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Guides / Living with endometriosis

Living with endometriosis

In short

Endometriosis is not only a list of treatments. WHO describes effects on work, school, sex, mood, and money. This page stays inside those statements and points to support. It does not tell you how to live.

Last reviewed · Next review Jan 2027 · How we verify

General information, not medical advice. How to use this site

What it can change

WHO says severe pain, heavy bleeding, fatigue, depression, anxiety, infertility, poor sexual health, and social isolation can sharply reduce quality of life. Heavy bleeding can contribute to iron deficiency and fatigue. Painful sex can lead people to stop or avoid intercourse.

There is no known way to prevent endometriosis. WHO says earlier diagnosis and good care may slow or halt progression and reduce long-term symptoms. That is a hope attached to care, not a promise.

[1]

Pain is still treated as normal

WHO says that in many countries the public, families, and most health workers do not recognise that this chronic pelvic pain is not normal. Normalising the pain, and the stigma around periods, harms mental health.

If a clinician dismisses symptoms as ordinary periods, that is a reason to ask for another assessment. NICE's suspect-list is a useful thing to take to that conversation. It is a UK guideline, so a Danish or other clinic may follow a different pathway. The symptoms themselves are not jurisdiction-specific.

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A symptom diary

NICE says to tell people that keeping a pain and symptom diary can help discussions. Dates, what the pain stopped you doing, bleeding, bowel and bladder symptoms, and what you tried are the useful columns. Bring it to the appointment. It does not replace an examination.

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Where to go next

Talk to a clinician about your own symptoms. OpenEndo's access finder lists sourced centres, medicines, and patient organisations by country, with the date each record was checked. Patient groups are support. They are not an emergency service and not a specialist clinic.

The European guideline from ESHRE (2022) is the document many specialists use alongside national guidance. This site does not restate its recommendations line by line. Read it, or ask a clinician who uses it, when you need that level of detail.

[3][4]

  1. Fact sheetWHO fact sheet, endometriosis (15 October 2025)
  2. GuidelineNICE NG73 recommendations
  3. GuidelineESHRE guideline: endometriosis, 2022 (PMID 35350465)
  4. GuidelineESHRE endometriosis guideline