Loving a woman with endometriosis: a husband’s perspective.

There are frequently asked questions about endometriosis that come to the minds of many men because loving a woman with endometriosis can be hard and challenging at times.


Endometriosis for Men

    This is a guide for boyfriends, fiancés, and husbands dealing with endometriosis because every single one of us needs to know how to make the lives of our chronically ill ladies easier.

    Let’s start from the beginning because as your relationship evolves, you will have many questions. This guide is for men of all stages of their relationship, I wanted every guy to find here something useful.

    Let’s start from scratch…

    1. What is endometriosis?
    2. How to date a girl with endometriosis?
    3. Should you marry someone with endometriosis?
    4. How to help my wife with endometriosis?
    5. My wife has no desire for sex, what can I do?
    6. Can you get pregnant with endometriosis?
    7. How to understand the complexity of endometriosis-related pain?

    Loving a woman with endometriosis seems complex, but it doesn’t have to be!

    Below you will find short answers to the above questions, and further down I explain it all in more detail...

    1. What is endometriosis?

    Endometriosis is a condition where tissue similar to the lining of the womb starts to grow in other places, such as the ovaries and Fallopian tubes.

    Endometriosis can affect women of any age.

    It’s a long-term condition that affects 10% of the female population worldwide but is extremely difficult to diagnose.

    The struggle that women have trying to get a diagnosis for this condition often results in them suffering mental health problems, as was the case for my wife.

    If you want to learn more about endometriosis, I wrote an “Endo-Tool, Endometriosis for Men” e-Book.

    You can get the 1st Chapter of the e-Book for FREE, and if you like it, you’ll get a Whopping 33% Discount on the Whole Book, plus discounts on other helpful tools. You have nothing to lose but a lot to gain!

    The first chapter alone contains all the comprehensive medical knowledge about endometriosis, including:

    • What is endometriosis?
    • What are the symptoms?
    • What causes endometriosis?
    • What does endometriosis look like?
    • What are the stages?
    • What are the types?
    • What is adenomyosis and how is it related to endometriosis?
    • Why do some women develop severe endo and others don’t?
    • Does endometriosis cause infertility?
    • How is endometriosis diagnosed?
    • Do types and stages affect the treatment?
    • Recurrence of endometriosis after excision surgery.

    FREE Chapter of “Endo-Tool”

    Endometriosis e-Book for Men

    FREE Endo-Tool e-Book yellow image

      2. How to date a girl with endometriosis?

      Endometriosis can negatively impact any relationship. For a guy, the word itself sounds very alien, let alone the complexity of this disease.

      For a girl, it can be uncomfortable to have a sex conversation because she has to explain a lot beforehand.

      For some guys this can be off-putting, not to mention the surgical scars across her belly.

      After telling their partner they have to be gentle on them, because of endometriosis, because it can cause friction inside, guys don’t necessarily like that.

      3. Should you marry someone with endometriosis?

      Yes. Because endometriosis doesn’t define a woman!

      Yes, it’s a chronic disease, but think about it guys – would you like to be looked at differently if you were, let’s say, impotent?

      Nonsense! Exactly, no illness should define a person. If you love someone, you love them in sickness and in health.

      And for all of you lovely ladies, as I say to my wife – you’re not ugly, you’re beautiful, and even if you can’t see it, I can.

      4. How to help my wife with endometriosis?

      Do your own research about endometriosis because it is a difficult disease to understand.

      You will never fully understand what she’s going through, but you need to make an effort and try to understand her needs.

      Support her decisions, no matter how meaningless they may sound to you, they are important to her.

      Understand this is a chronic illness, it won’t go away, and you have to stand for her, not against her.

      5. My wife has no desire for sex, what can I do?

      Let’s face it, this is a tough one to crack, or is it..?

      Gents, sex isn’t always about penetration, we’ll discuss it in more detail in this article… In the meantime, simply communicate with each other your concerns.

      6. Can you get pregnant with endometriosis?

      Yes and no. But let’s focus on the “yes”, shall we?

      Although endometriosis can have an effect on your chances of getting pregnant most women who have mild endometriosis are not infertile.

      An estimated 70% of women with mild to moderate endometriosis will get pregnant without treatment.

