Recognising the Symptoms of Endometriosis

What is Endometriosis

Endometriosis is a common gynaecological disorder thought to affect up to 10% of reproductive-aged women[i] worldwide. In people with endometriosis, tissue that normally lines the inside of the uterus (the endometrium) starts to grow in other parts of the reproductive system. Endometriosis most commonly affects[ii] the ovaries, fallopian tubes, and tissues lining the pelvis.

Endometriosis is a chronic and often debilitating disease that can cause severe pelvic pain and menstrual cramps, nausea, and fatigue. The condition may lead to other serious conditions such as depression, anxiety, and infertility.

Signs and Symptoms of Endometriosis

Endometriosis is often characterized by severe pelvic pain, but some people with the disorder may experience little or no pain. It is important to note that the degree of pain does not indicate the severity of the condition[iii], and there are several other signs and symptoms of endometriosis to watch out for.

  • Excessively painful menstrual cramps
  • Menstrual cramps 1 or 2 weeks around the time of your period
  • Heavy bleeding during periods
  • Bleeding between periods
  • Pain during sex
  • Pain or discomfort during bowel movements
  • Pain or discomfort during urination
  • Other gastrointestinal problems during periods
    (e.g. constipation, diarrhea, nausea, bloating)
  • Lower back pain that may occur at any point of your menstrual cycle
  • Infertility

Despite being one of the most common gynaecological diseases among girls and women, endometriosis frequently goes undiagnosed.[iv] As abdominal pain is one of the main symptoms associated with the condition, women’s symptoms are often mistaken for those of normal menstruation, and their concerns dismissed. On average, a woman in the United States will wait 10 years for a formal diagnosis of endometriosis.

What Should You do if You Think You Have Endometriosis?

If you think you might have endometriosis, make an appointment with either Dr Lisa Joels, Obstetrician & Gynaecologist (OBGYN) or Dr Madhavi Manoharan, Obstetrician & Gynaecologist (OBGYN) to discuss your symptoms. They will be happy to assess your symptoms, and advise you on the best treatment options available to you.

For more information on our Endometriosis Care & Services in Cayman, please go to:








Dr Lisa Joels

Obstetrician & Gynaecologist
Tel: +1 (345) 745 7450 (clinic)
Email: [email protected]

Dr Joels has 36 years’ experience in obstetrics and gynaecology including 19 years as a Consultant working in Swansea (2001-11) and subsequently at the Royal Devon & Exeter NHS Foundations Trust in the UK (2011-20). She was lead clinician for prestigious Fertility Exeter and is passionate about women-centred care.


  • Obstetric Services (Pregnancy)
  • High-Risk Obstetric Service
  • Fertility Services
  • Gynaecology Care & Surgery
  • Paediatric & Adolescent Gynaecology

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Dr Madhavi Manoharan

Obstetrician & Gynaecologist
Tel: +1 (345) 745 7450 (clinic)
Email: [email protected]

Dr Manoharan has 23 years’ experience in obstetrics and gynaecology, including more than a decade at tertiary level, 7 years as consultant at the prestigious Royal Free London NHS Foundation Trust and a number of years as Assistant Professor at the world-renowned Weil Cornell Medicine, located in their Qatar campus, part of Cornell University.


  • Obstetric Services (Pregnancy)
  • High-Risk Obstetric Service
  • Fetal-Maternal Medicine
  • Gynaecology Care & Surgery
  • Coloposcopy (Accredited)

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Clinic Location & Open Times

The Grand Pavilion Commercial Centre, Hibiscus Way, 802 West Bay Road.

  • Monday to Friday: 8.30am first appointment, 4.30pm last appointment
  • Saturday: 8.30am first appointment, 12.30pm last appointment

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