{"id":2361,"date":"2025-03-25T01:06:21","date_gmt":"2025-03-25T01:06:21","guid":{"rendered":"https:\/\/menopausematter.org\/?p=2361"},"modified":"2025-11-18T02:56:10","modified_gmt":"2025-11-18T02:56:10","slug":"understanding-endometriosis-and-menopause","status":"publish","type":"post","link":"https:\/\/menopausematter.org\/es\/understanding-endometriosis-and-menopause\/","title":{"rendered":"understanding ENDOMETRIOSIS and menopause"},"content":{"rendered":"<figure class=\"wp-block-image size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"772\" class=\"wp-image-2363\" style=\"width: 375px; height: auto;\" src=\"https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/03\/IMG_3027-1024x772.jpeg\" alt=\"\" srcset=\"https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/03\/IMG_3027-1024x772.jpeg 1024w, https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/03\/IMG_3027-300x226.jpeg 300w, https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/03\/IMG_3027-768x579.jpeg 768w, https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/03\/IMG_3027-600x452.jpeg 600w, https:\/\/menopausematter.org\/wp-content\/uploads\/2025\/03\/IMG_3027.jpeg 1185w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\r\n\r\n\r\n\r\n<p><strong>Introduction to Endometriosis and Menopause<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, affecting approximately 1 in 10 women of reproductive age in Canada. It can cause severe pelvic pain, painful periods, and infertility. Menopause, defined as 12 consecutive months without a period, typically occurs between ages 45 and 55, with an average age of 51 in Canada\u00a0<a href=\"https:\/\/endometriosisnetwork.com\/endo-hub\/menopause-a-guide-for-people-with-endometriosis\/\">Menopause: A Guide for People With Endometriosis<\/a>. This phase marks a significant drop in estrogen, often leading to symptom improvement, but for some, challenges persist post-menopause.<\/p>\r\n\r\n\r\n\r\n<p><strong>What Happens to Endometriosis During Menopause?<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Menopause reduces estrogen production, which is crucial for endometriosis, as the condition is estrogen-dependent. For many, symptoms like pelvic pain and heavy bleeding lessen or disappear, but studies estimate that 2-5% of postmenopausal women continue to experience symptoms or develop new ones\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7151055\/\">Endometriosis in Menopause\u2014Renewed Attention on a Controversial Disease<\/a>. Factors contributing to persistent symptoms include:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Residual Tissue and Scarring:<\/strong>Endometrial-like tissue and adhesions may remain, causing pain even with low estrogen.<\/li>\r\n\r\n\r\n\r\n<li><strong>Hormone Replacement Therapy (HRT):<\/strong>\u00a0About 30% of women use HRT for menopausal symptoms, and it can reactivate endometriosis, with a recurrence risk up to 4% on unopposed estrogen therapy\u00a0<a href=\"https:\/\/www.balance-menopause.com\/menopause-library\/endometriosis-and-hrt\/\">Endometriosis and HRT<\/a>.<\/li>\r\n\r\n\r\n\r\n<li><strong>Local Estrogen Production:<\/strong>\u00a0Adrenal glands and fat tissue can produce small amounts of estrogen, potentially sustaining endometriosis.<\/li>\r\n\r\n\r\n\r\n<li><strong>Surgical History:<\/strong>\u00a0Women with severe endometriosis or ovarian surgeries may face earlier menopause or persistent symptoms.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><strong>Endometriosis and Early Menopause: The Numbers<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Research, including the Nurses\u2019 Health Study II involving over 106,000 women, found a \u201cstatistically significant association\u201d between endometriosis and early natural menopause (before age 45)\u00a0<a href=\"https:\/\/www.everydayhealth.com\/endometriosis\/new-study-finds-link-between-endometriosis-and-early-menopause\/\">New Research Links Endometriosis with Early Menopause<\/a>. Specific findings include:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Women with endometriosis were more likely to experience menopause before 45, especially if never using oral contraceptives or nulliparous.<\/li>\r\n\r\n\r\n\r\n<li>For those with ovarian endometriomas, menopause occurred at 42.1 years on average with both ovaries affected, versus 47.1 years with one\u00a0<a href=\"https:\/\/www.endofound.org\/what-is-perimenopause-how-has-it-been-linked-to-endometriosis\">What Is Perimenopause &amp; How Has It Been Linked To Endometriosis?