Table 1 - Differential Diagnosis of Endometriosis by Symptom
Generalized pelvic pain Dyspareunia
Pelvic inflammatory disease Musculoskeletal causes (pelvic Endometritis relaxation, levator spasm)
Pelvic adhesions Gastrointestinal tract
Neoplasms, benign or malignant (constipation, irritable
bowel Ovarian torsion syndrome)
Sexual or physical abuse Urinary tract (urethral syndrome, Nongynecologic causes interstitial cystitis)
Primary Pelvic vascular congestion
Secondary (adenomyosis, Diminished lubrication or vaginal myomas, infection, cervical expansion because of insufficient stenosis) arousal Infertility
Male factor
Tubal disease (infection)
Anovulation
Cervical factors (mucus, sperm antibodies, stenosis)
Luteal phase deficiency
