Beyond Pelvic Pain The Hidden, Systemic Impact of Endometriosis

Endometriosis is often described as a condition that causes severe pelvic pain and infertility. While these symptoms are major concerns, they represent only one part of a much larger picture. In reality, endometriosis is a chronic, inflammatory, and systemic disease that can affect many organs and functions throughout the body.

- Dr B Ramesh Altius

• For millions of women, the impact goes far beyond the reproductive systemtouching physical health, emotional wellbeing, energy levels, immunity, and quality of life.

What Makes Endometriosis a Systemic Disease?

Endometriosis occurs when tissue similar to the lining of the uterus grows outside it—on the ovaries, fallopian tubes, bladder, bowel, diaphragm, and even, though rarely, on the lungs or skin. These tissues respond to monthly hormonal changes, causing inflammation, swelling, scarring, and adhesions.

But the impact does not stop at the site of the lesions. Chronic inflammation and immune dysfunction can trigger effects throughout the body, contributing to a wide range of symptoms.

1. Digestive Problems: When the Gut Gets Involved

Endometriosis on or around the intestine can mimic common digestive issues. Many women are misdiagnosed with IBS (Irritable Bowel Syndrome) for years.

Common gastrointestinal symptoms include:

• Bloating (“endo belly”)

• Constipation or diarrhoea

• Nausea or vomiting

• Pain during bowel movements

• Rectal bleeding (when bowel lesions are severe)

Hormonal fluctuations can worsen these symptoms, making digestion unpredictable and uncomfortable.

2. Urinary Tract Symptoms: The Bladder and Kidneys Can Be Affected