7 Common Symptoms of Endometriosis You Shouldn't Ignore

When it comes to period pain or monthly discomfort, many women are told it’s “just part of being a woman.” But what if it’s not? What if those aches, cramps, or strange digestive issues are actually trying to tell you something more?

Endometriosis is a condition that affects around 1 in 10 women, yet it often goes undiagnosed for years. Why? Because its symptoms are frequently brushed off as normal, or mistaken for other issues like IBS or hormonal fluctuations. But living with constant pain, exhaustion, or irregular cycles isn’t something you should have to accept.

If you’ve ever felt like your symptoms are being dismissed, or you’re second-guessing your own instincts, you’re not alone. Knowing what to look out for is the first step toward getting the answers and support you deserve.

Here are seven common symptoms of endometriosis that are often overlooked, but absolutely worth paying attention to.

1. Period Pain That Goes Beyond "Normal"

Most women with periods are familiar with some cramping, it’s uncomfortable, but manageable. Endometriosis pain is a different story. It’s often described as sharp, intense, or even burning, and it doesn’t always stay confined to your lower belly. It can spread to your lower back, hips, or legs and last for days.

If your period pain regularly disrupts your daily life, making it hard to work, concentrate, or even get out of bed, that’s a sign something more could be going on. Especially if painkillers barely take the edge off. You don’t have to just live with it; this kind of pain is worth bringing up with your doctor.

2. Heavy or Irregular Periods

Periods can vary naturally, but if you're dealing with very heavy bleeding, or your cycle seems unpredictable and irregular, endometriosis could be the cause.

If you're soaking through pads or tampons in less than two hours, needing to use both at once, or waking at night to change protection, your periods may be heavier than the norm. You might also pass large clots or bleed for more than seven days. If your period is making it hard to keep up with daily life or leaving you feeling unusually tired, these are symptoms that shouldn’t be ignored.

3. Pain During or After Sex

Painful intercourse is more common than you'd think. With endometriosis, it's often described as deep pelvic pain during or immediately after sex. This happens because misplaced tissue causes inflammation and tenderness around your reproductive organs.

It's easy to dismiss it or avoid discussing it, but being open with your doctor can help you find relief and enjoy intimacy without discomfort again.

4. Fatigue That Doesn't Lift

Fatigue with endometriosis isn't your typical tiredness. It's an overwhelming exhaustion that hangs around, affecting work, social life, and even simple tasks like cooking or going for a walk.

You might brush it off as stress or busy schedules, but persistent fatigue is a key sign that your body is dealing with chronic inflammation. Don't ignore it.

5. Digestive Troubles and Bloating

Many women with endometriosis report digestive issues like bloating, nausea, constipation, or diarrhoea, especially around their periods. It's easy to blame diet or stress, but persistent gut issues could indicate endometriosis involving the bowel area.

If you're regularly feeling uncomfortable through bloating and stomach pain, it's worth getting checked out.

6. Painful Bowel Movements or Urination

If you're regularly experiencing pain during bowel movements or when urinating, especially around your period, it might point to endometriosis affecting your bladder or bowel. It’s another symptom that people often ignore or feel embarrassed about, but you really shouldn't suffer in silence.

Sharing these details with your GP helps build a clear picture and speeds up diagnosis.

7. Difficulty Getting Pregnant

If you've been trying to conceive without success, endometriosis could be playing a part. Many people only discover they have endometriosis when they face challenges with fertility. Tissue growth and inflammation can affect fertility in various ways, sometimes causing blockages or other issues that make conception tricky.

It's stressful enough trying to start a family. If it's not happening, getting assessed for endometriosis can clarify things and open doors to effective treatments.

What Next if You Have Symptoms of Endometriosis?

If you're nodding along to any of these symptoms, don't panic, you're definitely not alone. First, have a chat with your GP. Be honest and detailed about what you're feeling, even if it seems trivial. It all helps.

Doctors typically recommend keeping a symptom diary. Jotting down your symptoms daily can reveal important patterns. It's a handy way to give your doctor the full picture.

Why Early Diagnosis Matters

The thing about endometriosis is that many women go years before getting properly diagnosed. On average, diagnosis in the UK takes around seven to eight years. But recognising symptoms early can significantly reduce that wait.

Early diagnosis also means earlier treatment. Treatments can range from lifestyle adjustments and pain management techniques to medical or surgical options. The earlier you tackle the symptoms, the quicker you'll regain control over your life.

Living Well Despite Endometriosis

Having endometriosis doesn't mean life stops. With the right support, lifestyle changes, and medical advice, you can live fully and comfortably. Remember, you're not alone, and you deserve support and understanding.

Ultimately, you know yourself best. If something feels off, trust your gut and speak up. Your symptoms aren't something you have to just endure. Endometriosis can be challenging, but it doesn't define you. Take the first step, seek advice, and start feeling better soon.