Endometriosis: Differential Diagnosis

6 Sep, 12

Differential Diagnosis of Endometriosis by Symptom

Dysmenorrhea

Primary
Secondary (e.g., adenomyosis, myomas, infection, cervical stenosis)

Dyspareunia

Diminished lubrication or vaginal expansion because of insufficient arousal
Gastrointestinal causes (e.g., constipation, irritable bowel syndrome)
Infection
Musculoskeletal causes (e.g., pelvic relaxation, levator spasm)
Pelvic vascular congestion
Urinary causes (e.g., urethral syndrome, interstitial cystitis)

Generalized Pelvic Pain

Endometritis
Neoplasms, benign or malignant
Non-gynaecologic causes
Ovarian torsion
Pelvic adhesions
Pelvic inflammatory disease
Sexual or physical abuse

Infertility

Anovulation
Cervical factors (e.g., mucus, sperm, antibodies, stenosis)
Luteal phase deficiency
Male factor infertility
Tubal disease or infection

Am Fam Physician 2006:74(4):594-600

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