{"id":13388,"date":"2026-10-28T03:11:56","date_gmt":"2026-10-28T03:11:56","guid":{"rendered":"https:\/\/nygse.com\/?p=13388"},"modified":"2026-10-30T03:25:50","modified_gmt":"2026-10-30T03:25:50","slug":"silent-endometriosis","status":"publish","type":"post","link":"https:\/\/nygse.com\/es\/silent-endometriosis\/","title":{"rendered":"Silent Endometriosis: Symptoms, Diagnosis, and Treatment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"13388\" class=\"elementor elementor-13388\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2712a5b3 e-flex e-con-boxed e-con e-parent\" data-id=\"2712a5b3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-127cbd08 elementor-widget elementor-widget-text-editor\" data-id=\"127cbd08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Endometriosis is commonly associated with painful periods, chronic pelvic pain, and discomfort during intercourse. However, some women have endometriosis without experiencing any\u00a0 symptoms.<\/p><p>This is called <em>silent endometriosis, <\/em>or<em> asymptomatic endometriosis<\/em>. The disease may remain undetected for years and is sometimes discovered during fertility evaluations or surgery performed for another condition. <a href=\"#references\"><sup>[1]<\/sup><\/a><\/p><p>Although pain may be absent, endometriosis can still affect the <a href=\"https:\/\/nygse.com\/endometrioma-surgery-fertility\/\">ovaries<\/a>, <a href=\"https:\/\/nygse.com\/endometriosis-fallopian-tube-blockage\/\">fallopian tubes<\/a>, and surrounding pelvic structures.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fce18f2 elementor-widget elementor-widget-image\" data-id=\"fce18f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"940\" height=\"529\" src=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-1024x576.jpg\" class=\"attachment-large size-large wp-image-13542\" alt=\"A woman sitting peacefully in a wooden boat on a calm lake, symbolizing silent endometriosis without noticeable symptoms.\" srcset=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-1024x576.jpg 1024w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-300x169.jpg 300w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-768x432.jpg 768w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-1536x864.jpg 1536w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-18x10.jpg 18w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-480x270.jpg 480w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis.jpg 1672w\" sizes=\"(max-width: 940px) 100vw, 940px\" title=\"Silent Endometriosis\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element elementor-element-ebff460 elementor-widget elementor-widget-text-editor\" data-id=\"ebff460\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">A woman sitting peacefully in a wooden boat on a calm lake, symbolizing silent endometriosis without noticeable symptoms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34c5c0a elementor-widget elementor-widget-heading\" data-id=\"34c5c0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What Is Silent Endometriosis?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f01c378 elementor-widget elementor-widget-text-editor\" data-id=\"f01c378\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Normally, the <em>endometrium<\/em> lines the inside of the uterus and changes throughout the menstrual cycle. It thickens in preparation for a possible pregnancy and is shed during menstruation if pregnancy does not occur.<\/p><p>Endometriosis occurs when tissue resembling the endometrium develops outside the uterine cavity. These tissue deposits, called <em>endometriotic lesions<\/em>, most commonly affect the <em>pelvic peritoneum<\/em>, ovaries, and surrounding pelvic structures. Endometriosis can also affect organs in other parts of the body. <a href=\"#references\"><sup>[3][6]<\/sup><\/a><\/p><p>The lesions may cause inflammation,<em> fibrosis<\/em> (scar tissue), and <a href=\"https:\/\/nygse.com\/departments\/pelvic-adhesions\/\"><em>adhesions<\/em><\/a> that connect structures normally separated from one another.<\/p><p>These changes do not always cause symptoms. Silent endometriosis is not a separate disease or stage; <strong>it describes endometriosis that occurs without symptoms.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f6068d elementor-widget elementor-widget-image\" data-id=\"4f6068d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"940\" height=\"576\" src=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/endometriosis-lesions-pelvic-organ-1024x628.jpg\" class=\"attachment-large size-large wp-image-12980\" alt=\"Medical illustration showing dark reddish-brown endometriosis lesions affecting the uterus, ovaries, and surrounding pelvic tissues.