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Key information

  • Pain is not “just part of being a woman”: One of the biggest challenges with endometriosis is that severe pelvic pain — pain in your lower tummy or back — is often dismissed. It is important to know that you do not have to just put up with it.
  • The golden rule: If your period pain regularly stops you from going to work, school or doing the things you enjoy, this is your body’s signal to seek help.
  • A “chameleon” condition: Endometriosis symptoms can vary hugely from person to person. It is not just about painful periods. It can affect your whole body.

Common symptoms to watch for

  • Severe period pain: Pain that is not relieved by standard painkillers.
  • Chronic pain: Ongoing pain in your lower tummy or back, even when you are not on your period.
  • Pain during intimacy: Deep pain during or after sex.
  • Toilet troubles: Pain when you wee or poo, especially around the time of your period.
  • Fatigue: An overwhelming exhaustion that affects every part of your life.

What to do next: start a diary

If these symptoms sound familiar, the most powerful thing you can do is start tracking them.

  1. Keep a record: Note down what you feel, when it happens in your cycle and how it stops you from living your life.
  2. Bring it with you: This diary creates a clear record that we can work with.
  3. Contact us: Once you have a record, contact us. Bringing your diary will help us have a productive conversation.

Download a ready-made pain and symptom diary

Discuss Your Diary

Further information

For more detailed information on endometriosis symptoms, diagnosis and treatment, please visit the NHS website.

Learn more about endometriosis

Last reviewed: 26 December 2025
Next review due: 26 December 2028