09/08/2026
Endometriosis doesn’t always show up as the stereotypical “horrible period cramps.” Sometimes, it looks a lot like a gut problem🫠
Honestly, if I have a female patient present with ANY unexplained bowel issues- I’m questioning endo, almost immediately.
OFTEN I am able to recognize endometriosis in people when they present with IBS like symptoms, including:
💛Chronic constipation- not going for 3-5 business days, struggling to go, feeling backed up, or never feeling fully empty.
💛The constipation to diarrhea rollercoaster- sometimes people will experience BOTH, and go back & forth between each.
💛Bloating- can often be a side effect of endo. Possibly from the inflammation, GI/systemic sensitivity, constipation & back up, pressure change in the bowels, MCAS, SIBO (there’s also research on potential “seizure like activity in the intestines”). All of these things can make endometriosis look a lot like simply ~bloating~.
If your “IBS” symptoms are UNEXPLAINED, cyclical, worsen around ovulation or your period, come with significant abdomen/ pelvic/ bu****le pain, you have painful bowel movements (in the abdomen or bu****le), or just never seem to fully make sense, it may be worth bringing up endometriosis.
Maybe it’s IBS, but sometimes it’s endometriosis 🫶