Endometriosis

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Signs and Symptoms

Endometriosis is associated with a variety of symptoms, but there is no consistent pattern and not all women are symptomatic. The two most common symptoms are pain and infertility. Over time, depending on where the endometrial tissue has implanted, other symptoms may appear.

Pain
The most common symptom is chronic pelvic pain that generally occurs just before and during menstruation and then decreases after menstruation. About 25% to 67% of women with endometriosis suffer dysmenorrhea (painful menstruation). About 25% experience painful intercourse. Pelvic examinations can also be painful.

Infertility
Infertility is common. In fact, infertility is the most common symptom that prompts a visit to the doctor's office for diagnosis.

Other symptoms
Endometriosis that develops in other parts of the pelvic region may result in bowel-related or urinary tract symptoms (e.g., painful or difficult bowel movements, bloody urine). If the lungs are involved, endometriosis may cause pleuritic pain (the pleura is the thin layer of tissue that coats and protects the lungs) or hemoptysis. If endometrial cells implant in the brain, the patient may experience seizures.

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