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Symptoms of endometriosis



  • Chronic pelvic pain
  • Pelvic pain that gets worse after sex or a pelvic exam
  • Chronically heavy or long periods
  • Bowel or urinary disorders, often associated with periods
  • Painful sexual activity, particularly with penetration
  • Significant lower back pain with menses
  • Allergies, migraines or fatigue that tends to worsen around menses
  • Crippling menstrual pain
  • Catamenial pneumothorax (lung endometriosis)


  • Painful Sex (Dyspareunia)

This may be a symptom of endometriosis that involves deeper tissues of the vagina and pelvic walls. While painful sex can also lead to relationship and body issues, women can also start to become anxious and even fearful of having sex


  • Painful Periods (Dysmenorrhea – Painful menstrual cramps):

Pain can last for more than one day and even continue after the period is over. Most commonly, pain can be felt in the lower abdomen, pelvis or lower back. The pain may not be easily relieved with non-steroid anti-inflammatory medications (NSAIDs).

  • Abnormal Periods (Including Heavy menstrual flow (Menorrhagia) and prolonged periods)

A typical period will last 3 to 5 days. While it is considered normal to have a period lasting as long as 7 days, women with endometriosis can have periods longer than 7 days. In addition, the heavy menstrual flow will mean that tampons or pads usually need to be changed as often as every 1-2 hours.


  • Bowel and urinary disorders

Disorders can include diarrhea, constipation, painful urination, bowel movements, blood in urine, and frequent urge to urinate. Women can also feel nausea, vomiting, bloating and gassiness.


  • Neuropathy

Endometriosis can often implant in pelvic tissue underlying the nerves that lead to the legs. In these cases, it is common for women to experience nerve pain in their lower extremities.


  • Infertility

As scar tissue and adhesions build up, it decreases the chances of fertilization occurring. The longer these lesions or related issues go untreated, the higher the risk of infertility. Studies have shown that endometriosis is linked to 1/3 of infertility cases, can prevent the release of eggs, and decrease the quality and number of eggs.


  • Fatigue and personality changes

Due to the chronic pain caused by endometriosis, many women find themselves feeling “different.” Women can feel fatigued not only due to the pain but also due to the many years of stress searching for the proper diagnosis and treatment.


Endometriosis is a puzzling hormonal and immune disease affecting girls and women from as young as eight years old through post-menopause.