      Unless, like my wife, your girl has stage IV deep infiltrating endometriosis, then you will have to look at other options, like IVF.

      IVF is often recommended for women with moderate to severe endometriosis, or for women whose bodies haven’t responded to other treatments.

      7. How to understand the complexity of endometriosis-related pain?

      The usual cramps a woman gets during her period of ovulation can be tough.

      But they have endometriosis, the pain may be so intense that it affects their daily routine. It might even stop them from doing some of the things they love.


      No matter what stage of your relationship, communication is key when loving a woman with endometriosis.

      Communication is the thing that matters most, but of course, it’s a two-way street.

      In my own relationship, I received from my girl, then wife slot of love and understanding. All that, despite her chronic illness.

      For the first few years, I kept my emotions to myself. But it almost led me to so-called “caregiver burnout”.

      Only when (gently) I started sharing my frustrations and concern, things got better.

      Because, as supporters of our chronically ill women, the burn-out, the guilt, and the shame we feel, have to come out.

      And if you feel like talking and opening up to your woman will hurt your manly pride, there is help out there you can reach for.

      For instance, this very blog. It’s designed to guide and support supporters like yourself through the difficulties of living with someone who has a chronic illness.

      I don’t mind if you look elsewhere, beyond this blog, as long as you reach out for help.

      There aren’t many folks like myself. I haven’t actually met a bloke, who like me, dedicates his life to helping other guys help them cope with their partners who have endometriosis or/and fibromyalgia.

      There are online support groups, like Mendo Warriors, who will take the time to listen to you.

      But still, why not talk to the person cherished most in this world, the one person that you’re truly in this together with?

      I don’t know if women ever really consider what the man in their life must be dealing with too…

      Because let’s face it guys, we often keep things to ourselves, and we dwell on it long enough, it leads us to a point where we become defensive.

      That always ends with an argument.

      So talk and express what you feel instead of building emotions. There’s only so much you can put in the pot, eventually, it breaks!

      Here are your answers to the questions I mentioned in regard to loving a woman with endometriosis…

      Loving a woman with endometriosis 1

      Your answers…

      What is endometriosis?

      Some of you may be asking endo what? Never heard of it! Others on the other hand may be familiar with it.

      Anywho, for those who don’t know…

      Endometriosis is a chronic illness that destroys the lives of many women.

      The suffering is hard to deal with and diagnosis takes 7 to 8 years in the UK (where I live) and even longer in other countries.

      It affects 1 in 10 women. Yes, it’s really that common!

      Its impact on a woman’s life can be devastating and it has tried to invade our marriage, but we don’t let it beat us and ruin our lives.

      My wife wrote an extensive article aiming at educating people on endometriosis.

      She also focused on its worst form, which she developed – deep infiltrating endometriosis.

      You will find there everything you need to know – all the symptoms, what the current treatments are, but also the effects that it has on sufferers and their partners.

      So, I’d strongly advise you to read deep infiltrating endometriosis because it comes from a woman who went through hell with it.

      How to date a girl with endometriosis?

      Despite the prevalence of this disease, endometriosis is still little known, especially to single men, who never heard of the condition.

      The main reason is that they had received very little education about women’s health in general, let alone about endometriosis.

      Knowing or not, endometriosis is a significant part of any relationship; it dictates a lot of decisions couples make, their planning, and sometimes even how you spend time together.

      Men sometimes find it hard to understand how their partner’s pain can be so bad that they have to cancel plans.

      Most men, even male doctors, believe that period is supposed to be painful and that it’s just what women have to go through.

      Rubbish! But this lack of knowledge, sometimes pure ignorance, makes all of us (men) look bad.

      How to date a girl with endometriosis? Simply, be understanding and be a good listener.

      Communication is the key. Don’t judge, just listen. Think things through, don’t rush with your answer.

      Ooh, and don’t interrupt when she tries to explain to you how she feels. She’s your best teacher. You won’t find better education than the person you love.

      And remember, if your girlfriend has endometriosis, her period pain is much worse than that of other women.

      Believe me – she isn’t whining or exaggerating it.

      And even though there are things that you will have to learn about, it’s important that you remember – you will be going through the endo journey with your partner. She’s going to really appreciate it.

      Your support will bring you both closer than any other healthy couple. Your intimacy and trust will be greater, and your relationship stronger.

