Gynecologic Health

Premier Health providers answer frequently asked questions about prevention and wellness for women.

What causes endometriosis?

Dr. Heather Hilkowitz talks about the potential causes of endometriosis. Click play to watch the video or read the transcript.


While no one is certain of what causes endometriosis, researchers have identified some potentially contributing factors, according to the Mayo Clinic [Add off-site icon with alt tag: You are leaving the Premier Health website, link to in a new window]. According to the Mayo Clinic, researchers are investigating whether endometriosis may be caused by:

  • Problems with menstrual flow
  • Genetics
  • Immune system problems
  • Hormones
  • Surgery

There is no way to prevent endometriosis, however, you may decrease the likelihood of developing endometriosis by lowering the estrogen levels in your body, according to the U.S. Department of Health and Human Services Office on Women’s HealthOff Site Icon. According to HHS, you can lower estrogen levels by:

  • Talking to your doctor about birth control options
  • Exercising regularly
  • Avoiding alcohol
  • Avoiding caffeine

Ask your doctor about lowering estrogen levels, and the potential causes of endometriosis.

Learn more:

Source: Rashmi Bolinjkar, MD, Upper Valley Womens Center; Jeremy Crouch, MD, Womens Health Specialists and Midwives of Dayton; Heather Hilkowitz, MD, Hilltop Obstetrics and Gynecology; Amanda Fox, CNP, Dulan and Moore Dulan Family Wellness Center; Kathryn Lorenz, MD, Hyatt Family Care; William Rush, MD, Lifestages Samaritan Centers for Women; Jerome Yaklic, MD, Wright State Physicians Obstetrics and Gynecology; Mansi Amin, DO, SureCare Medical Center; Amy Renshaw, MD, Center for Womens Health and Wellness; J. Scott Bembry, Premier OB/GYN; L. William Rettig, III, MD,Lifestages Centers for Women; Elyse Weber, PA, Lifestages Centers for Women; Rhonda Washington, MD, Center for Womens Health and Wellness; Stacy Hudepohl, CNM, Center for Womens Health and Wellness; Larry Holland, DO, Premier Womens Center

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