune system

By incorporating TCM into your treatment plan, you may experience improved symptoms and overall well-being.

However, as with any treatment option, it’s important to discuss the potential risks and benefits of TCM with your healthcare provider before starting any new treatment regimen. A trained professional should administer TCM to ensure its effectiveness and safety.

Vitamin D Supplementation

It also presents an medicine approach that could offer additional pain relief for individuals with endometriosis. Research suggests that vitamin D supplementation can reduce inflammation, inhibit the spread of endometrial cells, and decrease the formation of blood vessels to lesions, potentially contributing to relief from endometriosis pain.

The suggested dosage of this vitamin for the alleviation of endometriosis pain may vary, with some studies administering 600,000 IU as a single dose or 50,000 IU weekly. However, it’s always important to consult with your healthcare provider before starting any new supplementation regimen to ensure it is safe and suitable for your individual needs.

While vitamin D supplementation can benefit endometriosis, it should not be the only treatment strategy. Instead, it can be an effective component of a comprehensive pain management plan that includes:

  • Medical treatments
  • Non-medical pain relief methods
  • Lifestyle modifications
  • Other medicine approaches.

MDrelief: A Comprehensive Supplement

Photo of MDrelief supplement for endometriosis pain relief

MDrelief is a comprehensive supplement specifically designed to relieve endometriosis pain. It is a unique blend of natural ingredients recognized for their anti-inflammatory and pain-relieving attributes, such as:

  • Full spectrum hemp
  • Geranylgeraniol
  • White willow bark
  • Frankincense
  • Turmeric
  • California poppy seed
  • Rehmannia glutinosa

This supplement demonstrates the potency of nature in managing endometriosis pain.

Full Spectrum Hemp

Full-spectrum hemp, a crucial ingredient in MDrelief, possesses anti-inflammatory properties that may help ease endometriosis pain. It contains CBD products that encompass all naturally occurring compounds in the cannabis plant, such as cannabinoids like THC, terpenes, and flavonoids. These components can provide pain relief and possible positive effects on anxiety, depression, and sleep quality.

Full-spectrum hemp works by stimulating the central nervous system and releasing chemicals into the muscles, spinal cord, and brain. These biochemical changes may stimulate the body’s natural healing abilities and promote physical and emotional well-being.

While full-spectrum hemp can provide potential benefits for endometriosis, it should be used in conjunction with other treatments. As it is a natural product, it is generally safe to use, but as with any supplement, it’s always best to discuss its use with your healthcare provider before starting any new regimen.


Geranylgeraniol, a natural compound found in MDrelief, has been shown to have anti-inflammatory and analgesic effects. This compound serves as a precursor to carotenoids, certain vitamins, and chlorophyll. It exists in the form of a colorless waxy solid and exerts anti-inflammatory effects through the inhibition of nuclear factor-kappa B (NFκB) activation.

Geranylgeraniol exerts its effects by inducing hypoestrogenism through the suppression of gonadotropins, inhibition of ovulation, and development of amenorrhea with eventual decidualization. This can ultimately lead to a reduction in endometriosis symptoms and an improvement in the quality of life for women suffering from this condition.

Geranylgeraniol is extracted from the seeds of annatto and mixed with canola oil. Despite its natural origins, it’s always important to discuss the potential risks and benefits of any new supplement with your healthcare provider before starting a new regimen.

White Willow Bark, Frankincense, and Turmeric

White willow bark, frankincense, and turmeric are other natural ingredients included in MDrelief that have known anti-inflammatory properties. Some benefits of these ingredients are:

  • White willow bark contains salicin, a chemical similar to aspirin, which possesses anti-inflammatory properties that are effective in addressing chronic lower back and joint pain.
  • Frankincense has been used for centuries to reduce inflammation and relieve pain.
  • Turmeric contains a compound called curcumin, which has powerful anti-inflammatory effects.

These natural ingredients work together to provide relief from pain and inflammation.

Frankincense exhibits anti-inflammatory effects that have the potential to mitigate the inflammation associated with endometriosis, similar to its impact on arthritis. Furthermore, its antibacterial properties may aid in preventing infections that could worsen pelvic pain.

Turmeric contains an active ingredient known as curcumin, which offers various advantages for alleviating endometriosis pain, including inflammation reduction, suppression of endometrial cell proliferation, and prevention of the activation of specific pain-related chemokines. This makes these ingredients a valuable addition to MDrelief and an effective part of a comprehensive pain management plan.

