General
Can years of ibuprofen use damage your stomach?
The short answer
Yes, years of ibuprofen use can weaken the stomach’s protective lining, which can lead to gastritis, ulcers, and bleeding. The risk tends to be higher with frequent dosing, higher doses, taking it on an empty stomach, or combining it with other NSAIDs.
Yes. Taking ibuprofen (an NSAID) for years can damage the stomach and upper GI tract by weakening the protective lining, which can lead to gastritis, ulcers, and bleeding, sometimes gradually and sometimes suddenly. The risk tends to be higher with frequent dosing, higher doses, taking it on an empty stomach, or combining it with other NSAIDs.
For many people with endometriosis or adenomyosis, long-term NSAID use becomes a band-aid for pain control while the underlying disease remains untreated. As a result, the medication burden and side effects can keep escalating. If you’re noticing burning pain, nausea, reflux, dark stools, anemia, or pain that feels higher in the abdomen, we take that seriously and can help you think through safer, more sustainable pain strategies.
Our team can review what you’re taking, your symptom patterns, and what’s driving your pain, then build a plan that balances symptom relief with treating the root cause when appropriate. If NSAIDs have become a long-term routine, reach out to schedule a consultation so we can help you protect your GI health while targeting the source of pelvic pain.
Where to go from here
Understand it, compare it with what you're feeling, then talk it through with us.
Step 3 · Speak with Us
Protect your stomach—treat the source
Long-term ibuprofen can irritate your stomach lining and raise the risk of gastritis, ulcers, and bleeding. Our endometriosis & adenomyosis specialists can help reduce reliance on NSAIDs by addressing the underlying pain and building a safer treatment plan.
Questions people ask next
All general questionsWhat pain meds are safest for long-term use?
The safest long-term pain medication depends on the type of pain. Frequent NSAID use can pose stomach, kidney and blood pressure risks, while long-term acetaminophen use can stress the liver. For nerve-type pain, pain-modulating medications can be safer for some patients over time.
Are endometriosis medications safe with IBD?
Some endometriosis medications need extra caution with inflammatory bowel disease (IBD). NSAIDs such as ibuprofen may worsen IBD flares, while hormonal medications can be appropriate for many patients, depending on IBD activity, other medicines and fertility goals.
What medications help endometriosis and adenomyosis?
For endometriosis and adenomyosis, NSAIDs like ibuprofen can help pain, and hormonal medications can sometimes lessen bleeding and pain. NSAIDs don’t treat the underlying disease, and hormonal relief varies and typically lasts only while you’re on medication.
Further reading
Non-hormonal Options for Endometriosis Pain: What’s Actually Worth Trying?
Discover evidence-based nonhormonal treatments for endometriosis pain. Find options you can try now for effective symptom management.
Can Physical Rehab Reduce Endo and Adeno Pain?
How pelvic rehab and pelvic floor PT can help endometriosis and adenomyosis pain. What it treats best, who benefits, timelines, red flags, and questions to ask.




