Sheba Expert on Endometriosis: When Pain Demands Action

The Critical First Step: Validating and Understanding Pain

Prof. Cohen reinforces a fundamental principle of Sheba’s patient-centered care: a patient’s pain should always be taken seriously. He emphasizes that dismissing symptoms can allow the condition to progress, increasing severity over time. 

Prof. Cohen’s global message is clear: “Pain is never imaginary.” This fundamental belief validates the experiences of millions and empowers them to seek help to receive a timely diagnosis. 

For instance, he advises that young girls experiencing severe pain with their first periods or during ovulation should receive a specialist evaluation, ensuring early intervention and compassionate care from the start.

Recognizing the Signs: A Spectrum of Symptoms

Endometriosis manifests through a variety of symptoms, and recognizing this spectrum is key to early diagnosis. Prof. Cohen outlines the critical signs to be aware of, which include:

• Heavy menstrual bleeding (menorrhagia), often requiring pad or tampon changes more frequently than every three hours.
• Significant pain during menstruation or ovulation.
• Pain during or after intercourse (dyspareunia).
• Digestive disturbances, such as severe bloating (often called “endo-belly”), diarrhea, constipation, or pain during bowel movements (dyschezia).
• Radiating pain to the lower back, buttocks, or limbs, which can sometimes lead to difficulty walking or numbness.

According to Prof. Cohen, the convergence of these symptoms, particularly with severe pain, could indicate endometriosis, which signals the need for specialized medical attention.

Empowerment Through Global Expertise: Taking Informed Action

Professor Cohen’s advice is clear and action-oriented: any individual over the age of 12 who experiences persistent menstrual pain, heavy bleeding, or finds themselves routinely dependent on painkillers should seek an evaluation from an endometriosis specialist. Acknowledging the possibility of endometriosis is the first, most powerful step toward diagnosis and reclaiming a healthier life. 

A Message of Hope and Resilience

The core message from Sheba’s global expert is one of profound hope: through conscious recognition and prompt action, a positive outcome is within reach. With access to appropriate medical support, including advanced medication and surgery when necessary, living a normal, healthy life with endometriosis is an attainable goal. As Prof. Cohen inspires, “it’s in your hands” to take that first step and seek help.

For more expert insights about endometriosis, we invite you to watch the full “Doctor on Call” video with Professor Shlomi Cohen.