As a woman’s body attempt to adjust to the multitude of symptoms that are associated with endometriosis, severe fatigue can set in. Unfortunately, with this type of lethargic feeling, getting additional rest and sleep still cannot seem to help the body to recuperate and feel refreshed. The scarred tissues can also create hormonal imbalances, which can instigated even more fatigue. This can be the case even more so when a woman is on her menstrual cycle. Of course, there are numerous reasons that a person could experience fatigue, but when it is coupled with several of these other symptoms, chances are that endometriosis is the culprit.