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  • Q&A with Australian Health Practitioners

    What are the symptoms of endometriosis?

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  • Dr Sean Holland

    Gynaecologist, Obstetrician

    Dr Holland is a Gold Coast-trained obstetrician, gynaecologist and endometriosis surgeon. He has developed an extensive skill set including the management of high-risk pregnancies, office … View Profile

    It is far more than simply painful periods, though dysmenorrhoea (pain with periods) is a common symptom in women with endometriosis. Many women experience dysmenorrhoea, especially adolescents, for which non-surgical management strategies exist. Indeed, it is important to stress that pain is not ok and help should be sought if simple pain relief options (over the counter NSAIDs) are ineffective or your periods are having an impact upon the quality of your life, attendance at school/work and the like.

    ​ The challenge with identifying endometriosis is that the symptoms can be quite varied and often includes dysmenorrhoea:

    debilitating periods - either due to pain, heavy bleeding or both (3 out of 4 patients)

    infertility (up to 30% of infertility patients with 10-20% of patients admitted to hospital for endometriosis having a diagnosis of infertility)

    abdominal/pelvic pain occurring outside of menstrual bleeding;

    "IBS - irritable bowel" type symptoms;

    back and leg pains, especially cyclical (with the period);

    painful sex;

    bladder and/or bowel disturbances

    tiredness and mood changes, especially around the time of your period

    pelvic muscle spasm/tightening and vaginal discomfort, especially during intercourse

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