Endometriosis history and symptoms: Difference between revisions
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* Painful urination ([[dysuria]]) and [[hematuria]] | * Painful urination ([[dysuria]]) and [[hematuria]] | ||
* Premenstrual or intermenstrual spotting (bleeding between periods) | * Premenstrual or intermenstrual spotting (bleeding between periods) | ||
** Also called as secondary [[dysmenorrhea]] | ** Also called as secondary [[dysmenorrhea]] as the onset of pain is prior to the 1st day of [[menstrual cycle]] and continues for 2 to 3 days after the last day of the cycle<ref name="pmid27522645">{{cite journal| author=Morotti M, Vincent K, Becker CM| title=Mechanisms of pain in endometriosis. | journal=Eur J Obstet Gynecol Reprod Biol | year= 2017 | volume= 209 | issue= | pages= 8-13 | pmid=27522645 | doi=10.1016/j.ejogrb.2016.07.497 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27522645 }} </ref> | ||
* Prolonged [[menstrual bleeding]] and increased amount of [[bleeding]] ([[menorrhagia]]) | * Prolonged [[menstrual bleeding]] and increased amount of [[bleeding]] ([[menorrhagia]]) | ||
*Cyclical [[rectal bleeding]] in colorectal endometriosis | *Cyclical [[rectal bleeding]] in colorectal endometriosis | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2], Mohammed Abdelwahed M.D[3]
Overview
Endometriosis is a condition affecting women in the reproductive age group. The presenting features include cyclical abdominal pain, dysmenorrhea, pain with passing stools, and pain with intercourse.
History and Symptoms
The most common symptom of endometriosis is a cyclical severe lower abdominal pain with menorrhagia. The following is a list of common presenting symptoms in a patient with endometriosis:[1][2][3]
- Pain with menstruation (dysmenorrhea)
- Dull or crampy pelvic pain that begins two days before menstruation and persists through and after menses
- Pain with sexual intercourse (dyspareunia)
- Painful bowel movements (dyschezia)
- Painful urination (dysuria) and hematuria
- Premenstrual or intermenstrual spotting (bleeding between periods)
- Also called as secondary dysmenorrhea as the onset of pain is prior to the 1st day of menstrual cycle and continues for 2 to 3 days after the last day of the cycle[4]
- Prolonged menstrual bleeding and increased amount of bleeding (menorrhagia)
- Cyclical rectal bleeding in colorectal endometriosis
- Infertility
- Nausea and vomiting
- Patients with endometriotic cyst or mass in the ovary may present with an acute abdomen.
- Endometriotic cysts in the thoracic cavity may cause thoracic endometriosis syndrome and present as recurrent, self-resolving chest pain and breathlessness mainly before menstruation (catamenial pneumothorax).[5]
References
- ↑ Murphy AA (2002). "Clinical aspects of endometriosis". Ann N Y Acad Sci. 955: 1–10, discussion 34-6, 396–406. PMID 11949938.
- ↑ McDonald JS (2001). "Diagnosis and treatment issues of chronic pelvic pain". World J Urol. 19 (3): 200–7. PMID 11469608.
- ↑ Cranney R, Condous G, Reid S (2017). "An update on the diagnosis, surgical management, and fertility outcomes for women with endometrioma". Acta Obstet Gynecol Scand. 96 (6): 633–643. doi:10.1111/aogs.13114. PMID 28186620.
- ↑ Morotti M, Vincent K, Becker CM (2017). "Mechanisms of pain in endometriosis". Eur J Obstet Gynecol Reprod Biol. 209: 8–13. doi:10.1016/j.ejogrb.2016.07.497. PMID 27522645.
- ↑ Marjański T, Sowa K, Czapla A, Rzyman W (2016). "Catamenial pneumothorax - a review of the literature". Kardiochir Torakochirurgia Pol. 13 (2): 117–21. doi:10.5114/kitp.2016.61044. PMC 4971265. PMID 27516783.