      Loving a woman with endometriosis 2


      Should you marry someone with endometriosis?

      M still carries guilt over the life “she gave me”, and the one she would have given me if she didn’t have endometriosis and fibromyalgia.

      No, I didn’t divorce her even though she asked me to leave her for my sake so (as she said) I could be happier with someone else.

      I never said I wasn’t happy. But her mind says otherwise sometimes. The reason?

      There are times when I’m quiet, I may look grumpy, or can be a little impatient.

      All these behaviors are human, and naturally, I experience them from time to time. There should be no guilt attached to them.

      However, living with a chronically ill spouse you feel somewhat obligated to take your loved one’s negative emotions on the cheek.

      You hide your emotions not to hurt your partner. She has enough on her plate to deal with. The last thing she needs is worrying about you.

      You’re the man, you own it! But whenever you try to express how you feel, the guilt creeps in.

      Loving a woman with endometriosis and helping her with the challenges endometriosis brings, can be very fulfilling.

      Sure, you get frustrated, angry, and sometimes maybe even isolated, however, even healthy couples have problems.

      And remembering that endometriosis can bring you closer together if you’re willing to talk things out, makes your relationship stronger.

      Endometriosis, fibromyalgia, or any chronic illness for that matter helps you appreciate life more.

      You notice the little things that healthy couples don’t. You appreciate time together, every trip, every moment.

      My wife was diagnosed soon after we got married. But I wouldn’t exchange her for anyone else.

      Illness doesn’t define a woman, her character does!

      I found that women who suffer from endometriosis are one of the strongest kinds. Their bodies and emotions can be put to the test, but their mental strength is unbelievable!

      Besides, for many women, the symptoms related to endometriosis will improve after menopause, when their menstruation stops.

      Their ovaries will still produce small amounts of estrogen, so their endo may still respond to the hormone making them experience some mild symptoms, but it will be far easier to deal with.

      Loving a woman with endometriosis and knowing how it is to be married to someone with this disease, I can openly say – yes, I would marry her again.

      How to help my wife with endometriosis?

      Apart from work, I’m always around my wife. We have a good connection but that’s not the only reason.

      I sleep, eat, practice and dance with her, as Latin Ballroom is our passion. We share what we love, and we both love traveling whenever we can.

      Sure, we have separate interests too, but most of the time I’m around my wife since she got diagnosed with endometriosis.

      I felt like she needed my support. After marrying her, “in sickness and in health” became even more real.

      I’ve learned a lot and based on years of experience loving a woman with endometriosis, I feel confident to give you my caregiving tips.

      Do your own research about endometriosis because it is a difficult disease to understand.

      You will never fully understand what she’s going through, but you need to make an effort and try to understand her needs.

      Firstly, her life has changed since the diagnosis and it will never be the same again.

      Her fitness level will significantly drop, and her diet, her mood, and her habits will change. Along with that endometriosis will change the way you live too.

      In some people’s eyes, the jury is still out as to whether diet can affect endometriosis or not.

      I can openly say this; I have observed my wife for more than a decade now. Diet and stress are primary triggers for endometriosis flare-ups, pain, and other related symptoms like IBS or Iron deficiency.

      You can’t provide a stress-free environment. No one can, it’s impossible, but you can try to minimize it, by providing emotional support, physical care, and unconditional love.

      I also observed with my wife, there is no doubt in my mind that there is a direct correlation between the foods she eats, and the amount of pain, length of flare-ups, and severity of other symptoms, like fatigue or brain fog.

      The latter could be to do with fibromyalgia she has too, but either way – diet works miracles for both chronic conditions.

      Luckily for my wife, we used to dance professionally, today we dance more for ourselves and compete when can, but sharing such passion helps endometriosis.

      Aside from the diet, fitness, and movement is a great way to go!

      It may improve mood, sleeping patterns, fatigue, and pain levels – all of which are aspects of our health that are affected by endometriosis.

      It helps my wife greatly. During the Covid-19 lockdown, however, she stopped dancing, and home workouts are not the same thing.

      So join her and motivate her to move, do yoga, or do pilates. Do it together to encourage your partner.

      Being shut down during Covid only proved that lack of exercise, stressful situations, and no motivation to eat better influences negatively endometriosis.

