Augusta Healthcare for Women


Symptoms of Endometriosis

The primary symptoms of endometriosis are pain and infertility.

  • Among women with pelvic pain, endometriosis may occur in about 75%.1,2
  • Among women with fertility problems, endometriosis may occur in as many as 50%.1

Other common symptoms of endometriosis include:

  • Painful, even debilitating, menstrual cramps, which may get worse over time
  • Pain during or after sex
  • Pain in the intestine or lower abdomen
  • Painful bowel movements or painful urination during menstrual periods
  • Heavy menstrual periods
  • Premenstrual spotting or bleeding between periods

In addition, women who are diagnosed with endometriosis may have painful bladder syndrome, digestive or gastrointestinal symptoms similar to a bowel disorder, as well as fatigue, tiredness, or lack of energy.2

For some women, the pain symptoms associated with endometriosis get milder after menopause, but this is not always the case. Hormone therapy such as estrogen or birth control pills, given to reduce menopausal symptoms, may cause these endometriosis symptoms to continue.

Reference: National Institutes of Child Health and Human Development

Last updated April 20, 20


1 American College of Obstetricians and Gynecologists. (2008). Endometriosis. Washington, DC.

2 Tietjen, G. E., Bushnell, C. D., Herial, N. A., Utley, C., White, L., & Hafeez, F. (2007). Endometriosis is associated with prevalence of comorbid conditions in migraine. Headache, 47(7), 1069-1078.

3 American College of Obstetricians and Gynecologists. (2008). Endometriosis. Washington, DC.

4 Stratton, P., & Berkley, K.J. (2011). Chronic pelvic pain and endometriosis: Translational evidence of the relationship and implications. Human Reproduction Update, 17(3), 327-346.