Endometriosis symptoms checklist
Aim is a simple symptoms check-list to answer the following questions
- when should I look for help ?
- which is the probability of typical-cystic-deep endometriosis with my symptoms ?
- when to doubt/correct my GP or gynecologist and ask for a second opinion ?
Endometriosis might be present
- = diagnosis required depending on the severity of symptoms
- diagnosis= laparoscopy for cystic ovarian endometriosis
- diagnosis is laparoscopy for superficial and deep endometriosis
- No complaints : typical lesions in 5%, occasionally cystic and deep
- Only dysmenorrhea
- If severe : typical in 50%
- if very severe : cystic in 10% ; deep in 5%
- Chronic pelvic pain
- If severe ; typical in 50% , cystic ovarian in 10%
- if very severe : cystic ovarian 15% ; deep 5 %
- however many other causes that can cause chronic pelvic pain have to be ruled out
- Only infertility
- typical lesion will be found in 50%
Diagnosis for endometriosis required
- Radiation of pain to the anterior-inside of the upper leg = ovarian pain
- perineal pain radiation is pathognomonic for deep endometriosis
- dyschesia during menstruation and/or diarrea during menstruation suggests deep endometriosis
- dysuria at the end of micturition can suggest deep endometriosis of the bladder
- A normal clinical exam or ultrasound or MRI does not rule out even severe endometriosis
- Menorrhagia or menstrual disturbances might be present in endometriosis, but do not suggest endometriosis
- Medical therapy for endometriosis without a diagnosis unless for a short period of time
- A laparoscopy unfortunately is invasive : therefore the indication is finally made by a clinician with experience.
- this reflects the questions before an endometriosis visit http://www.gynsurgery.org/endometriosis-consultation/this
- Those who want to avoid a laparoscopy at all price , cause a delay in diagnosis and possibly more severe symptoms
- this should prevent the delay in diagnosis which is often too long
- for images see http://www.gynsurgery.org/endometriosis-consultation/