Endometriosis Symptoms Explained

Written by: Mr Elias Kovoor
Published: | Updated: 13/07/2021
Edited by: Sarah Sherlock

Endometriosis is when womb-like tissue grows in places like the ovaries and fallopian tubes. Experienced gynaecologist, Elias Kovoor explains the common symptoms of this condition, which can seriously affect the health of women of all ages.

Period Pains


Although this is one of the most common symptoms of endometriosis, if it occurs without any of the other symptoms, it’s likely to be unrelated. However, more severe period pains occur due to the increased inflammation caused by endometriosis, as well as the presence of other conditions like adenomyosis which often coexist with endometriosis.

endometriosis period pain

Severe pain during intercourse


Endometriosis can cause large cysts to grow inside the ovaries or vagina which can lead to pain during intercourse.


Painful bowel movements


Endometriosis can cause the bowel to become attached to the vagina which can lead to painful bowel movements. This is most common during periods, but can also occur more regularly. Endometriotic cysts that put pressure on the bowel can also be a cause of pain in the bowels.


Shooting pain in the rectum


This is a common symptom of rectovaginal endometriosis due to growths around the uterosacral ligament and rectovaginal zone. Rectal Bleeding Rectal bleeding usually occurs during periods, so often follows the same cycle and produces a darker blood, similar to when menstruating. You can usually differentiate it from conditions like piles or anal fissures which produce fresher blood.


Back pain

endometriosis back pain

This often occurs in cases of endometriosis which spread to the uterosacral ligaments.


Thigh pain


Thigh pain usually occurs in cases of endometriosis in the ovaries, which cause the ovaries to stick to the side of the pelvis. The nerves then become irritated, resulting in thigh pain.


Urinary Symptoms


In cases of endometriosis that affect the bladder, it’s common to experience bladder pain and difficulty holding urine. In a small number of cases, when endometriosis spreads to the bladder wall, patients my find blood in their urine. If you’d like to discuss this or any other gynaecological issue with Dr Kovoor, you can request an appointment by visiting his profile.

Mr Elias Kovoor

By Mr Elias Kovoor
Obstetrics & gynaecology

Mr Elias Kovoor is a consultant gynaecologist and laparoscopic surgeon based in South East London and Kent. Private patients can access his highly professional and personalised patient care at BMI Chelsfield Park Hospital and BMI The Blackheath Hospital.

Mr Kovoor has undergone extensive and advanced laparoscopic training in the UK, France and Japan. He is specialises in endometriosis surgery and is the lead for the tertiary endometriosis centre at Dartford and Gravesham NHS trust.

Elias Kovoor is a Consultant Gynaecologist and Laparoscopic surgeon. He completed post graduate training from India in 2002 and registrar training from Nottingham University Hospital in 2009. He has had advanced laparoscopic training from UK, France and Japan in the field of endometriosis, prolapse and oncology.

He has been a consultant since 2010 and is currently based at Darent Valley Hospital where he is also the lead for the tertiary endometriosis centre. He is an expert in minimally invasive techniques including Vaginal NOTES surgeries.

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