Endometriosis history and symptoms: Difference between revisions

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{{Endometriosis}}
{{Endometriosis}}


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{{CMG}}; {{AE}} {{AKI}}, {{MAD}}


==Overview==
==Overview==
[[Endometriosis]] is a condition affecting women in the reproductive age group. Patients with endometriosis may have a positive family history, presence of congenital cervical stenosis, or obstructive lesions in the uterovaginal tract. The presenting features include cyclical [[abdominal pain]], [[dysmenorrhea]], [[Dyschezia|pain with passing stools]], and [[Dyspareunia|pain with intercourse]].


==History and Symptoms==
==History and Symptoms==
A major symptom of endometriosis is severe recurring pain. The amount of pain a woman feels is not necessarily related to the extent or stage (1 through 4) of endometriosis. Some women will have little or no pain despite having extensive endometriosis affecting large areas or having endometriosis with scarring. On the other hand, women may have severe pain even though they have only a few small areas of endometriosis.
===History===
Patients with endometriosis may have a positive family history, presence of congenital cervical stenosis, or obstructive lesions in the uterovaginal tract.<ref name="pmid27565819">{{cite journal| author=Thomsen LH, Schnack TH, Buchardi K, Hummelshoj L, Missmer SA, Forman A et al.| title=Risk factors of epithelial ovarian carcinomas among women with endometriosis: a systematic review. | journal=Acta Obstet Gynecol Scand | year= 2017 | volume= 96 | issue= 6 | pages= 761-778 | pmid=27565819 | doi=10.1111/aogs.13010 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27565819  }} </ref><ref name="pmid26638662">{{cite journal| author=Lassus H, Pasanen A, Bützow R| title=[Is endometriosis a premalignant condition to ovarian carcinoma?]. | journal=Duodecim | year= 2015 | volume= 131 | issue= 19 | pages= 1777-84 | pmid=26638662 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26638662  }} </ref>


Symptoms of endometriosis can include (but are not limited to):
===Symptoms===
* Painful, sometimes disabling menstrual cramps ([[dysmenorrhea]]); pain may get worse over time (progressive pain)
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]]:<ref name="pmid11949938">{{cite journal| author=Murphy AA| title=Clinical aspects of endometriosis. | journal=Ann N Y Acad Sci | year= 2002 | volume= 955 | issue=  | pages= 1-10; discussion 34-6, 396-406 | pmid=11949938 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11949938  }} </ref><ref name="pmid11469608">{{cite journal| author=McDonald JS| title=Diagnosis and treatment issues of chronic pelvic pain. | journal=World J Urol | year= 2001 | volume= 19 | issue= 3 | pages= 200-7 | pmid=11469608 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11469608  }} </ref><ref name="pmid28186620">{{cite journal| author=Cranney R, Condous G, Reid S| title=An update on the diagnosis, surgical management, and fertility outcomes for women with endometrioma. | journal=Acta Obstet Gynecol Scand | year= 2017 | volume= 96 | issue= 6 | pages= 633-643 | pmid=28186620 | doi=10.1111/aogs.13114 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28186620  }} </ref>
* [[Chronic pain]] (typically lower back pain and pelvic pain, also abdominal)
====Common Symptoms====
* Painful sex ([[dyspareunia]])
* [[Chronic pelvic pain]] - this is controversial<ref name="pmid1824741">{{cite journal| author=Stout AL, Steege JF, Dodson WC, Hughes CL| title=Relationship of laparoscopic findings to self-report of pelvic pain. | journal=Am J Obstet Gynecol | year= 1991 | volume= 164 | issue= 1 Pt 1 | pages= 73-9 | pmid=1824741 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1824741  }} </ref> Deeply Infiltrative Endometriosis may be more important
* Painful bowel movements (dyschezia) or painful urination ([[dysuria]])
*[[Dysmenorrhea]]
* Heavy menstrual periods ([[menorrhagia]])
** Dull or cramping [[pelvic pain]] that begins two days before [[menstruation]] and persists through and after [[menses]]
* Nausea and vomiting
* [[Dyspareunia]]
* Premenstrual or intermenstrual spotting (bleeding between periods)
* [[Dyschezia|Dyschezia]]
* [[Infertility]] and subfertility. Endometriosis may lead to [[fallopian tube obstruction]]. Even without this, there may be difficulty conceiving. In some women, subfertility is the sole symptom, and the endometriosis is only discovered after fertility investigations.
* [[Dysuria]] and [[hematuria]]
* Bowel obstruction (possibly including vomiting, crampy pain, diarrhea, a rigid and tender abdomen, and distention of the abdomen, depending on where the blockage is and what is causing it) or complete urinary retention.
* Premenstrual or [[Menstrual cycle|intermenstrual]] spotting (bleeding between periods)
** The onset of pain is prior to the first day of [[menstrual cycle]] and continues for two to three 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 ([[Menorrhagia]])


