Symptoms of Endometriosis(2)

During sexual intercourse, the uterus contracts and rises, causing pain. The degree of coital pain is related to the location of endometriosis, such as the ectopic nodule of sacrum ligament, low fixation after uterine adhesions, and the degree of coital pain in patients with closed Dow cavity.

 

 

If the endometriosis focus is located in the rectouterine excavation and near the rectum, constipation or diarrhea may also occur due to the congestion and edema of the focus during the menstrual period, which may stimulate the rectum and lead to anal distension, stool frequency or defecation pain.

 

If the focus invades the rectal wall and protrudes to the intestinal cavity or the focus is large, it may cause intestinal stenosis or obstruction. In a small number of patients, if the focus invades the deep intestinal wall and reaches the muscular layer, the local intestinal mucosa may be congested and edematous, which may lead to periodic stool with blood.

 

 

If the endometriosis focus is located in the bladder and ureter, the patient may have periodic frequent urination, urodynia, and hematuria. Endometriosis is rare in the ureter.

 

Slow ureteral obstruction is usually caused by pelvic endometriosis, which leads to adhesion of the surrounding tissues or extrusion of large endometriosis cyst, resulting in distortion, stenosis or obstruction of the ureteral scar. Ureteral obstruction can lead to hydronephrosis and secondary compression renal atrophy.