Endometriosis At Work

Endometriosis is a long-term health condition where the tissue that lines the womb grows in other areas of the body, mostly affecting pelvic organs such as the ovaries, the bowel and the lower digestive tract. It affects around 1 in 10 women, making it one of the most common gynaecological conditions in the UK, and up to 1 in 6 women with endometriosis are forced to leave the workplace due to their condition. Despite its prevalence, endometriosis is highly underdiagnosed, and many women are forced to work in pain without adequate support or treatment. A timely diagnosis of endometriosis allows those with the condition adjustments and protection from discrimination that might otherwise force them out of the workplace.

Endometriosis symptoms can vary widely and include more than severe pain alone. Common symptoms include:

Pelvic pain – often severe and recurring, particularly during menstruation.

Heavy or painful periods – which may require breaks or flexible working.

Irritable Bowel– painful bowel movements or diarrhoea, office working is stressful

Bloating– inflammation and irritated bowel. Dressing is difficult and sitting for long periods uncomfortable

Chronic fatigue – making concentration extremely difficult.

Muscle spasms – that can cause mobility problems and contribute to pain.

Lower back pain – which may worsen with inactivity or prolonged sitting.

Emotional impact – from dealing with chronic pain, fertility concerns, and unpredictable flare-ups.

These symptoms are often invisible, but they can significantly impact an individual’s comfort, focus, and productivity at work.

Practical Strategies for the Workplace

For Employees

Managing endometriosis at work often means balancing productivity with wellbeing. Helpful approaches include:

Taking regular microbreaks: standing, stretching, or walking every 20-30 minutes to ease pelvic and back discomfort. Spinal mobilisation and regular stretching is key in endometriosis to avoid scar tissue adhesions forming, as well as reducing lumbar and pelvic floor pain.

Supportive, ergonomic chairs with adequate support for your lumbar spine to encourage a neutral, healthy back position and reduce the occurrence of spasms in the muscles that support the spine.

Open communication: where possible, discussing needs with managers or HR to access flexible arrangements.

For Employers

Employers play a crucial role in creating a supportive, stigma-free environment. Practical adjustments include:

Flexible working policies

Offering hybrid working or adaptable hours to accommodate flare-ups or medical appointments.

Workspace adaptations

Providing ergonomic chairs, sit-stand desks, or access to a private space for rest.

Employees with endometriosis may benefit from a workplace assessment from a trained ergonomist who can create an individualised workstation environment that provides support to employees.

Workspace adaptations

Providing ergonomic chairs, sit-stand desks, or access to a private space for rest.

Employees with endometriosis may benefit from a workplace assessment from a trained ergonomist who can create an individualised workstation environment that provides support to employees.

Supportive culture

Encouraging open dialogue so employees feel safe disclosing health needs.

Wellbeing initiatives

Signposting to occupational health, Employee Assistance Programmes (EAPs), or external resources and charities such as Endometriosis UK.

Manager training

Educating line managers about endometriosis to ensure empathetic and informed support.

Beyond the Office

While adjustments in the workplace are key, ongoing medical care is essential for managing endometriosis. Employees may need time off for healthcare appointments, treatment, or surgery. Supporting these needs through clear sick leave and flexible absence policies can make a significant difference. 

Endometriosis can also affect mental wellbeing, particularly when combined with fertility concerns. Employers can help by promoting access to counselling services or peer support networks. 

Creating an Inclusive Office Culture

Supporting employees with endometriosis is not only a matter of legal duty under equality legislation, but also an investment in workplace wellbeing. When office environments are flexible, understanding, and proactive in providing support, employees are more likely to thrive, remain engaged, and contribute fully.

Office Tool kit

• Head pads or hot water bottles
• Plenty of water
• Change of clothing- loose fitting
• Water for hydration
• Pain medication
• Soothing fidget toys
• Noise Cancelling headphones or earbuds