Clinical Assessment and Management of Endometriosis and Dysmenorrhea
Introduction Endometriosis is a chronic inflammatory condition in which endometrial-like tissue is found outside the uterus. It can cause pelvic pain, painful menstruation, pain during or after sexual activity, bowel or bladder symptoms, fatigue, and infertility, although symptoms vary widely and some people have little pain. Dysmenorrhea means painful menstruation and may be primary, without an identifiable pelvic disease, or secondary to conditions such as endometriosis, adenomyosis, fibroids, or pelvic