<\/a>.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>This is significant for Canadian women, as approximately 11% may have endometriosis, potentially affecting reproductive planning.<\/p>\r\n\r\n\r\n\r\n<p><strong>Symptoms of Endometriosis After Menopause<\/strong><\/p>\r\n\r\n\r\n\r\n<p>For the 2-5% of women with postmenopausal endometriosis, symptoms can persist or evolve, including:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Pelvic Pain:<\/strong>\u00a0A dull ache or sharp discomfort in the lower abdomen or back.<\/li>\r\n\r\n\r\n\r\n<li><strong>Bowel or Bladder Issues:<\/strong>\u00a0Pain during urination or bowel movements, especially if affecting the gastrointestinal tract or urinary system.<\/li>\r\n\r\n\r\n\r\n<li><strong>Fatigue:<\/strong>\u00a0A lingering effect of chronic inflammation.<\/li>\r\n\r\n\r\n\r\n<li><strong>Painful Intercourse:<\/strong>\u00a0Less common but possible if deep lesions remain.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>A 2019 systematic review found that in 61% of 36 documented cases, symptoms started over 10 years after menopause, suggesting delayed onset possibly due to genetic or epigenetic changes\u00a0<a href=\"https:\/\/gynecolsurg.springeropen.com\/articles\/10.1186\/s10397-019-1056-x\">Symptomatic endometriosis developing several years after menopause in the absence of increased circulating estrogen concentrations: a systematic review<\/a>.<\/p>\r\n\r\n\r\n\r\n<p><strong>Risks and Complications<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Postmenopausal endometriosis carries several risks:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Malignant Transformation:<\/strong>Endometriosis increases the lifetime risk of ovarian cancer by 1.96 times, with about a 1% progression rate to cancer, particularly clear cell and endometrioid types\u00a0<a href=\"https:\/\/www.healthline.com\/health\/womens-health\/endometriosis-after-menopause\">Endometriosis After Menopause: Risks, Treatment, Complications &amp; More<\/a>. Case reports note instances in women on HRT.<\/li>\r\n\r\n\r\n\r\n<li><strong>Recurrence:<\/strong>\u00a0In a review of 42 cases, recurrence occurred in some on estrogen-only HRT, highlighting a small risk\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7151055\/\">Endometriosis in Menopause\u2014Renewed Attention on a Controversial Disease<\/a>.<\/li>\r\n\r\n\r\n\r\n<li><strong>Cardiovascular and Bone Health:<\/strong>\u00a0Early menopause from surgeries raises osteoporosis and heart disease risks. Canadian data shows women with endometriosis have a 1.5 times higher heart disease risk and 1.2 times higher stroke risk, with 1 in 12 Canadian adults having diagnosed heart disease\u00a0<a href=\"https:\/\/endometriosisnetwork.com\/endo-hub\/menopause-a-guide-for-people-with-endometriosis\/\">Menopause: A Guide for People With Endometriosis<\/a>.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><strong>Diagnosis in Postmenopausal Women<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Diagnosing endometriosis after menopause is challenging due to overlapping symptoms. Methods include:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Pelvic Exam:<\/strong>\u00a0Checks for masses or tenderness.<\/li>\r\n\r\n\r\n\r\n<li><strong>Imaging:<\/strong>\u00a0Transvaginal ultrasound (TVS) detects 70-90% of ovarian endometriomas, and MRI offers detail for deep infiltrating endometriosis\u00a0<a href=\"https:\/\/www.volusonclub.net\/empowered-womens-health\/recognizing-endometriosis-after-menopause\/\">Endometriosis After Menopause: A Rare Diagnosis Worth Considering<\/a>.<\/li>\r\n\r\n\r\n\r\n<li><strong>Laparoscopy:<\/strong>\u00a0The gold standard, confirming endometriosis in most cases via biopsy, essential for ruling out malignancy.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><strong>Treatment Options<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Management focuses on symptom relief and risk reduction:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Surgery:<\/strong>\u00a0Excision removes implants, reducing pain and cancer risk, while hysterectomy\/oophorectomy may be considered for severe cases, triggering immediate menopause if not already present\u00a0<a href=\"https:\/\/www.cmaj.ca\/content\/195\/10\/E363\">Diagnosis and management of endometriosis<\/a>.<\/li>\r\n\r\n\r\n\r\n<li><strong>Medications:<\/strong>\u00a0NSAIDs like ibuprofen help manage pain, and low-dose combined HRT or tibolone can control symptoms, with aromatase inhibitors used off-label but potentially causing bone loss.