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Health

03rd Mar 2025

The signs of endometriosis every woman should know, according to a doctor

Kat O'Connor

March is Endometriosis Awareness Month

Raising awareness about endometriosis is essential in Ireland, with 155,000 women suffering from the condition in this country.

Endometriosis is a painful disease that can go years without being diagnosed.

The condition is difficult to diagnose, but even being aware of the symptoms can help ensure that women are seeking the right medical support.

Many of us will ignore symptoms without realising they’re signs of endometriosis. This is why Dr Donald Grant, GP and Senior Clinical Advisor at The Independent Pharmacy, has shared the signs you shouldn’t ignore.

What is endometriosis?

Dr Donald Grant says: “Endometriosis is caused when cells similar to those in the uterus grow in other parts of the body.

“This can cause pelvic pain, heavy periods and in some cases infertility.”

What are the key symptoms of endometriosis?

The symptoms of endometriosis happen when patches of tissue break down during your period but have no way to leave the body. This can cause a range of issues, and some key signs to watch out for include:

Heavy periods

“Endometriosis can cause abnormally heavy periods. If you’re soaking through a pad or tampon within an hour or two or experiencing frequent leaks onto your clothes or bedding, this could be a sign of the condition.

Excessive blood loss can lead to fatigue and iron deficiency, so tracking your cycle and consulting a doctor is recommended.

Severe period pain

“One of the most common symptoms of endometriosis is intense period pain.

Discomfort during menstruation is normal, but this is a pain so severe that it can prevent you from normal life.

You should seek medical advice if you’re relying on pain relief or struggling to function.

Pain in the back or lower abdomen

“Ongoing pain in the lower tummy or back, especially if it worsens around your period, can be a sign of endometriosis.

You may mistake this pain for general menstrual cramps, but if it’s persistent or worsening over time, it could indicate something more serious.”

Pain during or after sex

“Many people with endometriosis report pain during or after sex.

“This can be caused by endometrial tissue growing in areas that are affected by movement or pressure.”

Dr. Grant said the pain can range from mild discomfort to severe and lingering soreness.

“If this is impacting your quality of life, it’s important to speak to a healthcare provider about potential treatment options.”

Pain when going to the toilet

“Pain when urinating or having a bowel movement is another telltale symptom of endometriosis.

“This can happen particularly during your period, as endometrial tissue outside the uterus can cause inflammation and irritation in surrounding organs. If you experience persistent discomfort when using the toilet, it’s worth discussing with a medical professional.”

Fatigue

“Chronic fatigue is a lesser-known but significant symptom of endometriosis. The body’s inflammatory response, combined with disrupted sleep due to pain, can leave people feeling constantly drained.

If you’re suffering from extreme tiredness despite getting enough sleep, then this could be linked to endometriosis.

Bleeding from other parts of the body

“In rare cases, endometriosis can cause bleeding from unusual areas, such as the lungs or digestive tract, leading to coughing up blood or blood in the stool.

Dr. Grant stressed that this symptom is uncommon but one you shouldn’t ignore.

Urgent medical attention is advised if it occurs.

Topics:

endometriosis