      Support her decisions, no matter how meaningless they may sound to you, they are important to her.

      Understand this is a chronic illness, it won’t go away, and you have to stand for her, not against her.

      Let’s talk about sex!

      My wife has no desire for sex, what can I do?

      I wouldn’t be serious here without mentioning something, that is very basic for any couple – sex.

      Sex plays a very important part in any healthy relationship, but for couples with endometriosis, it is more challenging.

      Pain during and after sex is a common symptom of endometriosis so if your partner experiences it, you should be gentle, very gentle!

      But remember, it is not always about penetration guys!

      Sex is about exploring what makes you both happy and you can give pleasure in many ways. If you love each other, you will find the way.

      There is no man in the whole world who doesn’t like oral sex. Let’s face it, gents, we will give anything we want to receive it. If you’re lucky enough to have a loving partner who adores oral sex, there will be no issues.

      When it comes to the ladies, it’s never about the orgasms (which by the way can sometimes be painful with this illness) but it is about the intimacy, the touch, and the whole experience.

      It’s about being desired by you and feeling wanted and beautiful. Compliment her as often as possible, not only on sex days.

      Passion shouldn’t have barriers.

      This is my personal belief but I’m happy to be challenged on that matter. I feel that men just think about the ending, an orgasm. Women enjoy the whole process.

      I think that women have a better understanding of sex, therefore they experience more pleasure.

      Women get in tune with their bodies on a far deeper level than men. They don’t rush but enjoy every touch, every little sense and this slow build-up leads to higher levels of pleasure.

      However, pain is not the only factor that can affect her sex life. Sex and intimacy might be affected by a range of other things, including:

      • Bleeding during or after sex; general fatigue and feeling unwell.
      • Reduced sexual desire because of medication.
      • Low mood.
      • The stress of trying to get pregnant.
      • Loss of body confidence and desire.

      Both of you may experience feelings of guilt and sadness as well as feelings of loss associated with a lack of intimacy or closeness and affection.

      You may also feel hesitant and even tentative and may be reluctant to approach your partner for fear of causing pain but (again) there is a simple solution to this – communication, so talk it out.

      Women may face a difficult choice between avoiding sex or enduring painful sex in order to experience intimacy with you.

      My wife told me about it, if you talk, you will resolve every issue.

      Our marriage is based on trust and open conversation. We can move mountains!

      So, before both of you get moody or begin thinking about it too much, just talk.

      Can you get pregnant with endometriosis?

      Infertility due to endometriosis can be related to many things. The first one is if endometriosis affects her ovaries and/or Fallopian tubes.

      Biologically speaking, an egg travels from the ovary, through the fallopian tube, to the uterus for fertilization. Only then does implanting into the uterine lining occurs.

      If your partner has endometriosis in her Fallopian tube lining, the tissue may keep the egg from traveling to the uterus.

      It’s also possible that endometriosis could damage her egg or your sperm.

      I have no idea if M and I could have a baby, we never tried when we could. This caused my wife a lot of upset but moving a few years forward, she accepted it.

      Me not being ever bothered about having kids or not (I’d be happy either way) helped her tremendously.

      Because it took a lot of pressure on her in terms of feeling bad for me and guilty. I didn’t mind it. She needed to take care of her loss of the possibility to be a mother.

      But enough about us. Loving a woman with endometriosis who cannot get pregnant can hit you hard if you care about having kids.

      I feel obligated to give you some advice because naturally, I researched it for us in the past.

      When to see your doctor?

      The answer is simple – whenever you try for a baby. Don’t wait. Advice is there!

      Some doctors may recommend seeing an infertility specialist before you even think about trying to become pregnant.

      FREE Chapter of “Endo-Tool”

      Endometriosis e-Book for Men

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        Endometriosis pain.

        How to understand the complexity of endometriosis-related pain?

        The usual cramps a woman gets during her period of ovulation can be tough.

        But they have endometriosis, the pain may be so intense that it affects their daily routine. It might even stop them from doing some of the things they love.

        Pain is the most important symptom in women with endometriosis, and its management is really challenging.

        Aside from endometriosis, my wife suffers from fibromyalgia. She used to experience daily, excruciating pain but never knew the reason behind it.

