There is a strong association between endometriosis and Bladder Pain Syndrome also known as Interstitial Cystitis (IC). Your symptoms suggest this syndrome. Endometriosis involving the bladder can cause burning or pain with urination and rarely bleeding in the urine coinciding with menses. Most of the endometriosis lesions on the bladder are asymptomatic though. Your symptoms of frequency, pelvic pain and difficulty passing urine suggest Interstitial cystitis. The more sinister possibility is bladder cancer which may present similarly. You would be at high risk if you are a smoker.
You should see your GP and have a urine specimen sent off to rule out infection and bladder cancer. Performing a cystoscopy is advisable as well. This is a small scope that is inserted into your bladder to examine it. A Urodynamics study can be done as well to check your bladder function. Your gynaecologist or urogynaecologist can perform these tests for you.
There are conservative measures that can be implemented to help with IC once infection and cancer are ruled out. Diet and avoidance of bladder irritants, physiotherapy and bladder training, coupled with oral medications would be the first line of therapy for this. There are several different types of treatment and sometimes it takes time to establish the best one.
Check in with your doctor firstly and they can start investigating.
All the best.
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