Causes, Symptoms, and Treatment Approaches for Endometriosis: Medical and Surgical Options The most common symptoms of endometriosis include painful periods, pain with intercourse, painful bowel movements during periods, fatigue, backache, and painful urination during periods. The location and severity of the endometrial growths determine which symptoms a woman experiences. For some women, endometriosis may cause no symptoms at all.Medical Endometriosis Treatment OptionsMedications...