In addition, women who are diagnosed with endometriosis may have gastrointestinal symptoms that may mimic [[irritable bowel syndrome]], as well as fatigue.
====Less common symptoms====
 
*Cyclical [[rectal bleeding]] in [[colorectal]] endometriosis
Patients who rupture an endometriotic cyst may present with an [[acute abdomen]] as a [[medical emergency]]. Endometriotic cysts in the [[thoracic cavity]] may cause some form of thoracic endometriosis syndrome, most often [[catamenial pneumothorax]].
* [[Infertility]]  
* [[Nausea and vomiting|Nausea]] and [[vomiting]]
*Patients with endometriotic [[cyst]] or mass in the [[ovary]] may present with an [[acute abdomen]]
*Endometrial [[cysts]] in the [[thoracic cavity]] may cause thoracic [[endometriosis]] syndrome [[catamenial pneumothorax|(catamenial pneumothorax]])
**Presents as recurrent, self-resolving [[chest pain]] and [[breathlessness]] primarily seen before [[menstruation]]<ref name="pmid27516783">{{cite journal| author=Marjański T, Sowa K, Czapla A, Rzyman W| title=Catamenial pneumothorax - a review of the literature. | journal=Kardiochir Torakochirurgia Pol | year= 2016 | volume= 13 | issue= 2 | pages= 117-21 | pmid=27516783 | doi=10.5114/kitp.2016.61044 | pmc=4971265 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27516783  }} </ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 10:58, 6 August 2018

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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. Patients with endometriosis may have a positive family history, presence of congenital cervical stenosis, or obstructive lesions in the uterovaginal tract. The presenting features include cyclical abdominal pain, dysmenorrhea, pain with passing stools, and pain with intercourse.

History and Symptoms

History

Patients with endometriosis may have a positive family history, presence of congenital cervical stenosis, or obstructive lesions in the uterovaginal tract.[1][2]

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:[3][4][5]

Common Symptoms

Less common symptoms

References

  1. Thomsen LH, Schnack TH, Buchardi K, Hummelshoj L, Missmer SA, Forman A; et al. (2017). "Risk factors of epithelial ovarian carcinomas among women with endometriosis: a systematic review". Acta Obstet Gynecol Scand. 96 (6): 761–778. doi:10.1111/aogs.13010. PMID 27565819.
  2. Lassus H, Pasanen A, Bützow R (2015). "[Is endometriosis a premalignant condition to ovarian carcinoma?]". Duodecim. 131 (19): 1777–84. PMID 26638662.
  3. Murphy AA (2002). "Clinical aspects of endometriosis". Ann N Y Acad Sci. 955: 1–10, discussion 34-6, 396–406. PMID 11949938.
  4. McDonald JS (2001). "Diagnosis and treatment issues of chronic pelvic pain". World J Urol. 19 (3): 200–7. PMID 11469608.
  5. 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.
  6. Stout AL, Steege JF, Dodson WC, Hughes CL (1991). "Relationship of laparoscopic findings to self-report of pelvic pain". Am J Obstet Gynecol. 164 (1 Pt 1): 73–9. PMID 1824741.
  7. 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.
  8. 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.