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Dating With Endometriosis: Love, Pain, and Learning to Be Honest

PH
Patricia Hackshaw
||6 min read

Let me be real with you — dating with endometriosis is one of the hardest things I've ever had to navigate. And that's saying something, because I've had over 8 surgeries and been diagnosed with Stage 4 endo. But somehow, trying to explain to someone you're interested in why you're curled up in a ball on a Friday night instead of going to dinner? That hits different.

How do you even bring it up? "Hey, I really like you, but I have this chronic condition that makes me bleed heavily, causes excruciating pain, and oh — intimacy might be painful too." Yeah. That's not exactly first-date conversation, is it?

The Reality of Dating With Endometriosis

When I was younger and living in St. Croix, I didn't even have a name for what was happening to me. I just knew I was in pain ALL THE TIME. When I started dating, I thought I was broken. I would cancel plans at the last minute because a flare hit out of nowhere. I would make excuses — "I have a headache," "Something came up" — because the truth felt too complicated.

And let me tell you, people get tired of cancelled plans. They stop inviting you. They think you're flaky or not interested. But you ARE interested — your body just won't cooperate.

Then there's the intimacy piece. Pain during intercourse is one of the most common symptoms of endometriosis, and nobody talks about it enough. I spent years thinking something was wrong with ME as a woman, not realizing it was the disease. The shame I carried around that was unbearable.

How I Learned to Navigate Dating With Endometriosis

Here's what I wish someone had told me years ago: the right person will want to understand. They won't run. They won't make you feel broken. They'll ask questions. They'll hold a heating pad against your back. They'll cancel the dinner reservation without making you feel guilty.

I learned to be upfront — not on the first date, but early enough that there were no surprises. I would say something like, "I have a chronic condition called endometriosis. Some days are good, some days are really hard. I need you to know that." And the reaction to that honesty? It tells you EVERYTHING you need to know about that person.

Some walked away. And honestly? Good. Because I don't have energy to waste on someone who can't handle my reality. This disease takes enough from us — we don't need partners who take even more.

You Deserve Love — Endometriosis and All

I want every woman reading this to hear me: you are not too much. You are not too complicated. You are not unlovable because of your endo. You deserve someone who sees ALL of you — the strong days and the days you can barely get out of bed.

If you're struggling with dating while managing this disease, here are a few things that helped me:

  • Be honest early — you don't owe anyone your full medical history on date one, but don't hide it either
  • Set boundaries around intimacy — communicate what feels good and what doesn't, without shame
  • Don't apologize for cancelling — you're not flaky, you're in pain
  • Find community — talking to other endo warriors who GET IT makes all the difference

Dating with endometriosis taught me more about self-worth than anything else in my life. It forced me to stop settling, stop apologizing for my body, and start demanding the kind of love I actually deserve.

Don't let Endometriosis steal your love story!!! You are worthy of every good thing. If you need someone to talk to, reach out to me. We're in this together. 💛

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