11/03/2026
Not all endometriosis is the same, and understanding the different types can really change how we approach treatment and support.
Endometriosis generally falls into three categories:
1. Superficial Peritoneal Endometriosis
The most common type - thin, freckle-like spots on the pelvic lining. Despite looking minor, this type can cause significant pain. Here's the thing though - the pain with superficial endo is often less about the lesions themselves and more about visceral hypersensitivity, where the nervous system becomes highly sensitised and amplifies pain signals. This means surgery often isn't the answer here.
What tends to help more is:
- Reducing systemic inflammation
- Supporting nervous system health and regulation
- Addressing gut health and the gut-brain connection
- Stress and nervous system support
2. Endometriomas (Ovarian Cysts)
These are cysts that form directly on the ovaries. They can impact ovarian reserve and fertility, and often cause a deep, aching pelvic pain, particularly around ovulation. These are typically visible on ultrasound, which makes them one of the more straightforward types to identify without surgery.
3. Deep Infiltrating Endometriosis
The most complex type, affecting around 20% of people with endometriosis. Lesions grow beyond the surface and can pe*****te into structures like the bowel, bladder, or uterosacral ligaments.
Symptoms can include:
-Painful or difficult bowel movements, especially during your period
-Pain with urination
-Deep, stabbing pelvic pain
-Pain with s*x (particularly deep pe*******on)
-Back and leg pain
This type is more likely to respond well to surgical excision when performed by a skilled endo specialist - and getting the right surgeon really matters here.
The takeaway? Endo is not one size fits all, and neither is treatment.
Have questions about your type of endo and what natural support might look like for you? Feel free to reach out or book a consult.