What are the symptoms of endometriosis?

Symptoms vary and some individuals have only infertility

  • Severe pain during menstruation (see “Pain“)
  • Pelvic or abdominal pain not associated with menses
  • Low back and/or leg pain
  • Pain with sex (see “Sexual Functioning“)
  • Painful bowel movements
  • Stomach problems including nausea, bloating, diarrhea and/or constipation (see “Bowel/GI“)
  • Fatigue (see “Fatigue” and “Inflammation“)
  • Infertility (see “Fertility Issues“)

Less common symptoms

  • Pain with breathing and/or shoulder pain particularly during menstruation may indicate diaphragm or lung endometriosis (see “Thoracic (diaphragm)“)
  • Coughing up blood or collapse of lung during period may indicate lung endometriosis

Support Nancy’s Nook

Post coital bleeding

Post coital bleeding (bleeding after sex) is common and usually benign, but it does requires thorough history and exam and perhaps additional testing. Some of the common reasons for bleeding after sex can include: “cervical polyps endometrial polyps endometriosis uterine

Read More »

Bowel/GI endometriosis

Gastrointestinal (GI) symptoms are common with endometriosis, anywhere from one third to up to 85% of endometriosis patients have GI symptoms, usually with a gradual onset (Aragon & Lessey, 2017; Ek et al., 2015). Of those with GI symptoms, the

Read More »

Inflammation with endometriosis

Endometriosis is an inflammatory disorder. Inflammation involves a variety of inflammatory factors, such as cytokines, prostaglandins, macrophages, and tumor necrosis factor. Inflammation is influenced by hormones; however, hormone receptors are altered in endometriosis lesions, thus changing the way endometriosis responds

Read More »

Fatigue in Endometriosis

Fatigue is a symptom of endometriosis and can be quite debilitating (Ramin-Wright et al., 2018). Taber’s Medical Dictionary (n.d.) defines fatigue as “an overwhelming sustained feeling of exhaustion and diminished capacity for physical and mental work.” Fatigue with an illness

Read More »

Response to a study on prostaglandins and bacterial growth in endometriosis

Study: Khan, K. N., Kitajima, M., Yamaguchi, N., Fujishita, A., Nakashima, M., Ishimaru, T., & Masuzaki, H. (2012). Role of prostaglandin E2 in bacterial growth in women with endometriosis. Human reproduction, 27(12), 3417-3424. Retrieved from http://humrep.oxfordjournals.org/content/27/12/3417.abstract “Role of prostaglandin E2 in bacterial growth

Read More »

Fertility Issues

Infertility is strongly associated with endometriosis, and for some it may be the only symptom that they recognize (American Pregnancy Association, 2012). An estimated 30–50% of women with endometriosis have infertility (Macer & Taylor, 2012). Endometriosis can be “minimal” and

Read More »

Infertility links

Nancy’s Nook is devoted to the individual with endometriosis. Some have fertility questions and concerns. Out of respect for all our members, we’ve compiled this list of online resources that those who are trying to conceive, who have conceived, or

Read More »

Thoracic Endometriosis

Thoracic Endometriosis, Endometriosis of the lung  While endometriosis of the thoracic area is rare, it can occur. Several case reports and studies that are cited below, report symptoms of coughing up blood (hemoptysis), isolated chest pain, and/or shortness of breath

Read More »

Comments on Thoracic Endometriosis

by Dr Nick Kongoasa, March 29 2014 The term thoracic endometriosis has been used to describe the varying clinical and radiological manifestations associated with the growth of endometrial glands and stroma in the lungs or the pleural surface. Catamenial pneumothorax

Read More »

Ovaries and Endometriomas

Endometriomas are a type of endometriosis cyst on the ovary. Management of endometriomas can be complex as there are many schools of thought on how they should be handled. Generalists, gynecologists, or fertility experts will often suggest a wait-and-watch approach

Read More »

Urinary System (Bladder, Ureters, and Kidney)

Endometriosis close to the urinary organs, like the bladder, can cause symptoms such as pain with urinating (dysuria), blood in the urine (hematuria), urinary frequency/urgency/incontinence. However, it is important to note they may NOT cause symptoms. This is important because

Read More »