\" srcset=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/endometriosis-lesions-pelvic-organ-1024x628.jpg 1024w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/endometriosis-lesions-pelvic-organ-300x184.jpg 300w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/endometriosis-lesions-pelvic-organ-768x471.jpg 768w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/endometriosis-lesions-pelvic-organ-18x12.jpg 18w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/endometriosis-lesions-pelvic-organ-480x294.jpg 480w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/endometriosis-lesions-pelvic-organ.jpg 1536w\" sizes=\"(max-width: 940px) 100vw, 940px\" title=\"Endometriosis Lesions on Female Pelvic Organs\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element elementor-element-1a622a9 elementor-widget elementor-widget-text-editor\" data-id=\"1a622a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Medical illustration showing dark reddish-brown endometriosis lesions affecting the uterus, ovaries, and surrounding pelvic tissues.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b9b067 elementor-widget elementor-widget-heading\" data-id=\"2b9b067\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Why Endometriosis Does Not Always Cause Pain<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b05102b elementor-widget elementor-widget-text-editor\" data-id=\"b05102b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Endometriosis-related pain is influenced by inflammation, adhesions,\u00a0 <a href=\"https:\/\/nygse.com\/endometriosis-nerve-pain\/\">nerve involvement<\/a>, and how the nervous system processes pain signals.<\/p><p>Endometriotic lesions can release inflammatory substances that irritate surrounding tissues. Some lesions also contain nerve fibers or develop close relationships with nerves involved in pain transmission.<\/p><p>The location of lesions, inflammatory activity, nerve involvement, and individual differences in pain processing may influence whether symptoms develop. However, the reasons some women remain asymptomatic are not fully understood. <a href=\"#references\"><sup>[4]<\/sup><\/a><\/p><p>Importantly, <strong>the anatomical extent of endometriosis does not reliably predict pain severity.<\/strong><\/p><p>A woman with superficial lesions may experience severe pelvic pain, while another with extensive disease may have little discomfort.<\/p><p>Even <a href=\"https:\/\/nygse.com\/stage-4-endometriosis-natural-pregnancy\/\">stage 4 endometriosis<\/a>, which may involve <em>ovarian endometriomas<\/em> and dense adhesions, does not necessarily cause severe pain. <a href=\"#references\"><sup>[6]<\/sup><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0950e61 elementor-widget elementor-widget-heading\" data-id=\"0950e61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How Silent Endometriosis Is Discovered<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7145404 elementor-widget elementor-widget-text-editor\" data-id=\"7145404\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Because silent endometriosis produces no recognizable symptoms, it is often discovered during medical examinations or procedures performed for another reason.<\/p><p>During pelvic or abdominal surgery, a surgeon may identify endometriotic lesions or adhesions that were not previously suspected.<\/p><p>In other cases, ultrasound or MRI performed for an unrelated concern may reveal an ovarian endometrioma or findings suggestive of deep endometriosis.<\/p><p>Some women also discover they have endometriosis during fertility evaluations, despite having no significant history of pelvic pain.<\/p><p>Although these women may have no pelvic pain, infertility is itself a clinical concern. Endometriosis discovered during infertility evaluations is therefore not necessarily the same as incidentally discovered, asymptomatic disease. <a href=\"#references\"><sup>[1]<\/sup><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36a52a4 elementor-widget elementor-widget-image\" data-id=\"36a52a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"940\" height=\"627\" src=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-diagnostic-ultrasound-room-1024x683.jpg\" class=\"attachment-large size-large wp-image-13547\" alt=\"A gynecological diagnostic room featuring an ultrasound machine, examination bed, and privacy curtain.\" srcset=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-diagnostic-ultrasound-room-1024x683.jpg 1024w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-diagnostic-ultrasound-room-300x200.jpg 300w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-diagnostic-ultrasound-room-768x512.jpg 768w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-diagnostic-ultrasound-room-18x12.jpg 18w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-diagnostic-ultrasound-room-480x320.jpg 480w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/silent-endometriosis-diagnostic-ultrasound-room.jpg 1536w\" sizes=\"(max-width: 940px) 100vw, 940px\" title=\"Silent Endometriosis Diagnosis\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element elementor-element-04435cf elementor-widget elementor-widget-text-editor\" data-id=\"04435cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">An ultrasound examination room where imaging may help identify ovarian endometriomas and certain forms of deep endometriosis, even without noticeable symptoms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b94c45e elementor-widget elementor-widget-heading\" data-id=\"b94c45e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Silent Endometriosis May Affect Fertility<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eff36f4 elementor-widget elementor-widget-text-editor\" data-id=\"eff36f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Normally, the <em>fimbriae<\/em>, finger-like projections at the end of the fallopian tube, help capture an egg released from the ovary during ovulation.