What are the signs and symptoms of endometriosis?

Updated: May 10, 2021
  • Author: G Willy Davila, MD; Chief Editor: Michel E Rivlin, MD  more...
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About one third of women with endometriosis remain asymptomatic. [1] When they do occur, symptoms, such as the following, typically reflect the area of involvement:

  • Dysmenorrhea

  • Heavy or irregular bleeding

  • Pelvic pain

  • Lower abdominal or back pain [2]

  • Dyspareunia

  • Dyschezia (pain on defecation) - Often with cycles of diarrhea and constipation

  • Bloating, nausea, and vomiting

  • Inguinal pain

  • Pain on micturition and/or urinary frequency

  • Pain during exercise

Patients with endometriosis do not frequently have any physical examination findings beyond tenderness related to the site of involvement. [3, 4, 5] The most common finding is nonspecific pelvic tenderness.

See Clinical Presentation for more detail.

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