Exhaustion / Fatigue as a symptom of endometriosis

How common is the symptom Exhaustion / Fatigue among people with endometriosis?

97,35% of people with endometriosis reported Exhaustion / Fatigue as a symptom of endometriosis in our survey.

How common is the symptom Exhaustion / Fatigue among people with endometriosis compared to the non-affected group?

44,84% of people with endometriosis suffer from the symptom Exhaustion / Fatigue very strong compared to a prevalence of 7,55% among non-affected individuals.
The following table shows the symptom Exhaustion / Fatigue in people with endometriosis compared to non-affected individuals. The scale ranges from 1 (not at all) to 5 (very strong).

Symptom Exhaustion / Fatigue in endometriosis - comparison with control group

Exhaustion / Fatigue in endometriosis
(n = 1735)
2,65%
4,44%
14,18%
33,89%
44,84%
Exhaustion / Fatigue in non-affected individuals
(n = 159)
22,64%
27,04%
23,27%
19,50%
7,55%

Tabular comparison of the prevalence of Exhaustion / Fatigue

Symptom severity Endometriosis Non-affected Comparison
not at all 2,65% 22,64% -19,99%
slightly 4,44% 27,04% -22,61%
moderate 14,18% 23,27% -9,09%
strong 33,89% 19,50% 14,39%
very strong 44,84% 7,55% 37,29%

Symptoms that could be related to Exhaustion / Fatigue

Based on the datasets, we calculated the Kendall correlation. The following symptoms could be related to Exhaustion / Fatigue.

Symptom name Correlation
Depression moderate correlation (34,00%)
Nausea moderate correlation (30,00%)
Bloated belly / Endo-Belly weak correlation (29,00%)
Dizziness weak correlation (29,00%)
Joint pain weak correlation (29,00%)
Back pain weak correlation (28,00%)
Abdominal pain outside the lower abdomen weak correlation (28,00%)
Limb pain weak correlation (28,00%)
Leg pain weak correlation (27,00%)
Shortness of breath weak correlation (26,00%)
Feeling cold / shivering weak correlation (25,00%)
Headaches / Migraine weak correlation (25,00%)
Chills weak correlation (24,00%)
Numbness in legs weak correlation (24,00%)
Pain during bowel movements weak correlation (24,00%)
Flatulence weak correlation (24,00%)
Kidney pain weak correlation (23,00%)
Lower abdominal pain weak correlation (23,00%)
Shoulder pain weak correlation (23,00%)
Food cravings weak correlation (23,00%)
Hot flashes weak correlation (21,00%)
Frequent urination weak correlation (21,00%)
Pain after intercourse weak correlation (21,00%)
Pain during urination weak correlation (20,00%)

Exhaustion / Fatigue in endometriosis

Fatigue is a so-called syndrome, meaning a collection of different symptoms. Fatigue is defined as an “extraordinary tiredness, insufficient energy reserves, or a markedly increased need for rest that is completely disproportionate to preceding changes in activity.” Thus, fatigue is not a mere fluctuation in how you feel, but a pathological exhaustion. It cannot be resolved by sufficient sleep or other normal recovery mechanisms. Fatigue can occur in connection with a number of conditions; endometriosis is one possible cause of fatigue. Importantly, scientific studies now show that this pathological exhaustion in women with endometriosis is indeed causally related to endometriosis.

Fatigue manifests with the following symptoms:

  • Emotional and physical weakness
  • Impaired concentration
  • Lack of motivation: your energy barely suffices for daily tasks and certainly not for leisure
  • Sleep disturbances
  • Reduced physical tolerance for exertion

As a consequence, you may withdraw socially and miss work.

Depending on the study, 50 to 70 percent of women with endometriosis also experience fatigue. The symptoms usually occur shortly before and during your period. Symptoms are particularly pronounced in women who also have lower abdominal pain, period pain (dysmenorrhea), and pain during sexual intercourse (dyspareunia) outside the period. The symptoms also intensify with heavier bleeding and greater pain.

If you have endometriosis and fatigue, the first step is to clarify what is causing this pathological exhaustion. If endometriosis is the cause, treatment involves several components and is tailored individually to you.

  • Treatment of endometriosis: surgery, hormonal therapy
  • Pain management: pharmacologic therapy, nutrition, exercise
  • Reduction of bleeding intensity: extended-cycle regimen
  • Stress reduction: relaxation techniques
  • Optimization of sleep patterns: sleep hygiene measures
  • Treatment of depression: specialist care (medication and therapy)

Did you know that you can also have a big influence on endometriosis symptoms yourself? In the Endo App you learn self-management techniques for endometriosis and find many interactive exercises to relieve symptoms.