have endo, why does period take so long to get going?

[twinner1234]

I don't understand why it takes so long for my period to start or "get going". I have endo and have very bad cramps when I DO have my period and there's heavyness in pelvic region, big blood clots and heavy bleeding.  But before, it starts then stops a few times, so sometimes, its not bleeding but I have menstrual cramps like it IS bleeding.  Anyone else have this problem?  I am told that i may also have adenomyosis.  All this is related to heavy bleeding, which I do have WHEN MY PERIOD GETS GOING. Again, does anyone else have this problem????

[twinner1234]

I was diagnosed with endometriosis when I was about 30 (I had the symptoms for years before then but a lap. confirmed it). I am now turning 38 this november.  I had an inter-vaginal ultrasound and they think I might have adenomyosis.  My periods were always very painful (cramps, in recent years clots). But the last two periods, I don't know what to think because I didn't have much pain because the actual period didn't last that long and the blood clots were smaller and I had less blod clots. I have an appointment with a gynecologist that performed my last lap about 3 years ago but I'm worried that he may be mad at me because my last 2 periods didn't bring the pain and clots and were lighter then when I booked my appointment. I am always so tired and every time I try to exercise and lose this weight (I look pregnant since my problems with endo.) I hurt myself because my muscles are weak.  I went shopping the other day and I was tired for 3 days afterwards!!! I have had about 4 laps and also had my gallbladder out.  Now, I have a fatty liver.  The last gyne I had an appt. with wanted to put me on Mirena but I have seen advertisements on t.v. since that have warned viewers that they may implant inside the uterus or intestines and I WILL NOT chance that. I have also heard other women's experiences with it and for some, it caused bad anxiety and I have ocd and generalized anxiety with panic attacks and chronic depression.  I can't understand why that last gyne said it "would be perfect for me" when he knew my mental health issues. Anyway, when I have my periods, it is sometimes very hard for me to urinate, I have to push really hard to pee and this causes cramps.   I've had this happen a few months now. It even happens when I don't have a period...It feels like my uters may be swollen inside or something is blocking the urine from coming out. It often hurts when it does come out at these times and burns for about 15 minutes later, until I put polysporin on the area.  Just because these last couple of months have been somewhat "easier" at the time of my period, could there still be problems that I should see my gyne that did the last lap? I would be very grateful for your input!!

[Bhupinder Kaur, MD]

Hello,
These symptoms can be due to endoemtriosis. Endometriosis is the growth of cells similar to those that form the inside of the uterus (endometrial cells), but in a location outside of the uterus.Symptoms of endometriosis include pelvic pain(usually before menstruation but sometimes during intercourse,urination or defecation), sometimes diarrhea or constipation,irregular or heavy menstrual bleeding,sometimes blood in the urine and inability to conceive.

You should get it checked from a doctor to confirm the diagnosis.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.