Research shows people with endometriosis may face a 34% higher risk of stroke compared to those without the condition. This connection primarily affects those who undergo certain treatments that impact hormone levels.

Understanding the Connection

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, causing pain and other complications. A 2022 study analyzing data from 112,056 women found that those with endometriosis who underwent specific treatments had increased stroke risk:

• Hysterectomy/oophorectomy: 39% increased risk
• Postmenopausal hormone therapy: 16% increased risk

The elevated risk may stem from:

• Chronic inflammation
• Increased cardiovascular disease risk factors
• Early-onset menopause from surgical procedures
• Hormonal changes from treatments

Important Risk Factors

The highest risk was observed in people who:

• Had surgical procedures affecting hormone production
• Used postmenopausal hormone therapy
• Experienced premature menopause due to treatments

Prevention and Monitoring

While the overall stroke risk remains relatively low, people with endometriosis should:

• Monitor blood pressure and cholesterol levels
• Discuss treatment risks with healthcare providers
• Be aware of stroke symptoms
• Maintain regular medical check-ups

Warning Signs of Stroke

Seek immediate medical attention for sudden:

• Confusion
• Vision problems
• Speech difficulties
• Dizziness
• Severe headache
• Movement or balance issues
• Facial, arm, or leg weakness (especially on one side)

Healthcare providers should consider a patient's complete health profile when planning endometriosis treatments, balancing symptom management with potential cardiovascular risks. Regular monitoring and open communication with healthcare providers are essential for managing both endometriosis and stroke risk effectively.

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