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Here's what you anal bleeding during mensturation know. Infertility — For some women, infertility may be the first or only symptom of endometriosis. Endometrial tissue usually grows in the uterus to prepare the body for ovulation and possibly fertilization. Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. Endometriosis is common, and symptoms include painful periods and heavy menstrual bleeding. For smaller areas of endometriosis, your surgeon will cut out the disc anal bleeding during mensturation affected tissue in the intestine and then close the hole. Endometriosis is a condition that occurs when tissue similar to the endometrial tissue that lines the uterus grows in other areas of the body.