Believe it or not many medical professionals and therapists have very little training around sexual health issues and endometriosis is unfortunately often misdiagnosed as something else if you are experiencing painful sex or physical symptoms on a regular basis find a provider who can support you getting to the root of your symptoms if youve been to a provider but they didnt answer . A more inclusive and comprehensive analysis of sexual health in endometriosis is therefore required including the use of proper instruments and quantitative assessments of pain symptoms sexual function and distress taking biological psychological and socio ecological variables into account moreover the value of early treatment surgical or hormonal of symptomatic patient requires more . Bleeding after sex known as postcoital bleeding is a common symptom of endometriosis postcoital bleeding can happen because penetration causes the uterine tissue to become irritated and tender. Women with deep infiltrating endometriosis die often have impaired sexual function and a lower quality of life italian researchers have found endometriosis occurs when tissue from the uterine lining the endometrium grows outside the uterus