Ask an Endo Surgeon | Can I Have Endometriosis With No Pain?

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Dr. McHale explains how some patients can have endometriosis without pain, and when and how those with endometriosis can find out they have the inflammatory disease process.

Dr. Melissa McHale, M.D., is a Gynecologic Surgeon and Endometriosis Excision Specialist. She has performed over 300 complex excision of endometriosis cases and she has extensive experience with sacral neuromodulator implants, transvaginal ultrasound diagnostics, and the management of pain and fertility in endometriosis patients. Dr. McHale completed her OB/GYN residency at Johns Hopkins before completing a two-year fellowship with Dr. Andrea Vidali, a world-renowned surgeon specializing in endometriosis, miscarriage, and reproductive immunology at Braverman Reproductive Immunology and Endometriosis Surgery.

At Pelvic Rehabilitation Medicine™, we believe that the millions of women and men who suffer from pelvic pain should have access to care that provides relief. We don’t believe “a glass of wine will fix it” or that “it’s all in your head”. We will never abandon you – and from leadership to the front office to every pelvic pain specialist you meet, so much of our team has been in your shoes and believes the pelvic pain patient deserves better. This belief is what unifies us all at PRM.

Since 2017, PRM has provided an innovative solution to a health crisis that affects 15% of women and 10% of men. Persistent pelvic pain is often overlooked, untreated, and misguided. At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.

We offer a proprietary, simple, office-based procedure to treat the symptoms of chronic pelvic pain. The PRM Protocol™ consists of a series of pelvic nerve and muscle treatments to directly target inflammation in the pelvis and nerve pain. Depending on the condition causing your pelvic pain, other modalities may be needed in addition to our treatment.


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 Hi, I'm Dr. Melissa McHale. I'm with PRM in Bethesda, and today I want to talk about silent endometriosis. I've been asked if you can have endometriosis without having pain, and the answer is yes. Some patients don't have any pain associated with their endometriosis, and it gets diagnosed later. The times I see this most commonly are either if a patient is unable to conceive or has infertility, and then at that time is diagnosed with endometriosis, or sometimes patients will be asymptomatic for a period of time.

And then later in life, sometimes it'll be, for example, after childbirth or after a C section, patients then will start to develop pelvic pain and, and be found to have endometriosis.
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