What conditions should be included in the differential diagnoses of endometriosis?

Updated: May 10, 2021
  • Author: G Willy Davila, MD; Chief Editor: Michel E Rivlin, MD  more...
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In 15% of cases of pelvic pain, endometriosis is the underlying cause. It should be considered in women with chronic pelvic pain who do not respond to standard nonsteroidal anti-inflammatory drugs (NSAIDs) or oral contraceptive therapy. This nonresponse to these agents is in contrast to primary dysmenorrhea.

Other conditions that should be considered when evaluating a patient with suspected endometriosis include dysmenorrhea, pelvic adhesions, serositis, functional or neoplastic ovarian cyst, uterine malformation, adenomyosis, colon cancer, and ovarian cancer.

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