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Endometriosis


Symptoms & Signs

What are the signs and symptoms of the condition?

Some women with severe endometriosis have no symptoms. If symptoms do occur, they generally start years after the woman's first menstrual period. The symptoms usually increase gradually as the area of endometriosis grows. After menopause, the symptoms subside as the abnormal tissue shrinks.

The most common symptom of endometriosis is increasingly painful periods, or dysmenorrhea. The woman may experience a steady dull or severe pain in the lower abdomen, vagina, and/or back. This pain can begin 5 to 7 days before a period.

Symptoms of endometriosis may include:

  • blood in the urine
  • difficulty urinating
  • dyspareunia, or painful intercourse
  • heavy menstrual bleeding
  • irregular or more frequent periods
  • nausea and vomiting
  • pain with bowel movements
  • pelvic pain after intercourse or exercise
  • spotty bleeding just before the period starts

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