Recurrent urinary tract infection or bladder symptoms treated multiple times a year with negative cultures may indicate endometriosis.

“If sex with deep penetration hurts, that's not normal. If you're constantly bloated, even during the month when your periods are painful and after your periods you eat and you're constantly bloated, that's not normal. If when you have a bowel movement, your bowel movement hurts, that's not normal. If you constantly end up in your gyn or primary care's office complaining of UTI or bladder symptoms, recurrent bladder symptoms, and you're getting antibiotics three, four, five times, six times, 10 times a year with a negative culture, that's endometriosis until proven otherwise.”