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Endometriosis Symptoms

Endometriosis can present with a wide range of symptoms, many of which are often confused with routine menstrual discomfort. Because these symptoms overlap with other pelvic conditions, diagnosis is commonly delayed. Understanding the warning signs can help ensure timely evaluation and effective management.

The severity of symptoms varies from woman to woman. While pelvic pain is the most frequent complaint, endometriosis may also cause gastrointestinal issues, heavy bleeding, hormonal irregularities, and even difficulty in conceiving. These symptoms often worsen around the menstrual cycle.

Common Symptoms of Endometriosis

  • Severe menstrual cramps (dysmenorrhea): Intense pain that may begin before and continue through the period.
  • Chronic pelvic pain: Discomfort that persists throughout the month.
  • Pain during intercourse (dyspareunia): Deep pelvic pain experienced during or after sex.
  • Painful bowel movements or urination: Often more noticeable during menstruation.
  • Heavy or irregular menstrual bleeding: Long, heavy cycles or spotting between periods.
  • Difficulty conceiving: Endometriosis can affect fertility by causing adhesions and ovarian cysts.
  • Gastrointestinal issues: Bloating, constipation, diarrhea, nausea—especially during periods.
  • Fatigue and low energy levels: Especially around the menstrual cycle.

If you experience persistent pelvic pain or cycle-related symptoms, seeking timely evaluation is essential. Early diagnosis and expert management can significantly improve quality of life and support long-term reproductive health.