Men’s Health Awareness Month: Yes, Men Can Have Endometriosis Too

Endometriosis affects men too—let’s break the silence.

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June 1, 2025

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Men’s Health Awareness Month is a time to break down stigmas and bring attention to overlooked health challenges that affect men. At Peach Corp, we’re committed to amplifying underrepresented voices this includes educating the public about the rare but real occurrence of endometriosis in men.

📘 What is Endometriosis?

Endometriosis is typically defined as a condition where tissue similar to the lining of the uterus grows outside the uterus, causing chronic inflammation, pain, and in some cases, infertility. It is most commonly diagnosed in individuals assigned female at birth but rare cases in cisgender men and transgender men have been reported and documented in scientific literature.

👉 Endometriosis affects men, too.

While traditionally recognized as a condition exclusive to individuals with female reproductive organs, recent studies and patient experiences reveal that transgender men, non-binary individuals, and intersex people can also live with endometriosis, and with it, a deep emotional burden.

🔍 Yes, Cisgender Men Can Have Endometriosis

Though rare, cisgender men have been diagnosed with endometriosis, often in the context of:

Estrogen therapy for prostate cancer
Liver disease or cirrhosis, which may cause elevated estrogen levels
Embryonic cell remnants that respond to hormonal changes later in life

✅ Case in point: A 52-year-old male developed bladder endometriosis, confirmed during surgery. He had a history of liver cirrhosis, which led to elevated estrogen levels, providing a biological basis for the development of endometriosis.

✅ Another man developed pelvic endometriosis after long-term estrogen therapy for prostate cancer, highlighting hormone-sensitive tissue response.

🌈 Transgender Men and Endometriosis

Transgender men (assigned female at birth) are also at risk. Even with testosterone therapy, studies show that:

Up to 25–30% of trans men report pelvic pain
Many are diagnosed with endometriosis after years of misdiagnosis or dismissal
Hormone therapy may suppress menstruation but does not always eliminate the underlying pathology

✅ A systematic review (2023) confirmed a higher-than-expected prevalence of endometriosis in trans men undergoing pelvic surgeries, despite being on testosterone.

💡 Why This Matters During Men’s Health Awareness Month

Endometriosis in men is not just a medical rarity; it’s a call to broaden the lens of reproductive and chronic pain health:

To educate healthcare providers on gender-inclusive diagnostics
To validate men and transmasculine individuals experiencing chronic pelvic pain
To fund more research into hormonal, embryonic, and immune system links in male endometriosis

💛 Help Us Break the Silence

At Peach Corp, we are leading the charge in advocating for ALL individuals affected by endometriosis, PCOS, and adenomyosis, regardless of gender.

With your support, we can continue to: