Does endometriosis resolve on its own?

Generally speaking, whether endometriosis can heal on its own depends on the severity of the condition and individual hormonal changes. Mild cases might resolve naturally after menopause when hormone levels decline, while severe or widespread lesions are unlikely to heal spontaneously. If you have concerns, it is recommended to seek medical advice early. Detailed analysis is as follows:

When the endometriosis symptoms are mild, with localized and small lesions, such as only a small amount of scattered ectopic endometrial tissue in the pelvis, and the patient is approaching menopause, the ectopic endometrial tissue may gradually atrophy and be absorbed due to lack of hormonal support as ovarian function declines and estrogen levels in the body decrease, potentially achieving spontaneous resolution. This situation is commonly seen in older patients with less obvious symptoms and can be managed with regular follow-up examinations.

If endometriosis symptoms are severe, such as significant progressive dysmenorrhea, excessive menstrual bleeding, infertility, or widespread lesions affecting areas such as the ovaries and uterorectal pouch, forming large chocolate cysts, spontaneous healing is unlikely. These ectopic endometrial tissues bleed repeatedly with the menstrual cycle, potentially causing adhesions, pain, and even damage to surrounding tissues. Treatment with hormone-suppressing medications or surgical removal of lesions is necessary; otherwise, the condition will continue to progress, affecting quality of life and fertility.

It is important to seek timely medical evaluation upon detecting endometriosis. During menstruation, strenuous exercise should be avoided to reduce the risk of retrograde menstruation. If abnormal pain or menstrual irregularities occur, active treatment and regular follow-up are necessary.