WHERE IS ENDOMETRIOSIS PAIN FELT?

Endometrial lesions can grow in a variety of places in the body—the location of the lesion can affect your symptoms

Endometriosis lesions are most commonly found in the pelvic area on organs such as: ovaries, fallopian tubes, bladder, bowels, intestines, rectovaginal septum, and peritoneum
Ovaries

Some symptoms may include:

  • Pain from an ovarian cyst called an endometrioma

Large Intestine

Some symptoms may include:

  • Abdominal bloating
  • Pain during bowel movements
  • Diarrhea
  • Constipation
  • Rectal bleeding during menstruation

Bladder

Some symptoms may include:

  • Urine that contains blood
  • Pain above the pubic bone during urination
  • Frequent and urgent need to urinate

The location of endometrial lesions can affect symptoms

The specific symptoms a woman with endometriosis experiences may be a result of where her endometriosis is located.

Expand the + for symptom information

Endometrial lesions are most commonly found in the pelvic area on organs such as:
  • Ovaries
  • Fallopian tubes
  • Bladder
  • Bowels
  • Intestines
  • Rectovaginal septum
  • Perineum

Since lesions can grow in a variety of locations in the body, this may explain why one woman may feel pain on the left side of her pelvis, while another may feel it in her abdomen—the pain often occurs where the lesions are located.

Some lesions can even form their own nerves—another reason there can be pelvic pain outside of the period. Over time, lesions can form scar tissue or adhesions between organs—meaning they stick together—which can cause even more pain.

Rarely, lesions can be found in areas farther away from the pelvic area.

References: 1. Liu JH. Merck Manuals. Professional Version. Gynecology and obstetrics. Endometriosis. https://www.merckmanuals.com/professional/gynecology-and-obstetrics/endometriosis/endometriosis. Updated February 2019. Accessed January 8, 2020. 2. Liu JH. Merck Manuals. Consumer Version. Women’s Health Issues. Endometriosis. https://www.merckmanuals.com/home/women-s-health-issues/endometriosis/endometriosis. Updated February 2019. Accessed January 8, 2020. 3. Fischer JR. APGO Educational Series on Women’s Health Issues. Diagnosis & management of endometriosis: pathophysiology to practice. Association of Professors of Gynecology and Obstetrics; 2012. 4. American College of Obstetricians and Gynecologists. Frequently asked questions. FAQ013. Gynecologic problems. https://www.acog.org/~/media/For%20Patients/faq013.pdf?dmc=1. Updated October 2012. Accessed January 8, 2020. 5. American College of Obstetricians and Gynecologists. Practice bulletin no. 114: management of endometriosis. Obstet Gynecol. 2010;116(1):223-236.