Endometriosis – which usually strikes in a woman’s ovaries, pelvic area or bowel tissue – can be quite painful, especially if it occurs during a woman’s menstrual cycle. Fresno OB-GYN Dr. Gail Mallard-Warren finds that the pain that comes along with endometriosis in her patients is worse than that of a normal period and it worsens each day.

When endometriosis is present, the tissue that should be lining the inside of the uterus is growing on the outside. This condition can eventually affect a woman’s ability to conceive.  Luckily, there are a number of safe and effective treatments are available at our Fresno OB-GYN office.

Some symptoms of endometriosis include:

  • Painful periods;
  • Painful intercourse, urination or bowel movements;
  • Heavy bleeding;
  • Constantly feeling tired,
  • Nausea and/or bloating;
  • Diarrhea or constipation that occurs during your menstrual period.
  • Infertility


To confirm a diagnosis of endometriosis, your Fresno OB-GYN will evaluate your symptoms, including where and when the pain is occurring.  She may also conduct an ultrasound, pelvic exam or laparoscopy.

Endometriosis can usually be treated effectively with the use of medications, surgery or a combination of the two. The approach that you and your OB-GYN choose will depend on how serious your symptoms are and whether or not you want to have children any time in the future.

We initially try customary treatment approaches such as pain medications
 and hormone therapy, beginning with contraceptives in mild cases and surgery – such as a hysterectomy – in more extreme cases.

If you think that you may be suffering from Endometriosis and are in need of a caring and experienced OB-GYN Fresno CA residents rely on the professional and caring staff at the office of Dr. Gail Mallard-Warren.

Don’t wait – call us today at (559) 432-4963 to schedule your appointment.

Request an Appointment