Not all digestive discomfort is about food—sometimes it’s endometriosis. Discover the connection between gastrointestinal symptoms and endometriosis. Learn how to recognize digestive signs that may signal this chronic gynecological condition and how EndoGlobal Group can help. Introduction:When the Gut Speaks for the Womb Bloating, constipation, diarrhea, or abdominal pain are often attributed to irritable bowel …
Not all digestive discomfort is about food—sometimes it’s endometriosis.
Discover the connection between gastrointestinal symptoms and endometriosis. Learn how to recognize digestive signs that may signal this chronic gynecological condition and how EndoGlobal Group can help.
Introduction:When the Gut Speaks for the Womb
Bloating, constipation, diarrhea, or abdominal pain are often attributed to irritable bowel syndrome (IBS) or poor diet. However, in many women—especially those of reproductive age—these symptoms may actually be signs of endometriosis. At EndoGlobal Group, we frequently encounter patients misdiagnosed for years with digestive disorders, when the real cause is gynecological.
Listening to your gut could help diagnose your uterus.
1. Why Endometriosis Affects the Digestive System
Endometriosis occurs when endometrial-like tissue grows outside the uterus, including in the bowel, rectovaginal septum, and peritoneum. These implants respond to hormones just like the uterus, causing inflammation, pain, and scar tissue that can affect intestinal function.
2. Common Intestinal Symptoms in Endometriosis
Bloating or abdominal distension (“endo belly”)
Painful bowel movements, especially before or during menstruation
Constipation alternating with diarrhea
Rectal pain or bleeding during periods
Nausea or vomiting associated with the menstrual cycle
Gas and cramping without dietary triggers
These symptoms are often cyclical, worsening during menstruation.
If your digestive issues follow your cycle, it may not be your gut—it may be endometriosis.

Many women with endometriosis are first misdiagnosed with IBS, leading to years of unnecessary treatments.
4. Diagnosis: How EndoGlobal Group Identifies Bowel Endometriosis
Pelvic ultrasound and transvaginal sonography with bowel prep
MRI with rectal and vaginal contrast gel for mapping deep infiltrating endometriosis
Laparoscopy for definitive diagnosis and treatment
Our diagnostic protocols are specifically designed to detect bowel involvement, which is often missed in standard imaging.
5. Treatment Options for Bowel-Related Endometriosis
Medical Management
Hormonal therapy (progestins, GnRH agonists, continuous birth control pills)
Anti-inflammatory diet guidance
Pain management
Surgical Treatment
Laparoscopic excision of deep infiltrating lesions
Segmental bowel resection (when necessary)
Multidisciplinary surgical approach (gynecologists + colorectal surgeons)
Surgery at EndoGlobal Group is performed by specialized teams to ensure precise and safe removal of endometriotic tissue.
6. When to Seek Help
You should see a specialist if you have:
Persistent digestive symptoms that worsen with your menstrual cycle
History of endometriosis or infertility
Previously diagnosed IBS with poor treatment response
Pelvic pain with bowel movements or during sex
Conclusion: Trust Your Symptoms
Endometriosis is a complex condition that often disguises itself as gastrointestinal distress. If you suspect your symptoms are more than dietary or functional, trust your intuition and seek specialized care. At EndoGlobal Group, we are committed to offering expert diagnosis, compassionate care, and effective treatment.
Your pain is real—and we’re here to help you find real answers.
Contact Us Today
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Article written by Dr. Fabián Walters Arballo, Specialist in Reproductive Endocrinology and Minimally Invasive Surgery, EndoGlobal Group.
This content is for informational purposes only and does not replace personalized medical consultation