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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)

Dysmenorrhea Infection

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)


Cervical factors (mucus, sperm antibodies, stenosis)

Luteal phase deficiency

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