What Is Endometriosis?

What Is Endometriosis?

Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus, settling on the ovaries, fallopian tubes, and surrounding pelvic structures. In rare cases, these growths extend beyond the pelvis. 

Like the uterine lining, this misplaced tissue thickens, breaks down, and bleeds with each menstrual cycle. However, without a way to exit the body, the blood and shed tissue accumulate in the affected areas, potentially leading to inflammation. This, in turn, can trigger scarring, irritation, and the formation of adhesions.

According to the World Health Organization, endometriosis impacts approximately 10% (190 million) of women and girls of reproductive age worldwide. It can cause chronic pain during shared pleasure, disrupting the natural flow of intimacy and connection. Managing this condition requires a deeper understanding of one’s body, along with patience, self-compassion, and a mindful approach to well-being.

The Causes of Endometriosis

The exact cause of endometriosis remains unclear, but one possible explanation is retrograde menstruation. Instead of exiting the body, menstrual blood flows backward through the fallopian tubes into the pelvic cavity. 

Some experts believe that hormonal imbalances or immune system issues may trigger abdominal cells to behave like endometrial tissue. Additionally, a compromised immune system might struggle to identify and remove misplaced endometrial-like cells, allowing them to grow and spread.

Recognizing the Symptoms of Endometriosis

Endometriosis manifests in a variety of ways and can significantly impact daily life, sensual exploration, and overall well-being. Below are common symptoms:

• Painful Periods — Discomfort typically begins before menstruation and lasts throughout the menstrual flow. Many individuals experience severe cramping (dysmenorrhea) and deep pain during partnered intimacy (dyspareunia). The pain can also radiate to musculoskeletal areas, such as the lower back, thighs, or flanks.

• Pain During Intercourse — Discomfort during or after intimate moments is another frequent complaint.

• Excessive Bleeding — Some individuals experience heavy menstrual bleeding (menorrhagia) or spotting between periods.

• Infertility — Endometriosis can affect fertility, especially in moderate to severe cases where the ovaries and fallopian tubes are impacted.

• Pain With Urination Or Bowel Movements — These are more likely to occur before or during menstruation.

• Increased Risk Of Autoimmune Conditions — Endometriosis has been associated with a higher risk of autoimmune disorders, including hypothyroidism, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome, and multiple sclerosis.

• Other Symptoms — Additional signs of endometriosis include fatigue, bloating, nausea, and digestive issues such as diarrhea or constipation. 

Knowing the symptoms of endometriosis is the first step toward finding relief. Listening to your body and seeking support can make a meaningful difference in managing pain and nurturing sexual wellness.

How Endometriosis Affects Intimate Moments

Many individuals with endometriosis experience deep sexual pain and a decline in sexual satisfaction. The condition can also affect arousal and vaginal lubrication, leading to discomfort during partnered encounters or solo exploration. Over time, these challenges may create emotional strain, contributing to feelings of frustration, anxiety, or disconnection in intimate relationships.

Understanding what endometriosis is can help in recognizing early signs. Watch out for your body’s cues — intense, lingering period pain and heavy bleeding may signal something more. If you suspect endometriosis, seek the guidance of a physician for a thorough evaluation. Diagnosis often involves an analysis of your medical history, a physical exam, and a surgical procedure called laparoscopy to gain deeper insight.

With early care and targeted treatment, it’s possible to ease discomfort and restore a sense of balance and well-being.

How To Manage Endometriosis Pain During Intercourse

Pain caused by endometriosis does not have to mean an end to pleasure. There are ways to explore your desires with confidence and ease:

• Ease Into Sensation — Take your time. There’s no need to rush intimacy. If penetration feels sharp and painful at first, allow yourself to linger in the softness of foreplay. Gentle, unhurried touches along erogenous zones can awaken the body’s natural lubrication, easing tension and friction. A silky, water-based lubricant can also create a more comfortable and sensuous experience. 

• Explore Different Positions — Being on top may allow for greater control over depth and movement, letting you regulate penetration in a way that feels pleasurable. Experiment with angles and pacing to discover what works best for your body.

• Redefine Intimacy — Intimacy is not solely defined by penetration. If discomfort persists, consider alternative ways to enhance arousal — sensual massage, oral exploration, or mutual self-pleasure can all create moments of closeness. Experiment with female sex toys and pleasure devices for partners to discover what feels best for your body.

• Open The Conversation — Meaningful intimacy thrives on trust and communication. Share what brings you pleasure, and if discomfort arises, gently guide your partner toward movements that feel better for your body. Slower rhythms, shallower penetration, or external sensations can foster a more harmonious and satisfying experience for both of you.

• Seek Professional Guidance — Pain during intimacy is not something you have to face alone. Consulting a gynecologist, pelvic floor therapist, or sex therapist can help you get specialized care and tailored strategies. Couples counseling may also offer a supportive space to tackle these challenges together.

Experience Safe And Gentle Pleasure At Your Own Pace With iroha

Living with endometriosis means navigating a unique relationship with your body. Honoring its rhythms and embracing gentle exploration can help you reclaim moments of joy and relaxation.

At iroha, our pleasure products are thoughtfully designed to support this journey. Our collection includes a range of vibrators — bullet, egg, clitoral, and G-spot devices — all designed to suit different preferences and sensitivities. These devices are crafted with skin-kind materials and feature adjustable settings. Easy to clean and simple to use, they offer a simple way to indulge in self-love and relaxation.

Take your time, honor your body's needs, and discover pleasure in a way that feels natural. Explore our selection and find new ways to deepen connections and celebrate your desires.