California Poppy Seed and Rehmannia Glutinosa

California poppy seed and Rehmannia glutinosa are two other natural ingredients included in MDrelief. California poppy seed is known for its pain-relieving properties, which can be beneficial for addressing painful conditions, promoting better sleep, and reducing anxiety.

The main component in Rehmannia glutinosa believed to aid in pain relief is catalpol, an iridoid glucoside. This compound has been used in traditional medicine for its pain-relieving properties, making it a valuable addition to MDrelief.

While these natural ingredients can provide potential benefits for pain relief, as always, it’s important to consult with your healthcare provider before starting any new supplementation regimen to ensure it is safe and suitable for your individual needs.


In conclusion, despite being debilitating, endometriosis pain is not insurmountable. Here are some ways to manage this pain effectively:

  • Medical treatments
  • Non-medical pain relief methods
  • Lifestyle modifications
  • Medicine approaches
  • Supplementation with MDrelief

By utilizing these strategies, you can effectively manage endometriosis pain.

Remember, it’s not just about treating the symptoms; it’s about regaining control of your life and finding ways to ease pain. Don’t let endometriosis define you; define your journey towards pain relief.


To sum up, chronic pain can be mitigated through various methods. Understanding the nature of the pain, exploring non-medical pain relief methods, considering medical treatments, making lifestyle modifications, and trying medicine approaches can all provide relief. Additionally, supplements like MDrelief offer a comprehensive approach to pain management. Remember, the journey towards pain relief is a personal one, and what works for one person may not work for another. Continue exploring, keep learning, and stay hopeful; relief is within reach.

Frequently Asked Questions

What is the best pain relief for endometriosis?

The best pain relief for endometriosis includes simple pain relievers like paracetamol and non-steroidal anti-inflammatories (NSAIDs) such as ibuprofen. These over-the-counter medications can provide relief for chronic pain.

How do you calm endometriosis flare up?

To calm an endometriosis flare-up, consider self-care methods such as using a heating pad, taking warm baths, managing stress, and incorporating exercise into your routine. These can help reduce pain and manage symptoms effectively.

What causes endometriosis flare-ups?

Endometriosis flare-ups can be caused by stress, lack of sleep, alcohol consumption, and inflammatory foods. To manage flare-ups, it's important to focus on self-care methods such as avoiding triggers, managing stress, using heat, and exercising.

What is Stage 4 endometriosis?

Stage 4 endometriosis, also known as "severe" endometriosis, involves numerous deep endometrial implants, with the potential for implants on the fallopian tubes and bowels, along with dense adhesions causing severe pain.

What is endometriosis pain?

Endometriosis pain is a type of gynecological pain that can be chronic and is related to menstrual cycles. It can manifest as dysmenorrhea, dyspareunia, and is caused by the shedding of endometrial tissue outside the uterus during menstruation.

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Meet the Doctors

Babak Larian, MD, FACS

Dr. Babak Larian, Clinical Chief at Cedars-Sinai Medical Center, is a renowned expert in minimally invasive head and neck surgery. Board-certified and active in global medical missions, he also oversees surgical operations at the La Peer Surgery Center and PathMD pathology laboratories.

Dr. Kiarash Michel, MD

Dr. Kia Michel, a globally acclaimed Urological Oncological Surgeon, founded the Comprehensive Urology Medical Group in Los Angeles, known for his expertise in robotic and minimally invasive therapies. Alongside his medical achievements, he contributes to businesses like La Peer Surgery Center, finding joy in nature and bringing smiles to loved ones.

Kamran Jamshidinia, DPM, FACFAS

Dr. Jamshidinia, a certified Foot and Ankle Surgeon and Fellow of the American College of Foot and Ankle Surgeons, founded Tower Foot & Ankle Surgery and co-founded successful enterprises, including La Peer Health Systems. His involvement in medical research and the cannabinoid medicine market, highlights his multifaceted contributions to the field.

Siamak Tabib, MD

Dr. Siamak Tabib, a Board-Certified Gastroenterologist in Beverly Hills, holds a medical degree from UCLA Geffen School of Medicine and serves as Assistant Clinical Professor at UCLA.

He actively contributes to research in digestive diseases, co- founding healthcare entities and advocating for adaptive sports opportunities through his advisory role at Angel City Sports.

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