While symptoms vary, healthcare providers often look for the "4 Ds" of endometriosis: Severe, debilitating period cramps. Dyspareunia: Pain during or after sexual intercourse.
Fatigue, bloating (sometimes called "endo belly"), and gastrointestinal issues like diarrhea or constipation.
Chronic pelvic pain that may come and go throughout the cycle. Heavy or irregular menstrual bleeding. Infertility or difficulty conceiving.
Painful bowel movements, often worsening during menstruation. Dysuria: Painful urination, especially during your period. Other common signs include:
Recent guidelines emphasize , meaning doctors may start treatment based on your symptoms rather than waiting for surgery.
Transvaginal ultrasound or MRI can help identify ovarian cysts (endometriomas) or deep infiltrating lesions.
This "keyhole" surgery remains the only way to definitively confirm a diagnosis through a biopsy.