Endometriosis is often dismissed as “just bad periods,” but the truth is, it’s a serious and often painful condition that can disrupt every aspect of life. Many people don’t realize they have it until years (even decades) later.

Your body has been sending you signals all along. Here are 10 red flags that could mean it’s time to take your symptoms seriously.

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Heavy, irregular, or unpredictable periods

If your periods are so heavy that you have to double up on pads, go through tampons too quickly, or wake up at night due to leaks, this could be a sign of endometriosis. Many people with the condition experience excessive menstrual bleeding or spotting between cycles.

Irregular periods can also be a symptom. If your cycle is unpredictable, excessively heavy, or seems to be getting worse over time, it’s worth getting checked out.

Menstrual pain beyond the ordinary

Cramps are a part of menstruation, but the pain from endometriosis is a whole different level. If you experience sharp, stabbing pain that has you curled up in bed, missing work, or relying heavily on pain𝓀𝒾𝓁𝓁ers, it needs to be taken seriously.

Unlike normal cramps, which can fade after the first day or two of your period, endometriosis pain can start before bleeding even begins and last for days after your period ends. Some even experience intense discomfort between cycles. If your menstrual pain is interfering with your daily life, it’s not something to brush off—it could be a sign of endometriosis.

Digestive and urinary symptoms that seem off

Endometriosis doesn’t just affect your reproductive system—it can also seriously disrupt your digestive and urinary health. Many people with endo experience symptoms that mimic irritable bowel syndrome (IBS), including bloating, constipation, diarrhea, and painful bowel movements.

Some can even feel like they have a urinary tract infection (UTI) when they don’t. Frequent urination, burning sensations, or feeling like you can’t fully empty your bladder could all be linked to endometriosis.

Chronic pelvic discomfort

Menstrual cramps may come and go, but with endometriosis, the pain isn’t limited to just your period.

Chronic pelvic pain—dull, deep, and sharp sensations that persist long after your cycle is over—is a huge red flag. This pain can feel like constant discomfort in your lower abdomen, lower back, or hips, making everyday tasks feel exhausting.

Pain during intimacy

Pain during intimacy is one of the most common and distressing symptoms of the condition. This happens because endometrial tissue can grow behind the uterus, on the ovaries, or in the pelvic cavity.

Unfortunately, this symptom is often overlooked or dismissed. If you experience this kind of discomfort, it’s time to seek medical advice.

Mood swings, anxiety, and feeling mentally drained

Chronic pain, hormone fluctuations, and constant fatigue can take a serious toll on mental health. Many people with endometriosis experience mood swings and heightened anxiety.

If you find yourself feeling anxious, overwhelmed, or struggling with your mental well-being, know that you’re not alone. Seeking medical support and connecting with others who understand what you’re going through can make all the difference.

Lower back, hip, or leg pain that seems unrelated

Endometriosis pain isn’t always confined to the pelvic area.

In some cases, the misplaced endometrial tissue can irritate nerves in the lower back and legs, causing sharp or radiating pain. You can even experience numbness or tingling in the legs, which can make walking and standing for long periods difficult.

Pain that can be dismissed by doctors

This point is one of the biggest obstacles to getting an endometriosis diagnosis. Many people are told that their symptoms are “just bad periods” or that they should take 𝐛𝐢𝐫𝐭𝐡 control and move on. But if your pain is real and persistent, don’t let anyone downplay it.

If you’ve seen multiple doctors who have dismissed your concerns, keep pushing for answers. Endometriosis can be diagnosed through laparoscopic surgery, but an experienced doctor can often identify signs based on symptoms and imaging tests.

Crushing fatigue

If you feel exhausted no matter how much you sleep, it could be a sign you have endometriosis. It isn’t just a condition of pain—it’s an energy-draining disease. Chronic inflammation, hormone imbalances, and constant discomfort can leave you feeling wiped out all the time.

Fatigue from endometriosis isn’t just being a little tired—it’s the kind of exhaustion that makes it hard to get out of bed, focus at work, or enjoy activities you used to love.

Reproductive health struggles

If you’ve been trying to conceive without success, undiagnosed endometriosis could be part of the problem.

The condition can create scar tissue, block fallopian tubes, and interfere with egg implantation, making conception more difficult. Even if you’re not trying for a 𝑏𝑎𝑏𝑦 now, knowing this early can help you plan for the future.

If any of these symptoms sound familiar, don’t wait. Endometriosis can be difficult to diagnose, but with the right doctor and persistence, you can get the help you need. Early detection can prevent complications, including severe pain and fertility issues.