The Signs of Endometriosis

By Paul J.O'Brien B.A., N.C.E.H.S., Dip. Acu., Adv. Dip. OBB, Cert Clin. Med, Cert.CHM, M.AFPA, M.ETCMA, M.C.Th.A.

The signs of endometriosis are often greatly misunderstood and, as a result, shockingly, endometriosis often goes undiagnosed! This is because endometriosis is not always accompanied by symptoms.  It is often only diagnosed when couples have been struggling to conceive and investigations are carried out that evidence is found. Then getting pregnant with Endometriosis can be a problem....but I'll discuss that in more detail in a moment.  For now, I want focus on some of the signs of endometriosis.

The Signs of Endometriosis

Painful cramps are one of the signs of endometriosis.Painful cramps are one of the signs of endometriosis

In cases where there are signs of endometriosis, one of the first is that a woman usually suffers from what is called dysmenorrhoea, extremely painful periods. The most common symptoms of endometriosis (the percentage of patients who experience those symptoms) include:

  • Progressive dysmenorrhoea (painful periods) (97%)
  • chronic lumbar (low back), pelvic and abdominal pain (62%)
  • dyspareunia (painful intercourse) (59%)
  • dyschezia (painful bowel movement) (68%)or dysuria (painful urination); 
  • menorrhagia (heavy menstrual bleeding); (65.3%)
  • Endometriosis nausea and vomiting, (57.7%)
  • Pre- or intermenstrual (in between periods) spotting.
  • Pain during ovulation
  • Diarrhoea (79%)
  • Irregular bleeding
  • Dizziness, headaches during the period (595)
  • Low-grade fever (29.4%)
  • Low resistance to infection (39.1%)
  • Unexplainable fatigue (64% - 82.1%)
  • Abdominal bloating that is associated with menstruation (1) 

Progressive dysmenorrhoea (painful periods)

During menstruation, the period, women often experience abdominal cramps and tenderness of the breasts.  This is said to be due to the estrogen level that fluctuates during that time.  However, for women with endometriosis, the pain gets worse over time.  This symptom is usually neglected as women often think of it as part of their usual dysmenorrhea attacks.  

Chronic lumbar, pelvic and abdominal pain

This may well be carried over to experiencing chronic pain, usually on the lower back, pelvic and abdominal areas.  As a lot of women experience a radiating pain during dysmenorrhea.  The pain radiates from abdomen to the lumbar area. However, women with endometriosis also experience dyspareunia, or painful sexual intercourse.  There might be an inflammation (swelling and reddening) of the vaginal lining, causing pain upon contact or friction during intercourse.

Dyschezia or Dysuria

If the misplaced endometrial lining attaches itself to your bowel, kidney or bladder, you may experience  dyschezia or dysuria.  

Dyschezia is a condition wherein you experience discomfort while defecating.  

Dysuria is a condition characterized by painful urination. 

In both cases you may experience hematochezia or hematuria wherein blood is found in your feces and urine.  Difficulty defecating and urinating may cause internal bleeding and, in turn, infection.

Menorrhagia, heavy menstrual bleeding

Menorrhagia, or heavy menstrual bleeding is not something to shrug off.  It may manifest itself as prolonged menstrual bleeding, heavy menstrual bleeding, or even both.  Some women are used to their periods taking two to three weeks to finish. This symptom is tricky to detect as menstrual cycles differ for every woman. 

Endometriosis Nausea

Nausea and vomiting, are a common occurrence during dysmenorrhea, but are also symptoms of endometriosis.  This Endometriosis Nausea can also be a sign that misplaced endometrial lining had attached itself onto your gastrointestinal organs. 

Premenstrual and intermenstrual spotting can also be a symptom of endometriosis, and is characterized by blood spots that appear before and in between menstrual cycles.

From a Traditional Chinese Medical point of view we also look at other signs and symptoms such as: 

  • Fatigue which is often worse after large meals
  • A tendency for loose stools
  • Cold hands and nose
  • A craving for sweets
  • A swollen tongue with teeth-marks on its edges
  • Pain which is worse at night
  • Varicose veins
  • Liver or age spots
  • A sooty facial complexion

How Traditional Chinese Medicine diagnoses and treats endometriosis is very complicated understands beyond the scope of this article, so I've written a separate one covering it in detail and how to relieve it! For now though, now that we understand what the symptoms and signs of Endometriosis (mostly LOTS OF PAIN), we should look at understanding what Endometriosis actually is...

Click Here to Learn What Endometriosis Actually is...

Your Next Best Step to Eliminate Endometriosis...

If you want to go to the next level of detail and look at in-depth self-treatment, you should check out Before IVF: Everything You Need to Know ABout IVF. How it works, why it doesn't and what you can do to ensure your IVF Success. Written from a holistic viewpoint I go into greater detail about what causes Endometriosis, how to prevent, diagnose the different types and understand your body and your health. More than that I'll walk you through, step by step on how to diagnose the exact type of endometriosis you have, how it will affect your fertility - but, most importantly, what to about it! Packed with pressure point exercises, self massage techniques, foods, recipe guides and more, this is the best way to avoid IVF and get pregnant with Endometriosis, naturally. 

If you’re trying for a family or dealing with Endometriosis and want to eliminate those symptoms and give each cycle your best the best possible shot of success and dramatically improve your fertility and reproductive health, to have a happy healthy baby, then …

  1. Download my Free "9 Reasons You Can't Get Pregnant" Guide to learn more about what complications may be present and what you can do to fix them! (I cover Endometriosis here!)
  2. Subscribe to my newsletter to keep up to date with the new articles, how to guides, fertility recipes and more.
  3. Get Your Copy of "Before IVF: How it works, why it doesn’t and what you can do to Ensure Your IVF Success!". Over 430 pages, this guide provides answers to every question you could ask about fertility and how to maximise your reproductive health. It will help you beat the numbers in IVF and better still may help you conceive without ever having to go through IVF! Including how to get pregnant with Endometriosis!
  4. Contact me with your particular questions and concerns and I'll do my best to help. :-)


(1) Stats based on reporting via the USA Endometriosis Association retrieved 5/9/17

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