Endometriosis history and symptoms: Difference between revisions

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==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.
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.
Symptoms of endometriosis can include (but are not limited to):
* Prolonged menstrual bleeding and increased amount of bleeding ([[menorrhagia]])
* Painful, sometimes disabling menstrual cramps ([[dysmenorrhea]]); pain may get worse over time (progressive pain)
* [[Chronic pain]] (typically lower back pain and pelvic pain, also abdominal)
* Painful sex ([[dyspareunia]])
* Painful sex ([[dyspareunia]])
* Painful bowel movements (dyschezia) or painful urination ([[dysuria]])
*Cyclical rectal bleeding
* Heavy menstrual periods ([[menorrhagia]])
* Painful bowel movements (dyschezia)
* Painful urination ([[dysuria]]) and hematuria
* Nausea and vomiting
* Nausea and vomiting
* Premenstrual or intermenstrual spotting (bleeding between periods)
* [[Infertility]] and subfertility
* [[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.
*Patients with endometriotic cyst of the ovary may present with an [[acute abdomen]]
* 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.
*Endometriotic cysts in the [[thoracic cavity]] may cause thoracic endometriosis syndrome and present as [[catamenial pneumothorax]] with features of chest pain and breathlessness.
 
In addition, women who are diagnosed with endometriosis may have gastrointestinal symptoms that may mimic [[irritable bowel syndrome]], as well as fatigue.
 
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]].


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

Revision as of 16:31, 15 June 2017

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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.

References