Symptoms of Endometriosis
Patients with endometriosis can have symptoms varying from constant
excruciating pelvic pain to no symptoms whatsoever. Paradoxically,
the extent of endometriosis has no correlation to the amount of
pain a women will experience. Some women with severe endometriosis
do not have any symptoms and may not know they have endometriosis
until a pelvic mass is detected on a routine pelvic examination
or a problem with infertility is discovered. The following are the
common symptoms of endometriosis, but remember that women with endometriosis
may have all, some, or none of these symptoms.
Pain and Discomfort in the Pelvic area
Women with endometriosis most commonly experience increasing pain
and discomfort right before and during their monthly cycles. Painful
sexual intercourse, pressure and bloating in the lower abdomen,
and severe, sometimes incapacitating, cramps during this period
are not uncommon. Some women with endometriosis, however, have constant
pelvic pain, cramps, and painful intercourse which may not be associated
with monthly cycles.
Abnormal Uterine Bleeding
A women with endometriosis may have some vaginal spotting a few
days before and/or after her period, or she may have abnormally
heavy and long periods.
Gastrointestinal dysfunction ranges from abdominal bloating or nausea
to intestinal cramps, cycles of diarrhea and/or constipation. Rectal
bleeding and painful bowel movements may occur when the rectum and
sigmoid colon are invaded by the endometriosis.
The most common cause of unexplained female infertility is endometriosis.
Frequency, urgency, bladder pain, and occasionally bloody urine
may occur when endometriosis has involved the bladder. Endometriosis
can invade the ureter (tube between the kidney and the bladder),
may cause obstruction of the ureter, and damage the kidney.
Lower back pain which may radiate down the legs