What are the clinical symptoms of endometriosis?

Endometriosis has a serious impact on women's health, but endometriosis is similar to other gynecological diseases. So, what are the clinical symptoms of endometriosis?

The clinical manifestations of endometriosis are:

1. Infertility: About 50% of endometriosis patients are accompanied by infertility. Among patients with unexplained infertility, about 30-40% suffer from endometriosis. Endometriosis causes infertility, which is often caused by pelvic masses, adhesions, fallopian tube blockage, poor follicle development or ovulation disorders caused by the disease; once pregnant, the ectopic endometrium is suppressed and atrophies, which plays a good role in the treatment of endometriosis. Some cases of habitual abortion are caused by endometriosis.

2. Dysmenorrhea: The clinical feature of endometriosis is progressive dysmenorrhea, which is a common and prominent feature. Most of them are secondary, that is, since the onset of endometriosis, patients complain that they did not have pain during menstruation in the past, but dysmenorrhea began to occur at a certain period, which can occur before, during and after menstruation. Some dysmenorrhea is severe and unbearable, requiring bed rest or medication for pain relief, and even causing pain to "roll on the bed" or hit the head. The pain often worsens with the menstrual cycle and disappears at the end of menstruation, but domestic reports show that about 21% of patients do not have dysmenorrhea.

3. Cyclic rectal irritation symptoms: The progressively aggravated cyclical rectal irritation symptoms are rarely seen in other gynecological diseases and are the most valuable symptoms for diagnosing this disease. The rectum, anus, and vulva are distended, painful, and feel tenesmus, and the frequency of bowel movements increases. As the lesion gradually worsens, the symptoms become more obvious, and disappear after menstruation.

4. Menstrual irregularity: Endometriosis patients often have shortened menstrual cycles, increased menstrual flow or prolonged menstrual periods, indicating that the patient has ovarian dysfunction. Menstrual irregularity can be used as a diagnostic reference, but it has no value in differential diagnosis.