Frustratingly, research shows that hormone replacement therapy (HRT) – which is undoubtedly excellent for relieving symptoms of the menopause – might in fact make endometriosis worse.

“There is still limited research into endometriosis and even less when it comes to its association with menopause,” says Dr Sesay. “But there can be a link between HRT and endometriosis. HRT works by boosting oestrogen levels to relieve menopause symptoms caused by lowered hormone levels, but since endometriosis is oestrogen-linked, taking HRT can unfortunately worsen symptoms.”

It’s important to note, again, that we’re all different, and how our bodies respond to medications is entirely individual. Dr Sesay stresses the importance of seeking medical advice if you’re struggling.

“Please don’t suffer in silence. There is no cure for endometriosis but various treatment options are available, from over the counter painkillers, psychological counselling and support to surgery,” she says. “Please always discuss your options with a doctor to reach a shared agreement of the treatment option that would suit you best.”

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