What endometriosis pain feels like

Endometriosis pain is often much more than a typical period pain. It can be severe, cramping or a deep, dragging ache, and it may be constant or flare at certain times. Classically it's felt in the lower abdomen and pelvis, but it can also cause lower back pain, pain during or after sex, pain with bowel movements or urination, and pain that radiates down the legs.

For many women it isn't limited to their period — it can occur at other times of the month too, and be exhausting to live with.

Why it happens

In endometriosis, tissue similar to the lining of the uterus grows outside it — on the ovaries, pelvic lining and elsewhere. This tissue responds to hormones and causes inflammation, irritation and, over time, scarring and adhesions, which drive the pain. The amount of visible endometriosis doesn't always match the amount of pain — some women with small amounts have severe pain, and vice versa.

Pain that's dismissed as 'just bad periods' for years is a common and frustrating part of many women's endometriosis stories.

How it's managed

There's no single fix, but a lot can help. Pain relief (including anti-inflammatories), hormonal treatments (like the pill or hormonal IUD) that calm the tissue, and, where needed, laparoscopic surgery to remove endometriosis are mainstays. Pelvic physiotherapy, heat, and a multidisciplinary pain approach help many women. Management is often about combining strategies and reviewing what works.

You deserve to have this pain taken seriously. A telehealth consult can help you start or review a management plan and arrange referral if needed.

Related condition

Endometriosis →

References & sources