<\/li>\r\n\r\n\r\n\r\n<li><strong>Lifestyle Changes:<\/strong>\u00a0Anti-inflammatory diets, regular exercise, and stress management (e.g., yoga) may reduce symptoms by 20-30%, though evidence is limited.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><strong>HRT and Endometriosis: Weighing the Pros and Cons<\/strong><\/p>\r\n\r\n\r\n\r\n<p>HRT relieves menopausal symptoms for 80% of users but may reactivate endometriosis in 2-4% with a history. Canadian guidelines suggest:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Combined HRT:<\/strong>\u00a0Preferred over estrogen-only, reducing recurrence rates from 9.5% to under 2% in studies\u00a0<a href=\"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14583\">Endometriosis and menopause\u2014management strategies based on clinical scenarios<\/a>.<\/li>\r\n\r\n\r\n\r\n<li><strong>Lowest Effective Dose:<\/strong>\u00a0Minimizes risks while managing symptoms.<\/li>\r\n\r\n\r\n\r\n<li><strong>Monitoring:<\/strong>\u00a0Regular check-ups every 6-12 months for women on HRT.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>Discussing with healthcare providers is crucial, balancing benefits like 50% reduced osteoporosis risk against endometriosis risks.<\/p>\r\n\r\n\r\n\r\n<p><strong>Living Well with Endometriosis Post-Menopause<\/strong><\/p>\r\n\r\n\r\n\r\n<p>For the 2-5% affected, consider:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Stay Informed:<\/strong>\u00a0Join online communities for real-time support, as only 17 studies globally estimate prevalence\u00a0<a href=\"https:\/\/www.mdpi.com\/2075-1729\/14\/4\/485\">Endometriosis in Menopausal Women\u2014A New Age Is Coming? Literature Review<\/a>.<\/li>\r\n\r\n\r\n\r\n<li><strong>Advocate for Yourself:<\/strong>\u00a0Seek specialists, as only 20% of general gynecologists are trained in advanced excision techniques.<\/li>\r\n\r\n\r\n\r\n<li><strong>Track Symptoms:<\/strong>\u00a0A diary can pinpoint triggers, aiding 60-80% in tailoring treatment.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><strong>Self-Care Tips for Managing Endometriosis Post-Menopause<\/strong><\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\">\r\n<li><strong>Stay Active:<\/strong>\u00a0Regular exercise can help manage weight, improve mood, and reduce pain.<\/li>\r\n\r\n\r\n\r\n<li><strong>Healthy Diet:<\/strong>\u00a0Eat a balanced diet rich in fruits, vegetables, and whole grains to support overall health.<\/li>\r\n\r\n\r\n\r\n<li><strong>Stress Management:<\/strong>\u00a0Practice relaxation techniques like yoga, meditation, or deep breathing to reduce stress.<\/li>\r\n\r\n\r\n\r\n<li><strong>Sleep Well:<\/strong>\u00a0Aim for\u00a07-8 hours\u00a0of sleep each night to help manage pain and improve energy levels.<\/li>\r\n\r\n\r\n\r\n<li><strong>Connect with Others:<\/strong>\u00a0Join support groups or online communities to share experiences and learn from others.<\/li>\r\n\r\n\r\n\r\n<li><strong>Regular Check-ups:<\/strong>\u00a0Keep up with medical appointments to monitor your condition and adjust treatment as needed.<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n<p>By taking an active role in your health and working closely with your healthcare team, you can effectively manage endometriosis during and after menopause.<\/p>\r\n\r\n\r\n\r\n<p><strong>Conclusion<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Endometriosis doesn\u2019t always resolve with menopause. While 95-98% of women see improvement, the 2-5% with persistent or new symptoms\u2014potentially affecting millions in Canada\u2014need tailored care. Early menopause risk, heart disease (1.5 times higher), and ovarian cancer risks (1 in 52 vs. 1 in 75) underscore vigilance. With surgery, adjusted HRT, or lifestyle tweaks, relief is possible. You\u2019re not alone\u2014use this knowledge to navigate confidently.<\/p>\r\n\r\n\r\n\r\n<p><strong>Key Citations<\/strong><\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7151055\/\">Endometriosis in Menopause\u2014Renewed Attention on a Controversial Disease<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/gynecolsurg.springeropen.com\/articles\/10.1186\/s10397-019-1056-x\">Symptomatic endometriosis developing several years after menopause in the absence of increased circulating estrogen concentrations: a systematic review<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.endofound.org\/what-is-perimenopause-how-has-it-been-linked-to-endometriosis\">What Is Perimenopause &amp; How Has It Been Linked To Endometriosis?