Endometriosis history and symptoms

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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]

History and Symptoms

The most common symptom of endometriosis is cyclical severe lower abdominal pain with menorrhagia. The following is a list of common presenting symptoms in a patient with endometriosis:

• Premenstrual or intermenstrual spotting (bleeding between periods): It is also called as secondary dysmenorrhea or as triple dysmenorrhea, because the the onset of pain is prior to the first day of menstrual cycle and the pain continues for 2 to 3 days after the last of the the cycle.
• Prolonged menstrual bleeding and increased amount of bleeding (menorrhagia)
• Painful sex (dyspareunia)
• Cyclical rectal bleeding
• Painful bowel movements (dyschezia)
• Painful urination (dysuria) and hematuria
• Nausea and vomiting
• Infertility and subfertility
• Patients with endometriotic cyst of the ovary may present with an acute abdomen
• Endometriotic cysts in the thoracic cavity may cause thoracic endometriosis syndrome and present as catamenial pneumothorax with features of chest pain and breathlessness.