How do you know if you have endometriosis

Patient's question:

Patient: Female, 45 years old
Diagnosis: Endometriosis

Doctor's answer:

In the rectouterine pouch, uterosacral ligaments, or posterior wall of the cervix, 1-2 or more hard small nodules can often be palpated, the size of green beans or soybeans, with significant tenderness, more pronounced during rectal examination, which is very important. Ovarian cysts can grow as large as a fist, often with cyst fluid leakage and ectopic endometrial bleeding, leading to severe pelvic organ adhesion and frozen pelvis, known as extensive endometriosis. The manifestations vary greatly depending on the severity of the disease.