What are the symptoms of endometriosis?

Patient's question:

Recently, my menstrual cycle has been irregular. Sometimes I have two periods in a month, and other times it's two months apart. My leukorrhea is also abnormal. I went to the hospital for a thorough examination and was initially thought to have inflammation, but the result was endometriosis. What are the symptoms of endometriosis?

Doctor's answer:

The symptoms of endometriosis vary from person to person and depend on the location of the lesions. The symptoms are closely related to the menstrual cycle, and 25% of patients experience no symptoms at all.
First, lower abdominal pain and dysmenorrhea. Pain is the primary symptom of endometriosis, with typical symptoms being secondary dysmenorrhea or progressively worsening dysmenorrhea. The pain is most commonly felt in the lower abdomen, lumbar-sacral region, and central pelvic area. At times, it may also occur in the perineum, anus, and thighs. The pain often appears during menstruation and persists throughout the menstrual period.
Second, infertility. The infertility rate among patients with endometriosis is 40%. The causes of infertility include changes in the pelvic microenvironment, which affect sperm-egg combination and transport, abnormal immune function leading to a decrease in anti-endometrial antibodies and disrupting the normal metabolism and physiological function of the endometrium, and ovarian dysfunction causing ovulation disorders and luteal...

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