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Symptoms of Endometriosis
Mild to severe pain is the main symptom of Endometriosis; however majority of patients may have no symptoms.
Many patients are asymptomatic. The severity of the symptoms depends on the extent of the disease.
Pain is the most common symptom and it can vary from a mild aching sensation to sudden severe pain.
Pain can be very acute as depicted in this poem by Lisa
I look at you ,and see
The symptoms of Endometriosis can have impact on general physical, mental and social well being of women. Hence it is important for a doctor to spend enough time with these patients and give them a chance to express their anxieties and concern adequately.
The mechanism of pain production is not clearly understood but is thought to be mainly due to the release of prostaglandins and cytokines by the implants.
Severe menstrual cramps (dysmenorrhea) –The cramping begins before the onset of bleeding and continues for several days after the bleeding stops.It is usually progressive in nature.
Chronic pelvic pain-it is diffuse, deep seated, constant aching pain, that may radiate to the lower back, thighs and abdomen.
Heavy menstrual bleeding (menorrhagia)
Bleeding between periods
Painful intercourse (dyspareunia)
Painful bowel movements – The endometrial implants in the gastrointestinal (GI) tract produce symptoms like pain, rectal bleeding, and constipation.
Painful urination (dysuria)
Endometriosis and pregnancy - Endometriosis can lead to infertility and this is mainly due to scarring and adhesions which may lead to distortion of the fallopian tubes.