Understanding Endometriosis in the Workplace

Breaking the Silence: Understanding Endometriosis in the Workplace

Endometriosis is a chronic and often debilitating condition that affects 10% of women. Endometriosis can also affect transgender men, non-binary individuals, and gender-diverse people who have a uterus.

The impact of endometriosis extends far beyond personal health—it influences careers, workplace productivity, and overall well-being. Despite this, it remains one of the least understood and most overlooked health issues in the workplace.

Despite its prevalence, endometriosis is often dismissed as “just a bad period,” leaving many struggling in silence. In fact, research by APGG in People’s Magazine, shows that 1 in 6 with endometriosis are forced to leave their jobs due to the severity of their symptoms. This not only affects those living with the condition but also has economic consequences, with endometriosis-related costs amounting to an estimated £8.2 billion annually in the UK alone due to lost workdays, healthcare expenses, and diminished productivity.

For organisations committed to diversity, equity, and inclusion, recognising and addressing endometriosis in the workplace is crucial. Employees with endometriosis often experience chronic pain, fatigue, and mental health challenges, making everyday work tasks significantly harder. Without proper adjustments and support, many talented professionals may find themselves sidelined or unable to perform at their best.

In this blog, we will explore what endometriosis is, how it impacts individuals in the workplace, and—most importantly—what employers can do to foster a more inclusive and supportive work environment. From flexible work arrangements to awareness initiatives, small but meaningful changes can make a world of difference for employees navigating this challenging condition.

Let’s break the stigma, start the conversation and hopefully start to make a difference.

Graphic of where endometriosis is found - the graphic shows the wob, fallopian tubes, womb lining, ovaries and vagina.

What is Endometriosis?

Endometriosis – pronounced “en- doh – mee – tree – oh – sis”

Endometriosis occurs when cells similar to the ones in the lining of the womb (uterus) are found elsewhere in the body. These cells can grow and change in response to hormones in the menstrual cycle, this can cause inflammation, pain and scar tissue (Endometriosis UK)

The image shows a grey and white diagram of the uterus showing the womb, fallopian tubes, womb lining, ovaries, vagina and endometriosis. Diagram is from NHS UK

What Are the Symptoms of Endometriosis?

Symptoms of endometriosis can vary significantly from person to person, with some experiencing severe discomfort and others having mild or no symptoms at all.

The most common symptoms include:

  • Chronic pelvic pain in the lower abdomen or pelvis, often worsening during menstruation.
  • Painful periods which include severe cramping and pain before and during menstruation.
  • Pain during or intercourse, which can impact intimate relationships.
  • Painful bowel movements or urination. Again, this can be particularly noticeable during menstruation.
  • Heavy or irregular periods.
  • Ongoing exhaustion, even with rest.
  • For some endometriosis can affect the reproductive organs.
  • Digestive issues such as bloating, nausea, diarrhoea, and constipation – Endometriosis can often be misdiagnosed as irritable bowel syndrome (IBS).

What is menstruation?

Menstruation, commonly known as a period, is the natural monthly shedding of the womb lining (endometrium) when pregnancy does not occur. For most, menstruation is a normal bodily function, but conditions like endometriosis can make periods significantly more painful and disruptive.

What are the types of endometrioses?

In the UK, the National Institute for Health and Care Excellence (NICE), British Society for Gynaecological Endoscopy (BSGE) refer to three types of endometriosis.

  1. Deep endometriosis – found 5mm or more below the tissue surface. It can be found in locations such as the bladder, bowel and recto-vaginal septum (tissue separating the vagina and the rectum).
  2. Peritoneal (superficial) endometriosis – is found mainly on the surface of the lining (the peritoneum)
  3. Ovarian endometriosis (endometriomas) – is when endometriosis cysts are found in the ovaries.

Endometriosis in the Workplace

Endometriosis can have a significant impact on someone’s ability to work effectively and can lead to:

  • Absenteeism – employees may need time off for severe pain, flare-ups, or medical appointments.
  • Reduced productivity – suffering from chronic pain and fatigue can impact your employees focus, efficiency, and overall job performance.
  • Difficulty sitting or standing for long periods – pain and discomfort may make it challenging to perform tasks that require prolonged sitting or physical activity.
  • Mental health – the ongoing pain and frustration of managing their symptoms can contribute to anxiety and depression.
  • Workplace stigma and lack of understanding – many employees may hesitate to disclose their condition due to fear of discrimination or lack of support from employers and colleagues.

It’s therefore so important that your organisation provides an inclusive environment and a psychological safe space to have these conversations.

What can an organisation do to support employees with Endometriosis?

Provide reasonable adjustments. For example:

  • Flexible work arrangements – allowing employees to work remotely, flexible hours, or the option to work from home during flare-ups.
  • Adequate rest breaks – providing additional short breaks throughout the day to manage pain and fatigue.
  • Access to a comfortable workspace – offering ergonomic seating, standing desks, or a quiet rest area for those experiencing discomfort.
  • Awareness and education – training managers and HR personnel to understand endometriosis and offer appropriate support.
  • Menstrual health policies – implementing policies that acknowledge and accommodate the needs of those with menstrual health conditions.
  • Coaching – provide your employees with strategy coaching so they can establish strategies to help them on bad days.

Raise awareness with colleagues:

  • Awareness and education – training your managers and HR personnel to understand endometriosis and offer appropriate support.
  • Raising Awareness in the workplace – providing resources and information for colleagues.
    • Becky Stearn, Client Consultant at neurobox share’s her lived experience living with endometriosis as a neurodifferent women. Listen to her recording.
  • Open communication and support networks – encouraging a workplace culture where employees feel safe discussing their health without stigma or fear of discrimination.
  • Set up an Employee Network (EN) focusing on women’s health. Sometimes it’s good just to have someone else to chat to and share your experience.

By fostering a supportive workplace, organisations can help employees with endometriosis feel valued, understood, and empowered to manage their condition while continuing to contribute effectively.

A combination of awareness, reasonable adjustments, and open communication can make a significant difference in both your employees well-being and overall workplace productivity.

Resources

Endometriosis is a serious condition. Let’s work together to break the stigma, provide meaningful support, and create a workplace where everyone can succeed.

Resources: