What are the symptoms of Endometriosis?

Symptoms of Endometriosis are: (1) Repeated abdominal pain with no known cause. (2) Lower left abdomen or tummy pain. (3) Lower abdomen/tummy pain when passing stool. (4) Low back pain. (5) Abdominal pain. (6) Abdominal pain that worsens after meals. (7) Pain in the pelvis- the lowest part of the abdomen, between the belly button and groin. (8) History of infertility. (9) Discomfort or unpleasant symptoms occur when the period is about to start. (10) Bleeding in between menstrual cycles / periods or after menopause

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Endometriosis Quiz

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Reviewed By:

Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)

Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.

Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

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Content updated on Oct 10, 2023

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Period cramps

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Pain during sex

Have periodic abdominal pain

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How Ubie Can Help You

With an easy 3-min questionnaire , Ubie's AI-powered system will generate a free report on possible causes.

Questions are customized to your situation and symptoms, including the following personal information:

Biological Sex - helps us provide relevant suggestions for male vs. female conditions.
Age - adjusts our guidance based on any age-related health factors.
History - considers past illnesses, surgeries, family history, and lifestyle choices.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

Pain in the lower back worsens when standing up
I have lower abdominal pain
Pain on one side started first
Lying on the back improves pain
Pain in the lower right stomach
Lower back hurts even when sitting still
Low back pain improves with exercise
Upper left abdominal pain
Lower back pain aggravated by pressing
Upper right abdominal pain
Pain in the lower back with slouching
Bending over hurts my lower back a lot
Have pelvic pain
Lower back pain that makes me want to sit down
Low back pain when standing straight

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What is Endometriosis?

A condition where endometrial cells (cells that line the womb) grow outside the uterus, typically near the ovaries or fallopian tubes. It is a common cause of pelvic pain, that can worsen with menstruation. The exact cause is unclear but there are several possible explanations, including the backward flow of menstrual blood into the abdominal cavity, immune system disorders, or transformation of normal abdominal cells. It is typically seen in reproductive aged women, and most often diagnosed in their 30's and 40's. It can cause infertility in some patients due to scarring of the fallopian tubes.

Typical Symptoms of Endometriosis

Repeated abdominal pain with no known cause
Lower left abdomen or tummy pain
Lower abdomen/tummy pain when passing stool
Low back pain
Abdominal pain
Abdominal pain that worsens after meals
Pain in the pelvis- the lowest part of the abdomen, between the belly button and groin
History of infertility

Diagnostic Questions for Endometriosis

Your doctor may ask these questions to check for this disease:

Have you had repeated abdominal pain with no known cause?
Do you have pain in the lower left abdomen?
Do you have stomach pain when you empty your bowels?
Do you have lower back pain?
Do you have a stomach ache?

Treatment of Endometriosis

Treatment aims to relieve symptoms with a combination of medications and surgery. Medication options include pain relievers, contraceptives, and hormonal therapy. Surgery may be offered for severe disease and may help with infertility.

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Symptoms Related to Endometriosis

Diseases Related to Endometriosis

References

Mehedintu C, Plotogea MN, Ionescu S, Antonovici M. Endometriosis still a challenge. J Med Life. 2014 Sep 15;7(3):349-57. Epub 2014 Sep 25. PMID: 25408753; PMCID: PMC4233437.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4233437/
Czyzyk A, Podfigurna A, Szeliga A, Meczekalski B. Update on endometriosis pathogenesis. Minerva Ginecol. 2017 Oct;69(5):447-461. doi: 10.23736/S0026-4784.17.04048-5. Epub 2017 Mar 7. PMID: 28271702.
https://www.minervamedica.it/en/journals/minerva-obstetrics-gynecology/article.php?cod=R09Y2017N05A0447
Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril. 2012 Sep;98(3):511-9. doi: 10.1016/j.fertnstert.2012.06.029. Epub 2012 Jul 20. PMID: 22819144; PMCID: PMC3836682.
https://www.fertstert.org/article/S0015-0282(12)00682-6/fulltext
Falcone T, Flyckt R. Clinical Management of Endometriosis. Obstet Gynecol. 2018 Mar;131(3):557-571. doi: 10.1097/AOG.0000000000002469. PMID: 29420391.
https://journals.lww.com/greenjournal/Abstract/2018/03000/Clinical_Management_of_Endometriosis.23.aspx
Vercellini P, Viganò P, Somigliana E, Fedele L. Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol. 2014 May;10(5):261-75. doi: 10.1038/nrendo.2013.255. Epub 2013 Dec 24. PMID: 24366116.
https://www.nature.com/articles/nrendo.2013.255
ACOG Patient FAQ
https://www.acog.org/womens-health/faqs/endometriosis
ACOG Clinical
https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2010/07/management-of-endometriosis

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