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Endometriosis Warning Signs

The initial signs of endometriosis are abnormally painful menstrual cramps that get worse over time. Endometriosis pain also can occur before you get your period or while having sex. However, while pain is the best-known symptom of endometriosis, you may not always recognize it.

Instead, other symptoms of endometriosis may present, such as:

  • Fatigue
  • Urination that’s painful during your menstrual cycle
  • Bowel movements that are painful only during your period
  • Other gastrointestinal issues, such as diarrhea, constipation, bloating, or nausea, especially during your period
  • Heavy or excessive bleeding during your period and breakthrough bleeding from your uterus between your menstrual cycles

Because so many different diagnoses may include pelvic pain as a symptom, endometriosis can be hard to differentiate initially from diagnoses such as pelvic inflammatory diseaseovarian cysts, or irritable bowel syndrome.

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