A Cycle of Chronic Pain and Psychological Distress

Living with endometriosis often means enduring relentless physical pain. Chronic pain can lead to increased levels of cortisol, the stress hormone, which in turn can heighten anxiety and lower one’s threshold for handling further stressors. For many, the physical discomfort of endometriosis is matched—or even exceeded—by the emotional weight of living with an unpredictable, often misunderstood condition.

Depression and Anxiety

Studies have shown that individuals with endometriosis are significantly more likely to experience depression and anxiety. This is no surprise, considering the condition often impacts one’s ability to work, maintain an active social life, and even engage in basic self-care. Pain flare-ups can be isolating, leading to feelings of loneliness and hopelessness. Furthermore, uncertainty about when symptoms might strike next can create an ongoing state of anxiety.

Body Image and Self-Esteem Issues

Endometriosis often affects self-esteem, particularly for those who experience infertility, bloating, or weight fluctuations as part of their symptoms. The societal pressure to maintain a certain image, combined with the emotional toll of not being able to meet cultural or personal expectations regarding fertility, can exacerbate feelings of inadequacy and low self-worth.

The Hidden Grief of Endometriosis

Endometriosis often brings with it a sense of loss—loss of health, normalcy, and sometimes the ability to have biological children. This grief can be ongoing, compounded by frustration over medical dismissals or delayed diagnoses, which average seven to ten years. Unprocessed grief can fuel feelings of anger, sadness, and resentment, creating a barrier to mental and emotional healing.