Endometriosis can cause feelings of constant tiredness and exhaustion. It can often affect a person’s overall quality of life and make it difficult to complete daily activities.

Endometriosis is a chronic condition in which cells similar to those found in the lining of the uterus (womb) grow elsewhere in the body. It commonly causes symptoms such as severe pelvic pain and inflammation, which can worsen during menstruation.

Endometriosis can also lead to feelings of severe tiredness and fatigue, which is often a common symptom of inflammatory conditions. In fact, a 2019 study found that around 3 in 4 people with endometriosis experience mild to severe fatigue.

Learn more about the potential causes of endometriosis and tiredness and how it can be managed.

Many people with endometriosis report a feeling of constant exhaustion or fatigue. However, this is often an under-researched symptom, as studies tend to focus on the link between endometriosis and menstrual pain. Further research is still needed to understand why endometriosis fatigue occurs and how it can be managed.

Tiredness and fatigue can lead to further symptoms such as:

People with endometriosis and fatigue are also more likely to experience heart palpitations. While these are typically harmless, if you get heart palpitations regularly or they last longer than a few minutes, it is important to speak with a healthcare professional. They can monitor your symptoms and rule out any cause for concern.

Endometriosis can result in tiredness or fatigue for several reasons. This includes:

  • Inflammation: Inflammatory conditions such as endometriosis are more likely to contribute to fatigue symptoms. Studies have found that this occurs as the immune system demands more energy to combat inflammation, which leaves less for motivation-driven energy, such as fulfilling day-to-day tasks.
  • Iron-deficiency anemia: Endometriosis can often result in heavy menstrual bleeding, which, if experienced regularly, can increase your risk of iron deficiency anemia. This can lead to symptoms such as fatigue and low energy.
  • Low mood: Studies have found that pain resulting from endometriosis can increase the chance of experiencing mental health conditions such as depression and anxiety. These conditions can make it more likely for you to feel tired and reduce the motivation to complete your regular activities.
  • Reduced movement: Endometriosis can result in severe pelvic pain and inflammation throughout the body, which can reduce a person’s ability to get enough movement and exercise in their day. This can result in regular bouts of low energy and fatigue.

If you’re experiencing symptoms of endometriosis, such as pain, tiredness, and fatigue, there are several ways you can manage this, including:

  • Maintaining a healthy sleep schedule: The Centers for Disease Control and Prevention (CDC) recommends adults get at least 7 hours of sleep each day.
  • Scheduling activities: Where possible, it can be beneficial to plan activities that require more energy at certain points of the day. For example, if you often find yourself with more energy during the evenings, it may be useful to schedule high lift errands or activities at this time. This can also help you carve out dedicated time for rest.
  • Practicing mindfulness: Mindful practices such as meditation or yoga can help improve overall mood and decrease the likelihood of depressive symptoms, which can lead to tiredness.
  • Reduce stressors: Trying to reduce stressors where possible can be helpful in conserving energy.

If you live with endometriosis, there are several treatment options that can help provide relief and reduce the severity of symptoms.

A healthcare professional, such as a gynecologist, can help you determine the best treatment plan for your needs.

Common treatment options for endometriosis include:

  • Pain relievers: Over-the-counter pain relievers like ibuprofen can help reduce inflammation in the body,
  • Birth control pills: Birth control is one of the most common forms of treatment for endometriosis and can help reduce symptoms, such as pain and heavy menstrual bleeding.
  • GnRH (gonadotropin-releasing hormone) agonists: These medications work by preventing estrogen development and ovulation from occurring, which can help stop further endometrial growth.

In severe cases of endometriosis, a doctor may suggest surgery. The most common surgery used to treat endometriosis is a laparoscopy. It involves a surgeon inserting a camera into the abdomen to remove excess tissue and adhesions. It can also help confirm a diagnosis of endometriosis.

What does endometriosis fatigue feel like?

People with endometriosis fatigue often report a feeling of constant exhaustion. It can also cause further symptoms, such as insomnia, nausea, and difficulty focusing.

Should you rest with endometriosis?

If you have endometriosis, it is important to ensure regular rest where possible. This can help to maintain energy levels and decrease overall pain.

Endometriosis can cause constant tiredness and exhaustion. It can often affect a person’s overall quality of life and make it difficult to complete daily activities.

Maintaining a healthy sleep routine and scheduling daily activities based on your energy levels can help you manage your symptoms.

If endometriosis symptoms are affecting your daily life, consider speaking with a healthcare professional such as a gynecologist. They can create an effective treatment plan based on your individual needs.