Endometriosis: The pain is real—let’s talk about it
Is this normal?
Painful periods? Bloating that won’t go away? Fatigue that hits like a truck?
If you’ve ever been told your pain is ‘just part of being a woman,’ you’re not alone. But here’s the thing: severe period pain isn’t something you have to accept. If it’s stopping you from working, studying, or getting out of bed, it’s time to look deeper.
Understanding
Let’s talk about it
Endometriosis is one of the most misunderstood conditions in women’s health. It’s not just ‘bad periods’; it can also affect digestion, fertility, energy levels and emotional wellbeing.
And yet, many people live with it undiagnosed for years.
Why? Because symptoms are often brushed off, misunderstood or minimised. If your body is telling you something’s not right, you deserve to be heard.
Endometriosis symptoms
What’s actually happening in your body?
Endometriosis occurs when tissue similar to the lining of the uterus grows in places it shouldn’t, like the ovaries, fallopian tubes, or even the bowel.
This tissue doesn’t exit the body like a normal period. Instead, it stays in the pelvis, where it can cause inflammation, scar tissue, and pain that may come and go or stick around long term.
The immune and nervous systems are often involved, which is why symptoms can vary widely. Some people experience stabbing pain; others feel more fatigue, nausea or even leg pain.
Common symptoms can include:
- Painful periods (more intense than typical cramps)
- Pain during or after sex
- Persistent bloating or abdominal swelling (‘endo belly’)
- Fatigue that doesn’t improve with rest
- Difficulty falling pregnant
- Pain when going to the toilet
Everyone’s experience is different. Some people have several symptoms, while others have only one or two.
Why aren’t we talking about this more?
On average, it takes around seven years to receive a diagnosis. That’s a long time to live in pain or uncertainty.
Too often, period pain is minimised, or misattributed to stress, IBS, or ‘just how it is.’ But if you’ve ever felt dismissed: it’s not in your head. Your experience is valid, and help is available.
How is endometriosis treated?
There’s no universal solution, but there are options to help manage symptoms and improve quality of life. The best approach depends on your symptoms, life stage, and personal goals.
Options may include:
Medication
Anti-inflammatories and hormonal treatments (like the pill or IUD) can reduce symptoms for some people.
Surgery
Keyhole (laparoscopic) surgery may be recommended to remove or burn away endometriosis tissue. This can help some people, although recurrence is possible.
Lifestyle changes
Some people find symptom relief through an anti-inflammatory diet, gentle exercise, pelvic physiotherapy, and stress management.
Psychological and peer support
Speaking to a counsellor or joining a support group can help you feel more supported and less isolated.
If endometriosis is suspected, your GP may refer you to a gynaecologist. In my practice, I’ll work with you to understand your symptoms and talk through your options, without pressure or judgment.
Endometriosis treatment
What can you do right now?
If something in this article sounds familiar, here are a few steps you can take today:
Track your symptoms:
Keep a record of your pain, fatigue, bloating, and cycle changes. This can be a useful tool at medical appointments.
Speak with your GP:
Ask directly: “Could this be endometriosis?” and discuss what investigations might be helpful.
Think about your goals:
Are you trying to manage pain? Do you want to improve your fertility? Avoid surgery?
Reach out for support:
Whether it’s a friend, an online group, or a health professional, connection can make a big difference.
And remember: If you’re not being taken seriously, it’s okay to seek a second opinion.
What others have shared
Here are some anonymous reflections from women who have shared their experiences of living with endometriosis.
- "The pain would leave me unable to stand some days, but I was told it was just ‘normal period pain."
- “I spent years being treated for digestive issues before anyone looked deeper.”
- “Fatigue was my biggest symptom; walking up stairs would wipe me out.”
- “I didn’t realise my fertility challenges might be connected to pelvic pain until much later.”
Endometriosis Treatment Perth
Let’s take the next step—together
If you suspect endometriosis could be part of what you’re going through, there’s help available.
- Follow me on Instagram for educational content and women’s health conversations.
- Book a consultation if you’d like to talk things through
- Make an appointment with a gynecologist or fertility specialist. We can arrange the right tests and explain what your results mean
- Download a symptom tracker to bring along to your GP or specialist appointment. As a founder of Charli.health, I’ve worked on a symptom tracker designed to help you log your cycle and symptoms. It’s a simple tool you can use to support conversations with your healthcare team.