The symptoms can be quite colorful and nonspecific - one of the reasons that the diagnosis is often delayed. The extent of the symptoms does not necessarily depend on the extent of endometriosis - so small herd can cause severe discomfort and large herd only discovered by accident. Commonly described disease signs are:
- Abdominal and back pain, which also often radiate into the legs, pain associated with intercourse, pain in the examination at the gynecologist
- Strong or irregular menstrual bleeding
- Bladder and intestinal cramps, pain when urinating or bowel movements
- Cyclic bleeding from the bladder or intestines, cyclic coughing (when moving to the lungs)
- Unintended childlessness
Complaints are cycle-dependent
Typical of endometriosis is that the symptoms become stronger as a function of the cycle and then decrease or disappear. The climax is one to three days before the onset of bleeding, with the decrease in menstruation and the symptoms decrease again.
Depending on the location of the endometrial lesions, however, the symptoms may also be completely uncharacteristic or occur continuously, for example, when adhesions have already occurred.
How is the diagnosis made?
First, the doctor will raise the medical history and ask for the complaints. In the gynecological palpation examination, he may already see or feel herd in the vagina; This is followed by an ultrasound examination.
Depending on the question, further examinations, such as a magnetic resonance examination, may be useful. The clear diagnosis, however, always requires the examination of a tissue sample, which can usually only be obtained as part of a laparoscopy.