When Endometriosis Is Silent: The Symptoms You Might Be Missing
When most people think of endometriosis, they imagine intense period pain, debilitating cramps, or missing school or work from pelvic discomfort. But what if you don’t feel any of that—and still have endo?
It’s possible.
Silent endometriosis is a lesser-known but very real form of the disease, and for many women, it’s only discovered during a fertility workup, surgery, or years after symptoms have been misread or ignored.
What Is Silent Endometriosis?
Silent endometriosis refers to the presence of endometriosis without the typical pain symptoms. It may still cause internal inflammation, scarring, or fertility issues—but without drawing attention to itself through obvious signs.
Many women with silent endo:
Have regular, tolerable periods
Experience no daily pelvic pain
Only discover the condition after trying to get pregnant without success
In fact, infertility is often the first “symptom.”
How Is It Diagnosed?
Because it doesn’t present with pain, silent endo often goes undiagnosed for years. In many cases, it’s found:
During a diagnostic laparoscopy for fertility evaluation
When investigating ovarian cysts or unexplained pelvic findings
After a history of unsuccessful fertility treatments
Following multiple early pregnancy losses
Why Early Evaluation Matters
Even without pain, endometriosis can:
Lead to fallopian tube damage or scarring
Disrupt and deteriorate normal ovarian function leading to infertility and early menopause
Cause inflammation that interferes with implantation or egg quality
Silent doesn’t mean harmless.
A Specialist Who Knows the Full Picture
Dr. Chandra Spring-Robinson specializes in minimally invasive excision surgery and comprehensive care for all forms of endometriosis—even the ones that go unnoticed for years. Her fertility-preserving approach helps women uncover the root cause of their symptoms and plan for their future.
Trying to conceive, but something feels off?
Even without pain, your body may be telling you something.
