June 17, 2004 |
Fibroids & Endometriosis Symptoms of Endometriosis Endometriosis can present with a wide variety of symptoms. The types of symptoms and degree of severity depend on where the implants are located. Interestingly, 30 percent of women with endometriosis experience no symptoms at all and find out only incidentally that they have the problem. The other 70 percent of affected women can find endometriosis quite disabling, experiencing severe and recurrent symptoms. The most common symptoms are described in the following paragraphs. Menstrual Cramps and Pain. About 60 percent of women with endometriosis suffer from progressively worsening menstrual cramps. Chronic pelvic pain is caused by bleeding from the implants, adhesions, and inflammation of the affected areas. Some women also suffer from pain at ovulation. Infertility. Studies have shown that about 30 percent of women with endometriosis are unable to conceive. It can cause infertility by scarring and obstructing the fallopian tubes so they cannot pick up the egg, or by scarring the ovaries so that they cannot produce the egg. Abnormal bleeding. Abnormal bleeding, including premenstrual spotting and excessive menstrual flow, occurs in approximately 30 percent of all women with endometriosis. This occurs because progesterone levels are not present at normal levels. Menstrual cycles may also be irregular. Rectal and Bladder involvement. Endometrial implants that invade the bowel can cause constipation, painful bowel movements, and rectal bleeding. If endometriosis invades the bladder, symptoms such as urinary frequency, pain during urination, and blood in the urine during menstruation may be present. Endometrial cysts. These cysts, also called chocolate cysts, are filled with old blood and endometrial cells. They trend to grow fast and leak blood, causing great pain.
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