Fatigue is such a beast when it comes to endometriosis. Hopefully what I have learned might help you.

Try to decrease caffiene if possible (you don’t have to cut it out completely, but you might find less is better)
•although good for short term pep, caffeine stresses the adrenal glands. The more you consume the more likely you might experience adrenal fatigue compounding endo fatigue.
•caffeine can increase inflammation which causes fatigue and more pain.
•caffeine inhibits absorption of vitamins and minerals.
•even if you don’t have trouble falling asleep, caffiene affects the quality of sleep.

A good quality multivitamin on omega 3 supplement can help boost energy, fight inflammation, and balance hormone surges.
•taking magnesium approx 1 hour before bed might help you sleep better
•get iron levels checked if your periods are heavy or extended.

There is increased evidence to suggest a connection between endometriosis and other autoimmune conditions that could be compounding the fatigue.
•thyroid disorders, pernious (B12) anemia for example.

Try to get some excercise
•it can help reduce inflammation and pain and balance hormones
•short walks, gentle yoga (don’t overdo it)

Reduce sugar as much as possible because of inflammation. Inflammation makes you tired. Gluten and dairymight affect you this way too.

You could ask at health food store about herbal supplement for engery?

Hope some of this helps you. Best wishes

@A MyEndometriosisTeam Member I had an inconclusive blood test result, so my PCP suggested I see a rheumatologist. The repeated blood work came back fine, but the x-rays of my joints showed enough damage and inflammation to confirm some form of RA. My rheumatologist said they are finding more and more seronegative RA folks, but that their treatment is often delayed because PCPs don't recognize it. Two years later, the diagnosis has become more specific - peripheral spondyloarthritis (i.e. my hands and feet are a mess). It took a few tries to find a treatment that helped with the fatigue. A biologic is what has actually helped. I used to get home and just collapse until the next day, and cry alone in the car on the way to work because I was so exhausted. I still need more rest than the average person, but I am able to have a more normal life now. Thank goodness!

The last time I saw my rheumatologist she told me she had been thinking of me because she keeps reading about connections between autoimmune conditions and endometriosis. I'm not sure what specific research she was referring to, and I haven't found many specifics on my own, but inflammation and endo seem to be a thing.

I hope you are able to find some help! I feel very fortunate to have found a great rheumatologist. She was originally a doctor in China, and she is very supportive of alternative therapies alongside Western medicine.

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Fatigue is also what is kicking my butt (and tempting me to violence when docs suggest the fatigue is probably because I have emotions).

For a while I got some relief with electrolytes with vitamin B (power pak was the brand I used), but I "outgrew" it as the fatigue got worse.

Accupuncture actually seems to be helping with it, some, but that's not so much a thing you can do yourself.

You might also look into to your vitamin D levels. When mine get below about 50 (whatever units are on the blood work) I feel like a sad little slug. You can probably just ask your doc to check it on your next blood test.

I hope you feel better soon!

Wow great tips @A MyEndometriosisTeam Member! I will definitely think about the caffeine, that had become such a crutch I hadn’t really thought about the longer term impact it was having. I was taking magnesium and b12 before and fell off, think definitely going to pick those up again!

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