        The subject of pain got me so interested because I wanted to help my wife by understanding what she was going through. I couldn’t support her fully without understanding how pain really works.

        Medically speaking, pain is an uncomfortable sensation that usually signals an injury or illness, therefore the most known to people there is acute and chronic pain.

        But there are 5 types of pain, and women with endometriosis can experience many of them. They are:

        • Acute pain
        • Chronic pain
        • Neuropathic pain
        • Nociceptive pain
        • Radicular pain

        You can read about them in detail in my Acute vs Chronic Pain article.

        The primary symptom of endometriosis is pelvic pain, but it can spread to other parts of the body.

        Very often this pain is associated with menstrual periods. Although many women experience cramping during their menstrual periods, those with endometriosis typically describe menstrual pain that’s far worse than usual.

        Her pain also may increase over time as the disease progresses and isn’t treated or managed.

        Many women with endometriosis feel pain while having sex or up to 2 days later. For some, it feels stabbing or sharp.

        As you can see, endometriosis pain is very complex, I only touched upon it, because the subject is so vast, I could write another article about it.

        Final word…

        I hope that the subject of loving a woman with endometriosis won’t scare any of you guys when reading this post.

        If you have any questions, just put them in the comment section below and we’ll be happy to give you the answer.

        Until then, I hope you have a pleasant time scrolling through the Worry Head blog.

        Wishing you and your partner all the very best!

        Signature Lucjan
        Lucjan B

        About Me

        Hi, I’m Lucjan! The reason why I decided to create this blog was my beautiful wife, who experienced a lot of pain in life, but also the lack of information about endometriosis and fibromyalgia for men…

        2 thoughts on “Loving a woman with endometriosis.”

        1. Hi, I’m sorry it took me a few weeks to respond.

          Let me being by saying that you are NOT “a monster”. Try not to portrait yourself as such. Having needs doesn’t make you a monster, what you feel is human, there is nothing wrong in trying to think of your own needs, especially, when you clearly put her needs before your own.

          I may not be a virgin, but I didn’t have penetrative sex with my wife for over 3 years now. This wasn’t her choice either but my own.


          Because just like you, I felt sorry for my partner.

          But know this – not having penetration doesn’t mean that you cannot have sex. There are plenty of ways of getting intimate. Furthermore, having endometriosis doesn’t mean you cannot have penetrative sex.

          You can have penetration, you just need to openly speak about this with your partner.

          Trust me when I say, she is hurting, and just like my wife, she would happily go through pain just to please you, but it doesn’t have to be like this.

          Reach out to pelvic pain physio team. They can offer your partner a vaginal dilator therapy that can help retrain her pelvic floor, allowing her to learn how to control, and relax her pelvic floor muscles. Vaginal dilators help women warm up to sex if they’re feeling apprehensive or need to prepare their tissues and muscles before sex.

          There is no shame in being a virgin, it doesn’t make you less of a man. I’ve had only 3 sexual partners in my life, my wife being the third one, whereas she had way more than me. Does it make me less of a man? No. It’s a stupid old-fashioned idea. Besides, nobody knows what happens behind your closed doors, nobody knows you are a virgin, nobody ever will. You are not a looser.

          The best thing you can do is to have an honest and open chat with her. Non-judgmental let me add. Trust me, she fears of hurting you, she feels of losing you, you’ve been so good to her by being selfless, she sees that! She is lucky to have you but at the same time she feels like a burden to you, because she doesn’t want to stop you from having sex. She may be chronically ill, but when she doesn’t have flare-ups, she is still able to cook, clean, do other daily tasks. Believe me, she wants to. Last thing she wants is to feel useless.

          She feels like a burden to you, her family, even to her friends. She may change plans last minute, but they can be adjusted. She doesn’t want to be no use to you, she is still an independent woman. Endometriosis doesn’t mean her life is over. It doesn’t mean your relationship is doomed. It is not. You may not do things as often as other couples, but you can still do them.

          I used to teach, choreograph, and perform dance with my wife. Endometriosis made her lose her dance business but we still occasionally dance. We may not teach or perform, but we do it for us. Additionally, we found other activities we love doing together instead, like travelling. We love to travel and discover new things. Our lives changed but not to worse, we just found new things we love doing together. We appreciate each other more than ever.

          Communication is the key, conversation is greater key. Honesty and openness.

