
How to Explain Endometriosis to Your Boss (and Get the Support You Need at Work)
Endometriosis is a chronic condition that affects 1 in 10 women and people assigned female at birth . Despite its prevalence, many workplaces lack awareness about how it impacts daily life. If you’re struggling with endometriosis symptoms at work, having an open and informed conversation with your boss can help you secure the support and accommodations you need.
This guide will walk you through how to explain endometriosis to your boss , what workplace accommodations you may be entitled to, and how to approach the conversation with confidence.
Guide to explaining endometriosis to your boss
How to Explain Endometriosis to Your Boss – Learn effective conversation strategies to communicate your condition clearly and request workplace accommodations.
Workplace Rights & Reasonable Adjustments – Discover legal protections, flexible work options, and practical solutions to maintain productivity with endometriosis.
Follow-Up & Advocacy Tips – Use concise follow-up emails and proactive communication to ensure long-term workplace support for managing endometriosis symptoms.
What Is Endometriosis and How Does It Affect Work?
Endometriosis occurs when tissue similar to the lining of the uterus grows outside of it, causing inflammation, scarring, and severe pain—leaving many to wonder, what does endometriosis pain feel like ? Understanding the symptoms can help in communicating with employers and seeking workplace accommodations. Common symptoms include:
Chronic pelvic pain that can interfere with focus and productivity.
Heavy menstrual bleeding , which may require frequent bathroom breaks.
Fatigue and brain fog , making it harder to meet deadlines.
Gastrointestinal issues , like bloating and nausea, which can disrupt work routines.
Frequent medical appointments for pain management or surgery.
Because symptoms fluctuate, your boss may not realize the extent of your condition. That’s why clear communication is key.
Why You Should Talk to Your Boss About Endometriosis
Many employees hesitate to disclose chronic illnesses for fear of discrimination. However, discussing your condition can:
✅ Help your boss understand your health needs and how they impact work.
✅ Allow you to request reasonable accommodations (like remote work or flexible schedules).
✅ Improve workplace morale by fostering inclusivity and understanding.
✅ Protect your job security by formally documenting health-related concerns.
Best Ways to Explain Endometriosis to Your Boss (Step-by-Step)
1. Choose the Right Time & Setting
Schedule a private meeting with your boss when they are not busy or distracted. Choosing a confidential setting ensures that you can speak openly without interruptions, fostering a more supportive and understanding dialogue. A private conversation also allows your boss to ask questions without feeling put on the spot in front of colleagues. Avoid discussing your condition during high-pressure deadlines or casual office conversations, as these moments may not allow the focused attention and discretion needed to address your concerns effectively.
2. Prepare Key Talking Points
Your goal is to educate your boss while keeping the conversation concise and professional . Understanding how to explain endometriosis to your boss in a way that is clear and solution-focused can help ensure a productive discussion. You might say:
- "I want to discuss something that affects my health and work. I have endometriosis, a chronic condition that causes severe pain, fatigue, and other symptoms. It’s unpredictable, but with some small adjustments, I can continue performing at my best."
Additional talking points you could use:
"I may occasionally need to modify my schedule due to flare-ups, but with advance planning, I can ensure my work remains on track."
"Endometriosis is a condition that sometimes requires medical treatment or rest periods. I’d like to discuss how we can implement a plan that allows for flexibility without affecting team productivity."
"There may be days when I need to work remotely or take short breaks to manage pain. I want to find a way to make this work while maintaining efficiency."
"I understand workplace needs, and I want to be proactive in finding solutions that allow me to contribute effectively while managing my condition."
By using these key points, you can help your boss understand the condition and highlight how adjustments can support both you and the team .
3. Explain How Endometriosis Affects Your Work
Use specific examples of how endometriosis impacts your daily tasks:
"Some days, I experience intense pain that makes it hard to sit for long hours."
"There are times when I may need to adjust my schedule for doctor’s appointments."
"Fatigue and brain fog can slow my response time, but flexible hours could help."
"Severe bloating and discomfort make it challenging to wear standard office attire."
"Unexpected flare-ups can require sudden breaks, which might disrupt meetings or deadlines."
"Pain management routines, such as heating pads or medication breaks, may be necessary."
"Some days, I experience intense pain that makes it hard to sit for long hours."
"There are times when I may need to adjust my schedule for doctor’s appointments."
"Fatigue and brain fog can slow my response time, but flexible hours could help."
4. Propose Practical Solutions
When discussing accommodations, it's crucial to come prepared with practical solutions rather than expecting your boss to generate them for you. Employers may not fully understand the complexities of managing endometriosis, so offering clear, actionable solutions ensures a more productive conversation. By proposing specific adjustments, you demonstrate initiative and make it easier for your employer to support you effectively.
Offer reasonable accommodations to help maintain productivity:
🔹 Remote work on high-pain days
🔹 Flexible hours to accommodate flare-ups
🔹 Ergonomic seating for pain relief
🔹 Private space for breaks when needed
🔹 Extended deadlines during medical treatment
Framing your requests in a way that highlights how they will benefit both you and the company can make them more likely to be accepted. Proactively addressing your needs shows professionalism and helps foster a more understanding and supportive work environment.
