Endometriosis is a condition where tissue similar to the lining of the womb (endometrium) grows in other areas of the body. This tissue most commonly grows on the ovaries, fallopian tubes, and the lining of the pelvis, but it can also affect the bladder, bowel, and other organs.
Just like the womb lining, this tissue responds to hormones during your menstrual cycle, thickening, breaking down, and bleeding. But unlike the lining in your womb, this blood has nowhere to go, which can cause inflammation, pain, and the formation of scar tissue.
Endometriosis symptoms are often most intense during menstruation. You may experience:
Pain so severe that it stops you from doing your regular activities or going to work or school
Needing to change tampons or pads every 1 to 2 hours, or bleeding through to your clothes
Discomfort or pain when passing urine or opening your bowels during your period
Endometriosis doesn't just affect you during your period. Many people experience ongoing symptoms throughout their cycle:
Ongoing pain in your lower tummy, pelvis, or back
Discomfort during or after intercourse (deep dyspareunia)
Persistent tiredness that affects daily life
Emotional challenges linked to chronic pain
Fertility concerns: Some people with endometriosis also find it more difficult to become pregnant, though many do conceive naturally or with support.
The first step is speaking openly with your GP or healthcare provider about your symptoms. Don't hold back. Share everything, even symptoms that might seem unrelated. The more your doctor knows, the better they can help you.
This may include an internal vaginal exam to check for tenderness or abnormalities
Initial tests to help identify potential causes or rule out other conditions
If endometriosis is suspected, you may be referred for a laparoscopy (keyhole surgery) for definitive diagnosis
💡 Early detection and diagnosis is crucial. We understand the profound impact endometriosis can have on you, both mentally and physically.
The exact cause of endometriosis is still unknown. It is not something you have done, and it is not your fault. Researchers believe it may be linked to a combination of genetic, hormonal, and immune system factors.
While there is currently no cure, there are effective treatments available to help manage symptoms and improve quality of life.
If you're diagnosed with endometriosis, your doctor will work with you to develop a treatment plan tailored to your symptoms, lifestyle, and goals. Options include:
Over-the-counter painkillers such as paracetamol and ibuprofen can help manage period pain and discomfort. Your doctor may also prescribe stronger pain relief if needed.
The combined contraceptive pill, progestogen-only pill, or hormonal IUD can help by:
For more severe cases, surgical options include:
For many people, endometriosis symptoms improve or subside during menopause as hormone levels drop. However, symptoms can continue after menopause, particularly if you're taking hormone replacement therapy (HRT) or if residual endometriosis tissue remains active.
❌ Myth
✅ Truth:
Pain often starts 2 to 5 days before menstruation and may worsen during your period. However, many people experience symptoms throughout the entire month, including pelvic pain, fatigue, and pain during sex.
⚠️ Concern
✅ Truth:
Endometriosis can affect fertility and may make it more difficult to conceive. However, many people with endometriosis do successfully become pregnant, either naturally or with fertility support. If you have concerns, speak to your doctor early. Treatment and specialist advice can help.
❌ Myth
✅ Truth:
Endometriosis does not go away on its own as periods become regular. Symptoms may improve temporarily but are unlikely to disappear without treatment. Keeping a detailed symptom diary can help with faster diagnosis and more effective management.
Support, information, and resources for those living with endometriosis in the UK
www.endometriosis-uk.orgGlobal organisation providing education and advocacy for endometriosis awareness
www.theendometriosisfoundation.orgThis is why our platform exists. We're building a bigger, stronger tribe for women, a space where you're seen, heard, and supported.
Whether you're navigating endometriosis, fertility struggles, or simply seeking better information, our mission is to empower you with resources, education, and community.
The journey to better women's health starts here. Let's close the gap together.
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