Endometriosis in Malaysia: Symptoms, Diagnosis & Treatment Guide

What Is Endometriosis—and Why You Shouldn’t Ignore the Pain

Many women in Malaysia experience painful periods or pelvic discomfort, assuming it’s just part of their menstrual cycle. However, for some, the pain may signal a more serious condition: endometriosis. Often undiagnosed, endometriosis can significantly impact quality of life and reproductive health if not addressed early.

Dr. Smita, a Consultant Gynaecologist and Endometriosis Specialist based in Kuala Lumpur, highlights the signs to look out for and the treatment options available.

Common Symptoms of Endometriosis

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus. This tissue continues to act like normal endometrial tissue—thickening, breaking down, and bleeding with each menstrual cycle—but it has no way to exit the body, causing inflammation, pain, and sometimes scar tissue.

1. Severe Menstrual Cramps

Cramps that are intense, long-lasting, and unresponsive to over-the-counter painkillers can be a warning sign of endometriosis.

2. Pain During or After Intercourse

Pain during intimacy is a frequently overlooked symptom. Many women feel hesitant to bring it up, but it is a recognised and treatable sign of endometriosis.

3. Heavy or Irregular Menstrual Bleeding

Unusually heavy bleeding or irregular cycles may indicate an underlying issue. Tracking symptoms and cycle changes is an important step toward early diagnosis.

⚠️ Left untreated, endometriosis can lead to ovarian cysts (endometriomas), chronic pelvic pain, and infertility. Early medical attention is essential.

Diagnosis and Treatment Options

If any of the above symptoms are present, it is advisable to consult a qualified gynaecologist. Dr. Smita emphasises that endometriosis can be effectively managed when diagnosed early.

🩺 Diagnosis

Endometriosis is typically diagnosed through a combination of medical history, physical examination, imaging (such as ultrasound or MRI), and laparoscopy—a minimally invasive surgical procedure that allows direct visualisation and biopsy.

💊 Medical Treatment

Hormonal therapy is commonly used to control symptoms and slow the progression of endometrial-like tissue. Treatment may include:

• Oral contraceptive pills

• Hormone-releasing intrauterine devices (IUDs)

• Injectable hormonal medications

• Pain relievers (NSAIDs)

Each treatment is tailored based on the patient’s symptoms, reproductive goals, and overall health.

🛠️ Surgical Options

For women with severe symptoms or fertility concerns, surgery may be recommended. The gold standard is laparoscopic surgery, which allows for precise removal of endometrial tissue while preserving reproductive organs.
Robotic-assisted surgery is also available, offering improved precision and quicker recovery.

Early Action Can Make a Difference

Endometriosis is manageable, especially when addressed early. Recognising the symptoms and seeking help from a gynaecologist can significantly improve long-term outcomes, reduce pain, and preserve fertility.

📞 Need Help?

For compassionate and professional care, contact Dr. Smita, Consultant Gynaecologist at KPJ Selangor Specialist Hospital, Shah Alam.
💬 WhatsApp the clinic at +60165833302 to book an appointment today.

No judgment. Just support.