<\/p><p>Endometriosis may interfere with this process when adhesions restrict the movement of the ovaries or fallopian tubes. Inflammation may also affect reproductive function, even without pelvic pain. <a href=\"#references\"><sup>[2]<\/sup><\/a><\/p><p>However, <strong>silent endometriosis does not automatically cause infertility<\/strong>. Many women with endometriosis conceive naturally, and difficulty becoming pregnant may have several causes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d61d104 elementor-widget elementor-widget-heading\" data-id=\"d61d104\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">A Normal Ultrasound Does Not Rule Out Endometriosis<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a37235 elementor-widget elementor-widget-text-editor\" data-id=\"5a37235\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Ultrasound and MRI can identify <a href=\"https:\/\/nygse.com\/endometrioma-surgery-fertility\/\">ovarian endometriomas<\/a> and certain forms of deep endometriosis. However, superficial lesions may remain undetected.<\/p><p>The National Institute for Health and Care Excellence (NICE) advises that normal examination or ultrasound findings should not exclude endometriosis.<\/p><p><em>Laparoscopy<\/em> can allow direct visualization and biopsy of suspected lesions, but it is not routinely recommended for women without symptoms or other clinical concerns.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0135b56 elementor-widget elementor-widget-heading\" data-id=\"0135b56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Does Silent Endometriosis Require Treatment?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8fd448 elementor-widget elementor-widget-text-editor\" data-id=\"e8fd448\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Not every woman with silent endometriosis requires treatment.<\/p><p>The European Society of Human Reproduction and Embryology (ESHRE) recommends against routinely removing incidentally discovered asymptomatic lesions or prescribing medication solely for these findings. <a href=\"#references\"><sup>[1]<\/sup><\/a><\/p><p>However, deep endometriosis involving a ureter may affect <a href=\"https:\/\/nygse.com\/can-endometriosis-affect-kidneys\/\">kidney function<\/a> without significant pain. Ovarian endometriomas may also require evaluation, particularly when fertility is a concern.<\/p><p>Treatment decisions should consider disease location, organ involvement, and reproductive goals rather than pain alone.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e4fb430 elementor-widget elementor-widget-heading\" data-id=\"e4fb430\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Can a Symptom Checker Detect Silent Endometriosis?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-860653e elementor-widget elementor-widget-text-editor\" data-id=\"860653e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A symptom checker cannot detect endometriosis without symptoms. A low score does not rule out the disease, just as a high score cannot confirm it.<\/p><p><a href=\"https:\/\/nygse.com\/endometriosis-symptom-checker\/\">NYGSE&#8217;s Endometriosis Symptom Checker<\/a> is an educational tool, not a diagnostic test.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d885ef8 elementor-widget elementor-widget-heading\" data-id=\"d885ef8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Understanding Endometriosis Beyond Pain<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83d389a elementor-widget elementor-widget-text-editor\" data-id=\"83d389a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Endometriosis is not defined by the severity of pain. Some women experience significant symptoms, while others have none.<\/p><p>At <strong>New York Gynecology Surgery &amp; Endometriosis (NYGSE)<\/strong>, evaluation considers symptoms, imaging findings, pelvic anatomy, reproductive goals, and possible organ involvement.<\/p><p>Women without symptoms, fertility concerns, or abnormal findings generally do not require routine screening. However, suspected deep disease, ovarian endometriomas, or unexplained infertility may warrant specialist evaluation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7f40a6e9 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f40a6e9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-5e5bb8ff\" data-id=\"5e5bb8ff\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"gt3-core-button--alignment_block elementor-element elementor-element-1bfba326 elementor-widget elementor-widget-gt3-core-button\" data-id=\"1bfba326\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"gt3-core-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"gt3_module_button_elementor size_custom alignment_block