<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/1752-1947-3-135\">Endometriosis in a postmenopausal woman without previous hormonal therapy: a case report<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.healthline.com\/health\/womens-health\/endometriosis-after-menopause\">Endometriosis After Menopause: Risks, Treatment, Complications &amp; More<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11051166\/\">Endometriosis in Menopausal Women\u2014A New Age Is Coming? Literature Review<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/endometriosisnetwork.com\/endo-hub\/menopause-a-guide-for-people-with-endometriosis\/\">Menopause: A Guide for People With Endometriosis<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.balance-menopause.com\/menopause-library\/endometriosis-and-hrt\/\">Endometriosis and HRT<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14583\">Endometriosis and menopause\u2014management strategies based on clinical scenarios<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.everydayhealth.com\/endometriosis\/new-study-finds-link-between-endometriosis-and-early-menopause\/\">New Research Links Endometriosis with Early Menopause<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2788287\">Association Between Laparoscopically Confirmed Endometriosis and Risk of Early Natural Menopause<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.medcentral.com\/endocrinology\/hormones\/does-endometriosis-affect-the-timing-of-menopause\">Endometriosis and Early Menopause<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5342857\/\">Practices and Attitudes Concerning Endometriosis Among Nurses Specializing in Gynecology<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5850813\/\">The management of menopause in women with a history of endometriosis: a systematic review<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.endofound.org\/what-is-perimenopause-how-has-it-been-linked-to-endometriosis\">What Is Perimenopause &amp; How Has It Been Linked To Endometriosis?<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1322769620301414\">Nursing care for patients with endometriosis and\/or adenomyosis: A mixed methods systematic review protocol<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.mdpi.com\/2075-1729\/14\/4\/485\">Endometriosis in Menopausal Women\u2014A New Age Is Coming? Literature Review<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.cmaj.ca\/content\/195\/10\/E363\">Diagnosis and management of endometriosis<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21545757\/\">Endometriosis: diagnosis and management<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/bcmj.org\/articles\/endometriosis-update-diagnosis-and-medical-management\">Endometriosis: An update on diagnosis and medical management<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/menopausefoundationcanada.ca\/\">The Menopause Foundation of Canada<\/a><\/li>\r\n\r\n\r\n\r\n<li><a href=\"https:\/\/www.healthlinkbc.ca\/health-topics\/endometriosis\">Endometriosis<\/a><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Introduction to Endometriosis and Menopause Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, affecting approximately 1 in 10 women of reproductive age in Canada. It can cause severe pelvic pain, painful periods, and infertility. Menopause, defined as 12 consecutive months without a period, typically occurs between ages [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[125,38,24,58,37,34,36,25,75],"class_list":["post-2361","post","type-post","status-publish","format-standard","hentry","category-menopausematter","tag-endmetriosos","tag-menoauseeducation","tag-menopause","tag-menopause-symptoms","tag-menopausematter","tag-menopauserelief","tag-menopausesupport","tag-peri-menopause","tag-toronto-menopause-community"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>understanding ENDOMETRIOSIS and menopause - Menopause Matter<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/menopausematter.org\/es\/understanding-endometriosis-and-menopause\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"understanding ENDOMETRIOSIS and menopause - Menopause Matter\" \/>\n<meta property=\"og:description\" content=\"Introduction to Endometriosis and Menopause Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, affecting approximately 1 in 10 women of reproductive age in Canada. It can cause severe pelvic pain, painful periods, and infertility. 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