The most common symptoms of endometriosis are infertility and pain—including chronic pain in the abdomen, lower back and pelvis, painful periods, pain with intercourse (either during or after sex), and pain with bowel movements and pain with urination during the menstrual period. The amount of pain does not correspond to the amount of endometriosis a woman has. Some women with extensive endometriosis have little or no pain, while others with severe pain have only a few areas affected by endometriosis. Other symptoms include excessive bleeding during periods, spotting or bleeding between periods, gastrointestinal symptoms that may resemble a bowel disorder and fatigue.
You may be at risk for endometriosis if, for at least the last six months, you’ve had pelvic pain (either constantly or corresponding to your monthly cycle), fatigue and low energy, diarrhea, painful bowel movements or other stomach issues during your period, stomach bloating or swelling, or heavy or irregular menstrual bleeding.
These symptoms should become milder after menopause.