button_icon_none hover_none \">\r\n\t\t<a class=\"button_size_elementor_custom alignment_block border_icon_none hover_none btn_icon_position_left\" href=\"\/contact\/\">\r\n\t\t\t\t<span class=\"gt3_module_button__container\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"gt3_module_button__cover front\"><span class=\"elementor_gt3_btn_text\">CONTACT US<\/span><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t<\/a>\r\n\t<\/div>\r\n\r\n<script type=\"application\/json\" id=\"settings--1bfba326\">[]<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-4473fc42\" data-id=\"4473fc42\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f360750 elementor-widget elementor-widget-image\" data-id=\"2f360750\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/nygse.com\/wp-content\/uploads\/elementor\/thumbs\/icon-31-rdd68obr4igz20jqvuoqi3gy9h8jee0vs0vdqtlg0i.png\" title=\"icon-31\" alt=\"icon-31\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-6f62456f\" data-id=\"6f62456f\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element-custom_line_height elementor-element-custom_font_family elementor-element-custom_font_weight elementor-element-custom_color elementor-element elementor-element-2190b5aa elementor-widget elementor-widget-text-editor\" data-id=\"2190b5aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>CALL FOR AN APPOINTMENT<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element-custom_line_height elementor-element-custom_font_weight elementor-element elementor-element-1f906024 elementor-widget elementor-widget-text-editor\" data-id=\"1f906024\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #31609f;\"><a href=\"tel:631-533-9733\" style=\"color: #31609f;\">+631 533 9733<\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-13c248e e-flex e-con-boxed e-con e-parent\" data-id=\"13c248e\" data-element_type=\"container\" data-e-type=\"container\" id=\"references\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3820ae43 elementor-widget elementor-widget-heading\" data-id=\"3820ae43\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">References<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element elementor-element-4bfed5d8 elementor-widget elementor-widget-text-editor\" data-id=\"4bfed5d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ol><li>Becker, C. M., et al. (2022). ESHRE guideline: Endometriosis. <em>Human Reproduction Open, 2022<\/em>(2), hoac009. <a href=\"https:\/\/doi.org\/10.1093\/hropen\/hoac009\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">https:\/\/doi.org\/10.1093\/hropen\/hoac009<\/a><\/li><li>Bulletti, C., Coccia, M. E., Battistoni, S., &amp; Borini, A. (2010). Endometriosis and infertility. <em>Journal of Assisted Reproduction and Genetics, 27<\/em>(8), 441\u2013447. <a href=\"https:\/\/doi.org\/10.1007\/s10815-010-9436-1\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">https:\/\/doi.org\/10.1007\/s10815-010-9436-1<\/a><\/li><li>Fitzgerald, A. C., Parker, A. B., &amp; Namazi, G. (2026). Extrapelvic endometriosis: Clinical manifestations, diagnosis, and management. <em>Current Opinion in Obstetrics and Gynecology, 38<\/em>(4), 277\u2013285. <a href=\"https:\/\/doi.org\/10.1097\/GCO.0000000000001108\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">https:\/\/doi.org\/10.1097\/GCO.0000000000001108<\/a><\/li><li>Morotti, M., Vincent, K., &amp; Becker, C. M. (2017). Mechanisms of pain in endometriosis. <em>European Journal of Obstetrics &amp; Gynecology and Reproductive Biology, 209<\/em>, 8\u201313. <a href=\"https:\/\/doi.org\/10.1016\/j.ejogrb.2016.07.497\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">https:\/\/doi.org\/10.1016\/j.ejogrb.2016.07.497<\/a><\/li><li>National Institute for Health and Care Excellence. (2024). <em>Endometriosis: Diagnosis and management (NICE Guideline NG73).<\/em> <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng73\/chapter\/Recommendations\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">https:\/\/www.nice.org.uk\/guidance\/ng73\/chapter\/Recommendations<\/a><\/li><li>Zondervan, K. T., Becker, C. M., &amp; Missmer, S. A. (2020). Endometriosis. <em>The New England Journal of Medicine, 382<\/em>(13), 1244\u20131256. <a href=\"https:\/\/doi.org\/10.1056\/NEJMra1810764\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">https:\/\/doi.org\/10.1056\/NEJMra1810764<\/a><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Silent endometriosis can exist without noticeable symptoms. Learn how it is discovered, why pain may be absent, and when treatment may be necessary.<\/p>","protected":false},"author":12,"featured_media":13542,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[69],"tags":[],"class_list":["post-13388","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endometriosis"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Silent Endometriosis: Symptoms, Diagnosis, and Treatment<\/title>\n<meta name=\"description\" content=\"Learn what silent endometriosis is, why it may cause no pain, how it is diagnosed, and when treatment may be necessary.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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