Jan 2021

The Four Stages of Endometriosis

  • By: Samantha Denäe

Living with Endometriosis after receiving a diagnosis can be difficult. Readjusting has its downfalls but understanding Endometriosis and its stages can aid you in your journey to a manageable and healthy quality of life. Here are the four stages:

  • Stage I (Peritoneal Endometriosis): Located on the peritoneum, the membrane that lines the abdomen, stage I is considered to be minimal endometriosis implants that are small and shallow. 
  • Stage II (Ovarian Endometriosis): mild endometriomas (cysts) found in the ovaries that run the risk of rupturing and spreading the endometriosis tissue to other nearby organs. The implants are deeper than the surface and superficial implants found in Stage I. 
  • Stage III (Deep infiltrating Endometriosis 1): moderate endometriosis deeply implanted in organs of the pelvic region, such as the ovaries, rectum, and outside of the uterus. Due to the cysts, the tissue attaches to the ovary and sheds blood and tissue. This blood is brown and causes growth labeled as “chocolate cysts”. Thin bands of tissue (filmy adhesions) can also be located causing a “frozen pelvis”, which is tissue that binds organs together impairing their function causing nausea, sharp, and stabbing pains. 
  • Stage IV (Deep infiltrating Endometriosis 2): severe endometriosis outside of the pelvic cavity and may be implanted in distinct organs like the heart, lung, and brain. These adhesions are often dense.

It is important to be aware of your current Endometriosis stage and to understand that although Endometriosis can spread after diagnosis, it can also be widespread prior to. Regardless, your Endometriosis stage does not have an effect on your period pain as it can be less or more severe no matter what stage you are in nor does it have effect on your fertility chances.   

In my case, before my diagnosis my period pain was excruciating. Absolutely dreadful. When I was diagnosed, I was diagnosed with Stage I Endometriosis. If you were to witness my reaction to my period, you would have been led to believe that it was Stage IV. It wasn’t until three years later that I had moved from Stage I to Stage IV and with that came an increase from a 7-day period to a 90-day period, and believe it or not, my period was more manageable and easier to deal with than the 7-day period. 

If you suffer from Endometriosis and you’re speaking with a physician do not minimize your period pain but also, do not forget about pains in between that time – they can be indications of if you’re Endometriosis stage is progressing or not. 

Add a Comment

MeEt Us

View our upcoming events

View All Events