Endometriosis can qualify for PIP — and the chronic pain, fatigue, and unpredictable flare-ups of the condition can score across both daily living and mobility components. The key is documenting the full impact of the condition on your worst days, not just your average functioning. Here is how PIP works for endometriosis in 2026/27.
PIP Rates 2026/27
| Component | Standard rate | Enhanced rate |
|---|---|---|
| Daily living | £72.65/week | £108.55/week |
| Mobility | £28.70/week | £75.75/week |
8 points needed for standard rate; 12 points for enhanced rate in each component.
How Endometriosis Maps to PIP Descriptors
Endometriosis affects people differently — symptoms depend on severity (stage 1–4), location of lesions, and response to treatment. The following activities are most commonly affected:
Daily Living
| Activity | How endometriosis may affect it | Max points |
|---|---|---|
| Preparing food | Pain and fatigue when standing at cooker, bending, lifting | 8 |
| Washing and bathing | Pain during bathing, showering, drying; fatigue after | 8 |
| Dressing and undressing | Pain and fatigue getting dressed, particularly on bad days | 8 |
| Managing continence | Bladder/bowel endometriosis causes urgency, accidents, pain on urination/defecation | 8 |
| Managing therapy / medication | Complex medication regimes (hormonal therapy, pain medication, supplements) | 8 |
| Engaging with others | Fatigue and pain limiting social activity, withdrawal due to chronic condition | 8 |
| Making budgeting decisions | Brain fog, concentration difficulties associated with chronic pain | 6 |
Mobility
Activity 2 — Moving around: On flare-up days, endometriosis can severely limit the ability to walk.
| Walking ability | Score |
|---|---|
| Cannot walk more than 20 metres | 12 points (enhanced) |
| Cannot walk more than 50 metres | 10 points (enhanced) |
| Cannot walk more than 200 metres | 4 points (standard) |
Activity 1 — Planning and following journeys: Unpredictable pain, urgency, and the need to be near a toilet can prevent independent travel.
The Flare-Up Problem: Describing Variable Symptoms
Endometriosis is a fluctuating condition — symptoms vary throughout the menstrual cycle and can change day to day. DWP must assess your condition over a 12-month period including your worst periods.
What to do on your PIP2 form:
- Describe your worst days (during menstruation or severe flares)
- Give examples: “During my period I am bedbound for 2–3 days with pain rated 8–9/10”
- State how many days per month or per cycle are significantly affected
- Include the cumulative effect of fatigue throughout the month, not just during periods
Worked Example: Lena, 29, Stage 4 Deep Infiltrating Endometriosis
Lena has stage 4 endometriosis affecting the bowel and bladder. She experiences severe pain for 10–14 days per cycle, has bowel urgency year-round, and is unable to walk more than 100 metres on bad days.
Daily living (10 points):
- Managing continence: 4 points (bowel urgency, needs nearby toilet access)
- Washing and bathing: 2 points (needs assistance on severe pain days)
- Dressing: 2 points (pain-limited dressing on bad days)
- Preparing food: 2 points (fatigue and pain when cooking on bad days)
- → Standard daily living: £72.65/week
Mobility (4 points):
- Moving around: 4 points (cannot walk more than 200 metres reliably)
- → Standard mobility: £28.70/week
Lena’s total PIP: £101.35/week = £5,270/year
If Lena’s walking were more severely limited on flare-up days (documenting inability to walk 50 metres), she could qualify for enhanced mobility instead.
Tips for a Strong Endometriosis PIP Claim
- Keep a symptom diary for at least 2–3 menstrual cycles before claiming
- Ask your gynaecologist to confirm the stage and location of endometriosis (bowel, bladder, ovarian involvement scores more highly)
- Include all medication — hormonal therapy, pain relief, anti-nausea medication
- Reference any disability at work — reasonable adjustments, sick leave records
If Your Claim is Refused
Endometriosis is often dismissed or underestimated in DWP assessments. Challenge any refusal with a Mandatory Reconsideration. Include additional evidence from your gynaecologist. Endometriosis UK can provide support and guidance on challenging DWP decisions.
See our what happens if PIP is stopped guide, PIP for chronic pain, and benefits for disabled workers.