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Many women assume painful periods are normal. But sometimes, they may signal endometriosis, a chronic condition where tissue similar to the uterine lining grows outside the uterus. Ignoring the signs can delay diagnosis and affect fertility, health, and quality of life.

Endometriosis is a gynecological condition affecting around 10% of women of reproductive age. It occurs when tissue similar to the uterine lining grows outside the uterus, causing pain, heavy periods, and sometimes infertility. But is it possible to get pregnant while living with endometriosis?

Endometriosis is a complex and often silent condition that affects nearly one in ten women. Yet many go years—sometimes more than a decade—without receiving the correct diagnosis. Symptoms are frequently normalised, dismissed, or mistaken for “typical” menstrual pain.

However, early evaluation and treatment can make a significant difference, helping to reduce pain, prevent progression, and improve fertility outcomes. Here are five signs that should never be ignored.