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Symptoms of Endometriosis

 
1. Dysmenorrhea and chronic lower abdominal pain
 
It is characterized by secondary and progressive dysmenorrhea, and abdominal and anal pain is the main symptom. It can start 1-2 days before menstruation and disappear after menstruation. Pain starts from the lumbosacral part and abdomen and radiates to the vagina, perineum, anus, or thigh.
 
The degree of pain is related to the location of the ectopic focus, but not directly proportional to the size of the focus. For example, a small ectopic nodule at the uterosacral ligament site can lead to the patient's unbearable pain, while a larger ovarian endometriosis cyst has less or no symptoms. 25% of patients have no dysmenorrhea, while 20% - 30% of patients with endometriosis have chronic lower abdominal pain.
 
2. Menstrual disorders
 
15% of patients with endometriosis can have more menstrual volume, longer menstrual period, or drip bleeding. It is because the ovary is destroyed by the ectopic cyst, or the ovary is surrounded by adhesion, which leads to the disorder of ovarian function and causes menstruation disorder. At the same time, the patients often have hysteromyoma or adenomyoma, which can also cause menorrhagia or prolonged menstruation.
 
3. Infertility
 
Endometriosis is often accompanied by infertility and has become one of the key reasons for infertility.
 
 
4. Painful sex
 
About 30% of endometriosis patients often complain of painful sexual intercourse, mostly due to mechanical stimulation. Endometriosis occurs in the rectocele and vaginal septum, causing swelling and fibrosis of the surrounding tissues.

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