No, it's not just painful menstruation, and yes, it can occur at any age.
Endometriosis statistically affects 1 in 10 women, yet there is confusion, a lack of information, and many myths surrounding this disease. Let's answer some of the main questions you might have about endometriosis:
To recap... what is endometriosis?
Endometriosis is a chronic inflammatory condition in which tissue similar to the lining of the uterus (called endometrium) grows outside the uterine cavity. Misplaced tissue, like the lining in our uterus, responds to regular hormonal fluctuations. It grows and thickens during the menstrual cycle, triggering an inflammatory reaction and leading to unpleasant symptoms.
At what age can endometriosis appear?
At any age. Endometriosis affects an estimated 1 in 10 women of reproductive age, typically between 15 and 49 years old. (1) The first symptoms of endometriosis can appear as early as adolescence with the onset of the first menstruation and can last until menopause. However, not all women seek professional help immediately, and the diagnosis itself can be a long process, with the average diagnosis of endometriosis taking 7 to 10 years. (2)
I have pain during menstruation, does that mean I have endometriosis?
It may or may not. Typical symptoms of endometriosis include painful menstruation (dysmenorrhea), chronic pelvic pain, painful intercourse, painful urination, or digestive and intestinal problems. Symptoms can be so intense that they interfere with daily activities. Pain can therefore be a certain indicator of endometriosis, and we always recommend addressing any unpleasant cycle-related symptoms.
On the other hand, 10-30% of patients diagnosed with endometriosis experience no unpleasant symptoms or difficulties, so even the absence of symptoms does not completely rule out endometriosis. (3)
Does endometriosis only affect the pelvic area?
Common sites of endometriosis in the pelvic area include the outer surface of the uterus, bladder, fallopian tubes, or gastrointestinal tract. However, endometrial-like tissue can appear virtually anywhere in the body. Rarely, endometriosis has been found in the lungs, adrenal glands, liver, or brain. (4,5)
“Diagnosis of endometriosis takes an average of 7 to 10 years.”
Can hormonal contraception cure endometriosis?
Currently, there is no cure for endometriosis. Synthetic hormonal drugs suppress the natural course of the menstrual cycle, and thus the impact of hormonal changes. Their use can therefore alleviate some endo-symptoms, including pain. However, they cannot reverse the disease process. Once a woman stops the medication, symptoms often return.
How can endometriosis affect fertility?
Endometriosis or associated scar tissue can interfere with the release of viable eggs or block the fallopian tubes, preventing the egg from reaching the uterus and joining with sperm. It also increases inflammation, leading to faster egg aging. 30-50% of women with endometriosis struggle with fertility problems. (6) Endometriosis can significantly complicate conception, but that does not mean the chance is zero.
Has endometriosis disappeared if I no longer experience any symptoms?
As we have already said, endometriosis is a chronic disease, and currently there is no cure that would completely eliminate it. However, not all patients experience pain and other unpleasant accompanying symptoms.
Lifestyle adjustments, a suitable diet, and supplementing necessary nutrients can be a helpful way to alleviate the manifestations of endometriosis – sometimes even to a level where you are not aware of the disease. However, it cannot be said that endometriosis is completely gone, as some symptoms may still return, even temporarily, for example, during periods of increased stress, changes in diet, or lifestyle.
Do you suspect endometriosis?
Has your doctor diagnosed you with endometriosis or do you suspect it? Are you confused by conflicting information and need a simple overview and practical steps you can take?
Download the guide, which will provide you with the necessary basics and tips on how to reduce endometriosis pain naturally through diet and lifestyle adjustments.

Femvie products that can help you
We have selected products related to this topic that can support your health:
- 🌿 Endometriosis Support Complex — a specially formulated supplement for women with endometriosis
- 📖 Guide: Anti-inflammatory diet for endometriosis — 6 + 1 ways to naturally reduce pain with nutrition
- 💊 Magnesium — supports muscle relaxation and spasm relief
- 🩹 Menstrual Patches — natural relief from painful menstruation
- 🎯 Endometriosis Support Pack — a complete set for daily support
Frequently Asked Questions
How do I know if I have endometriosis?
Endometriosis is characterized by severe painful menstruation, pain during intercourse, fatigue, and digestive problems. The only way to definitively confirm it is through laparoscopy. If your symptoms interfere with your daily life, consult a gynecologist.
How long does it take to get a diagnosis?
The average time from the first symptoms to a diagnosis of endometriosis in the Czech Republic is 7–10 years. Many women are dismissed for a long time with the argument that painful menstruation is normal.
Can endometriosis be treated naturally?
Endometriosis cannot be completely cured, but symptoms can be naturally alleviated with an anti-inflammatory diet, dietary supplements, exercise, and stress reduction. Natural support does not replace medical care but can significantly improve quality of life.
Are organic menstrual products better for women with endometriosis?
Yes. Conventional tampons and pads can contain pesticides and chemicals that irritate sensitive tissue. Femvie's organic cotton products are certified and free of harmful substances.