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]
Overview
History and Symptoms
The most common symptom of endometriosis is cyclical severe lower abdominal pain with menorrhagia. Other common symptoms include:
- 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 usually before the beginning of the cycle and the pain lasts 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.