As we observe Endometriosis Awareness Week, medical experts and women who have been diagnosed with the condition are shedding light on its profound impact on daily life. Endometriosis affects approximately 1 in 10 women and is one of the leading causes of infertility.

Recognizing the Symptoms
Initial symptoms of endometriosis often include dysmenorrhea, or painful periods. Another symptom to watch for is dyspareunia, which refers to persistent or recurrent genital pain occurring before, during, or after intercourse. Additionally, dysuria (pain during urination) and dyschezia (pain during defecation) are common signs of the condition.

Dr. Lusanda Shimange-Matsose, a gynecologist and fertility specialist at MedFem, stresses that when these symptoms begin to significantly affect a woman’s quality of life, seeking medical help is crucial.

“We always refer to the 4 D’s – you may experience all or just some of them. And sometimes, women aren’t even aware that these symptoms are problematic,” she explains. 

“When I ask patients about painful periods, I also ask whether this pain interferes with their quality of life.”

The Psychological Impact on Teenagers
Fertility psychologist Lindelwa Mkhabela, from Femicare Fertility, highlights the rising concerns surrounding teenagers with endometriosis in South Africa.

“We see many anxiety-related symptoms, especially in younger women. They often report worrying about the anticipated pain between cycles, with a lot of mental rumination about what might happen when the pain returns. This anxiety leads to a loss of function and contributes to panic-like symptoms.”

Watch powerful testimonies from endometriosis patients and medical professionals about the symptoms.