An education piece by Naturalist
Hidden signs and symptoms of endometriosis you might be missing
When most people think of endometriosis, they imagine severe period pain. While painful periods are a hallmark symptom, the reality is far more complex and many people with endometriosis experience symptoms that aren’t always linked to their menstrual cycle.
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Could your symptoms be endometriosis?
Endometriosis is often associated with pelvic pain and heavy periods, but its manifestations can be diverse and sometimes unexpected. Recognising these lesser-known signs is crucial for timely diagnosis and effective management.
Chronic fatigue
Persistent fatigue that doesn't improve with rest can be a symptom of endometriosis. The chronic inflammation and hormonal imbalances associated with the condition may contribute to this overwhelming tiredness.
Gastrointestinal issues
Symptoms like bloating, diarrhea, constipation, and nausea especially when cyclical can be mistaken for IBS. However, they may indicate endometriosis affecting the gastrointestinal tract.
Urinary problems
Painful urination, frequent urges, or blood in the urine during menstruation can suggest endometriosis involving the bladder or urinary tract.
Nerve pain
Endometriosis can affect nerves, leading to pain in areas like the lower back, legs, or even the sciatic nerve, causing symptoms similar to sciatica.
Pain during or after sex
Deep pain during or after intercourse is a common but often overlooked symptom of endometriosis, potentially affecting relationships and emotional well-being.
Chest or shoulder pain
In rare cases, endometrial tissue can implant in the diaphragm or lungs, leading to chest or shoulder pain especially during menstruation.
Heavy or irregular bleeding
Experiencing unusually heavy periods or bleeding between periods can be a sign of endometriosis, particularly when accompanied by other symptoms.
Infertility
Difficulty conceiving may be the first noticeable symptom for some individuals, as endometriosis can affect fertility by causing inflammation and scarring.
Take the next step
If you're experiencing any of these symptoms, it’s important to consult with a healthcare professional for proper evaluation and diagnosis. Early detection and a comprehensive treatment plan can significantly improve quality of life.
To receive instant support download my free guide to managing endometriosis natrually: Download here
Read 'how gut health affects endometriosis and what you can do about it' - and how your estrobolome could be part of the puzzle.

If you are ready to make change, I want to work with you.
Reading blogs is a great start, but real change happens when you have a plan that’s tailored to you. If you’re ready to move from research into action, I’d love to support you. Book a free discovery call and let’s explore how we can work together on your health journey.

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Hidden signs and symptoms of endometriosis you might be missing
When most people think of endometriosis, they imagine severe period pain. While painful periods are a hallmark symptom, the reality is far more complex and many people with endometriosis experience symptoms that aren’t always linked to their menstrual cycle.
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Two ways to work with me
Everyone’s health journey is different. Some people need focused guidance on a specific issue, while others need deeper, ongoing support to address complex or long-standing symptoms.
Here are the two ways you can work with me.
Best for: Targeted concerns, short-term guidance, or those who want support around a specific issue.
Standard naturopathic consultations are designed to provide individualised advice, education, and recommendations based on your symptoms, history, and goals.
This option may include:
-
One-off or occasional consultations
-
Nutrition, lifestyle, herbal, and supplement guidance
-
Review of existing blood work or test results
-
Practical strategies you can implement independently
This approach works well if:
-
Your symptoms are mild to moderate
-
You’re looking for direction rather than ongoing support
-
You prefer to manage implementation on your own between sessions
Standard support offers flexibility and professional guidance, but progress depends largely on how consistently recommendations are applied and followed up.
-
Best for: Women with endometriosis, PCOS or complex hormonal symptoms who want clarity, structure, and ongoing guidance rather than trial-and-error.
The Thrive programs are comprehensive, multi-phase support pathways designed to address the root drivers of symptoms using functional testing, personalised treatment plans, and consistent 1:1 care.
Rather than isolated appointments, Thrive provides an integrated framework where testing, interpretation, treatment, and support are connected and adjusted as your body responds.
Inside Thrive, you receive:
-
Advanced functional testing and interpretation
-
A personalised, phased treatment plan
-
Ongoing 1:1 practitioner support
-
Access to the Thrive hub, resources, and protocols
-
Structured guidance so you know what to focus on at each stage
The program begins with an initial 1–2 month stabilisation and clarity phase, where we identify what’s driving your symptoms and support the systems under the most strain. From there, you can choose to continue into the full program for deeper treatment and long-term support.
This approach is ideal if:
-
You’ve tried many things and still feel stuck
-
Your symptoms are complex, cyclical, or worsening
-
You want to stop guessing and be guided step-by-step
-
You value ongoing support, accountability, and adjustment
Thrive is designed to take the pressure off you to figure everything out alone. It’s structured, personalised care that adapts to your body not a one-size-fits-all protocol.
-
If you’re unsure which level of support best suits your needs, the first step is a Discovery Call.
This is a supportive conversation where we explore what’s been going on, what you’ve tried, and whether standard support or a Thrive program is the most appropriate next step.
Best for: Targeted concerns, short-term guidance, or those who want support around a specific issue.
Standard naturopathic consultations are designed to provide individualised advice, education, and recommendations based on your symptoms, history, and goals.
This option may include:
-
One-off or occasional consultations
-
Nutrition, lifestyle, herbal, and supplement guidance
-
Review of existing blood work or test results
-
Practical strategies you can implement independently
This approach works well if:
-
Your symptoms are mild to moderate
-
You’re looking for direction rather than ongoing support
-
You prefer to manage implementation on your own between sessions
Standard support offers flexibility and professional guidance, but progress depends largely on how consistently recommendations are applied and followed up.
-
Best for: Women with endometriosis, PCOS or complex hormonal symptoms who want clarity, structure, and ongoing guidance rather than trial-and-error.
The Thrive programs are comprehensive, multi-phase support pathways designed to address the root drivers of symptoms using functional testing, personalised treatment plans, and consistent 1:1 care.
Rather than isolated appointments, Thrive provides an integrated framework where testing, interpretation, treatment, and support are connected and adjusted as your body responds.
Inside Thrive, you receive:
-
Advanced functional testing and interpretation
-
A personalised, phased treatment plan
-
Ongoing 1:1 practitioner support
-
Access to the Thrive hub, resources, and protocols
-
Structured guidance so you know what to focus on at each stage
The program begins with an initial 1–2 month stabilisation and clarity phase, where we identify what’s driving your symptoms and support the systems under the most strain. From there, you can choose to continue into the full program for deeper treatment and long-term support.
This approach is ideal if:
-
You’ve tried many things and still feel stuck
-
Your symptoms are complex, cyclical, or worsening
-
You want to stop guessing and be guided step-by-step
-
You value ongoing support, accountability, and adjustment
Thrive is designed to take the pressure off you to figure everything out alone. It’s structured, personalised care that adapts to your body not a one-size-fits-all protocol.
-
If you’re unsure which level of support best suits your needs, the first step is a Discovery Call.
This is a supportive conversation where we explore what’s been going on, what you’ve tried, and whether standard support or a Thrive program is the most appropriate next step.
