Endometriosis & Menopause: What You Need To Know

Dear MHI reader,

As you approach or go through menopause, you may wonder how it affects endometriosis. While many women experience relief due to falling oestrogen levels, others may continue to feel discomfort or pain even after their menstrual cycle stops.

It’s important to know that endometriosis can persist beyond menopause, especially if:

1. Endometrial lesions were never fully removed.
2. Hormone replacement therapy (HRT) reactivates dormant tissue.
3. Other underlying health issues are contributing to pelvic pain.

Common post-menopause symptoms

Common post-menopause symptoms include:

• Ongoing pelvic or lower back pain
• Bloating and digestive issues
• Spotting or unexpected vaginal bleeding
• Pain during intercourse or bowel movements

If you notice these signs, it’s important to consult your GP or gynaecologist. Endometriosis doesn’t always “go away” with age, and ongoing management may be necessary.

Tips for managing endometriosis after menopause:

Treating endometriosis after menopause is absolutely possible.

• Review HRT options with a specialist
• Explore dietary and lifestyle changes
• Stay active with low-impact exercise
• Prioritise mental wellbeing and support

While menopause often brings some relief from endometriosis symptoms, it doesn’t always mark the end of the condition. For some women, pain and other symptoms may continue or even resurface due to factors like residual lesions or the use of hormone therapy. 

That’s why it’s essential to listen to your body, seek medical guidance, and explore personalised treatment options. 

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