          You are NOT her carer, she doesn’t want you to think of her like this, she too wants relationship and marriage, she us still a woman with needs. Unless she is bed bound, she is still a very independent woman, and she wants to feel like that too.

          And yes, you are just a normal boy with normal desires and worries… it is normal to fear of not getting enough love and appreciation from her. Just openly tell her about your fears. She will be really pleased that you open up to her, it shows that you care for her and want to discuss any challenges that may lay ahead. That’s HUGE man! Be proud of yourself!

          You may be young but you are very mature and intelligent. You are caring but want to care for your own needs too. That’s okay. She wants you to be happy. My wife asked me to divorce her on many occasions in the past, she thought I wasn’t happy. I never said I wasn’t. To feel loss and sadness is human, but I’ve learned not to make any permanent decisions for temporary emotions. Yes they don’t last.

          I wish you all the very best. Please do keep in touch. I am not a therapist but I’m always here to share my experience with you, after all, I’m 42. You can always reach me through [email protected]

          You are a good man, she’s blessed to have you!

        2. hello i hope you can help me. I love a girl with endometriosis and want to marry her.

          I’m a virgin and never had sex before because I decided it so, whereas she isn’t anymore. Since I’m a man, this already somewhat hurts my feelings and pride, but I’ll eventually get over it by having a lot of sex with her.

          And there is the problem: she has endometriosis. I fear that I will never penetrate her before her menopause and so basically stay a virgin for a long long time while she already had sex with another guy. I won’t have had sex with my own wife while other men already had it. This kills me… Its like I’m a complete looser. Feels like other men fcking your wife while you watch doing nothing.

          I get the whole selfless caring thing and I find it great and would do a great portion of it aswell, but this doesn’t mean to give yourself completely up, does it? I love her yes, but shouldn’t I love myself too? What is the point of marrying her if it hurts me every day? Shouldn’t she give herself up for me too? Marriage is a double sided thing isn’t it?

          Some people will say I don’t love her really but that’s not true… She is the person I love the most in my life but giving all of my desires instantly up is not that easy and I don’t want to give them up. I really want to have a lot of sex, because I waited for so long to find the right woman. I really want to do many exciting activities with my first love.

          I think that she can’t appreciate me like I would her. Yes in her mind she would appreciate me ofc, but nothing of it would reach to me. She won’t be able to cook for me, to have sex with me or to make nice activities with me…I’m just a nice guy who exists in her head then – whom she really loves in her head, but won’t be able to show it for the next 30 years or so.

          I mean if we marry I must give up a lot of things. And bear in mind I’m a virgin full of “energy”.. It’s not that easy you know.

          But what does she give up for me?
          I will be basically 24/7 taking care of her, while working 8 hours to be stressed at the end of the day and not even get a meal cooked for me and no sex.

          It will be my life as it is now, just more complicated. Why should I do that? So that she can tell me once in a day that she loves me? What can I get from this words aslong as I can’t feel anything of it?

          Yes she has a good character and she is absolutely lovely BUT I won’t be able to feel it since she won’t be able doing anything. It’s like knowing how nice she is but never being able to experience it.

          Honestly, I’m afraid of not getting enough love and appreciation from her. Yes she will love and appreciate me in her head, but I won’t be able to phisically have moments which show me that which will just frustrate me and then her.

          And no I’m not a monster I’m just a person with feelings. Only because someone else feels pain should I neglect that I feel it too?

          Most people I talked to just render me as a narcisst, but thats not true. I’m just a normal boy with normal desires and worries..Its easy to talk a lot when the bad situation is not yours.

          I accepted that she isn’t a virgin anymore and that she has a illness which I must take care of and I even accepted her being infertile.

          But to accept never having sex with her while a random guy had it, makes me feel so empty. It’s feels like she isn’t really my wife. I will always feel like her best friend from the neighbourhood, not more.

          yeah I may be young with 20, but I know I’m actually ready for marriage. I know how to take responsibility, otherwise I wouldn’t be thinking about these things. But being mature doesn’t mean to self destruct you for a fantasy of a blind love.

          I’m really ready to go really really really far for this girl. Believe me, I would kill for her!!

          But I can’t give my masculinity up, can I? This defines me as a man. This is me.


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