Along with cycles of pain, you may have emotional cycles or mood swings. You may feel frustrated or depressed. Don’t suffer in silence. Talking to someone you trust can really help. Also spend time doing things you enjoy.

Heat can help limit pain. Soak in a hot bath or use a heating pad. You may also find relief with yoga, meditation, or acupuncture. Acetaminophen and ibuprofen may also help. Those work best if taken just as pain begins, or even just before, if you can to predict when the pain will usually start. If needed, you may be given prescription medicine to reduce cramping and pain during periods. Keep track of your symptoms to help you anticipate and cope with the pain.

For some women, making certain changes in their diet seems to reduce symptoms. These changes include:

• Eating less refined sugar and white flour.

• Eating more dairy and get enough vitamin D.

• Choosing whole-grain breads and cereals.

• Eating at least 5 fruits and vegetables each day.

• Talking with your healthcare provider about taking nutritional supplements.

Following treatment, many women with endometriosis are able to become pregnant. Some of these women find that being pregnant relieves symptoms—at least for a while.

Frequent exercise can help control your symptoms. Try to exercise at least 2 hours and 30 minutes over the course of a week. Doing so can help relieve pain, including cramps. Nonimpact activities may offer the most symptom relief. Try walking, swimming, or biking.

Many women with endometriosis have pain during sex. To increase comfort, you may want to try new positions. Some times of the month may be better than others. Also talk with your partner about other ways you can be intimate. Massage might be a good choice for both of you.