How does the presentation of endometriosis vary based on the area of involvement?

Updated: May 10, 2021
  • Author: G Willy Davila, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Because most endometriotic implants are found on the uterus, ovaries, and posterior peritoneum, the patient usually presents with a history of progressively increasing pelvic pain and/or secondary dysmenorrhea. Not uncommonly, women report painful bowel movements, diarrhea, or even hematochezia in association with their menses when endometriosis involves the rectosigmoid colon. Likewise, dysuria, flank pain, or hematuria may be present if the bladder or ureters are involved.


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