5. Address Any Concerns Professionally
Your boss may worry about workflow disruptions. Reassure them by highlighting how these adjustments benefit the team. When discussing how to explain endometriosis to your boss, it's helpful to frame your request for flexible working arrangements in a way that emphasizes team productivity and efficiency.
Some ways to highlight benefits include:
- Ensuring consistent performance by managing workload effectively.
- Reducing last-minute absences by having structured flexibility.
- Enhancing overall morale by promoting an inclusive and supportive workplace.
- Demonstrating reliability and responsibility in handling tasks despite health challenges.
- Creating a precedent for workplace accommodations that can benefit others with similar needs.
"By managing my health effectively, I can avoid burnout and remain productive. These small changes will help me maintain high-quality work."
6. Follow Up in Writing: Example Emails To Your Boss
Sending a follow-up email summarizing your discussion helps create a written record of your request and any agreed-upon accommodations. Keeping it brief and to the point ensures clarity and makes it easier for your boss to reference later. Lengthy emails can dilute the key points and may go unread.
Formal Email Example
📩 Subject: Follow-Up on Workplace Accommodations Discussion
Dear [Boss’s Name],
Thank you for taking the time to discuss my request for accommodations due to my endometriosis. As we discussed, I appreciate your willingness to explore options such as [mention agreed-upon adjustments, e.g., flexible hours or remote work]. Please let me know if any further steps are needed to formalize these changes. Looking forward to your confirmation.
Best regards,
[Your Name]
Informal Email Example
📩 Subject: Quick Follow-Up on Our Chat
Hey [Boss’s Name],
I really appreciate you taking the time to chat about my endometriosis and how we can make things work. Just wanted to recap that we discussed [mention key points, e.g., flexible scheduling or workspace adjustments]. Let me know if you need anything else from me to move forward. Thanks again!
Best,
[Your Name]
Brevity ensures that your request is clear, professional, and actionable . A well-structured email makes it easier for your boss to respond promptly and minimizes misunderstandings.

The ‘Break the Mold’ t-shirt is for those who refuse to be boxed in.
Your Workplace Rights: Accommodations for Endometriosis
In many countries, endometriosis is legally protected under disability and workplace discrimination laws. You may be entitled to:
Reasonable accommodations under the Americans with Disabilities Act (ADA) (USA)
Paid or unpaid sick leave for flare-ups or treatment
Flexible work arrangements under employer HR policies
Workplace adjustments to reduce physical discomfort
Check your company’s HR policy or consult an employment lawyer if you encounter resistance.
How to Request Flexible Work Arrangements for Endometriosis
If your job requires rigid hours or physical labor , you may need to formally request workplace adjustments. Here’s how:
Gather medical documentation – A doctor’s note can support your request.
Propose a clear plan – Show how accommodations will maintain productivity.
Request a trial period – Suggest testing adjustments for a set time.
Follow company procedures – Some workplaces require HR forms or official documentation.
Reinforcing the Message with Recent Research
A recent article titled "Securing Endometriosis Workplace Accommodations: A Patient's Advocacy Guide" ( EndoExcellenceCenter.com ) reinforces the key messages of our guide. Published two months ago, it emphasizes the importance of open communication with employers about endometriosis and suggests proposing practical solutions , such as ergonomic chairs and adjustable desks, to enhance comfort and productivity. This aligns with our advice on educating your boss and offering reasonable accommodations to maintain work efficiency.
FAQ About Endometriosis & Worki
1. Can I call off work for endometriosis?
Yes, if your symptoms are severe, you may need to take sick leave. It’s important to check your company’s sick leave policy and, if necessary, provide medical documentation.
2. Should I be working with endometriosis?
This depends on the severity of your symptoms. Some people can manage their condition with workplace accommodations, while others may require adjustments like remote work or flexible hours.
3. Is endometriosis recognized as a disability?
Endometriosis can be considered a disability if it significantly impacts daily life. Whether it qualifies depends on how much it affects your ability to perform essential job functions.
4. Is endometriosis a disability in the US?
Under the Americans with Disabilities Act (ADA), endometriosis may be considered a disability if it substantially limits one or more major life activities. Employees may be entitled to reasonable workplace accommodations.
5. Is endometriosis a disability in the UK?
Under UK employment law, employers have a duty to make reasonable adjustments to support workers with a disability or long-term health condition. Endometriosis is considered a disability under the Equality Act 2010 if it has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities.
6. How to work with endometriosis?
Managing endometriosis at work involves planning ahead, requesting accommodations, and practicing self-care. Consider flexible hours, ergonomic adjustments, remote work, or taking necessary breaks to manage symptoms.
Final Thoughts on Exlaining Endometriosis to Your Boss
Having open conversations about endometriosis at work can make a big difference—after all, can a conversation change your life? Understanding how to explain endometriosis to your boss is essential for securing the right workplace accommodations. By clearly communicating your needs and educating your boss, suggesting practical solutions, you can help create a more inclusive and supportive work environment for yourself and others managing chronic conditions, you can help create a more supportive work environment.