A 20-year-old female asked:
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how can i tell if it's endometeriosis or if it really is just a painful period. i fe like i shouldn't be in this much pain if it was just a period. ?

3 doctor answers
Dr. Rose Gazin
29 years experience Internal Medicine
Don't really have to: Hi, the only definitive way to determine that you have endometriosis is for doctor to actually take a look inside, laparoscopically. However, if the main problem for now is pain during periods, and not infertility, you can try taking anti-inflammatory meds during the period. If that is not enough or you need contraceptive method anyway the pill is a good way to decrease bleeding and pain, too.
Answered on Dec 2, 2014
Dr. Forrest Jones
Specializes in Family Medicine
Hard to say: Endometriosis is suspected based on your symptoms and the findings on your physical examination. It's not actually proven until laparoscopy. That said, laparoscopy is generally considered in endometriosis to be a therapeutic procedure. That is, if there is no opportunity to treat using laparoscopy, then it won't be done just for the purpose of diagnosis. Hope that helps.
Answered on Dec 20, 2014
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Dr. David Lipkin
52 years experience Internal Medicine
Not easy to tell but: It's not always easy to tell when pelvic pain is due to endometriosis. If any of the following are present it increases the likelihood of endometriosis: -if menstrual pain becomes increasingly severe and also occurs between periods -painful intercourse, especially with deep penetration -difficulty conceiving -pelvic exam reveals uterosacral ligament nodularity and tenderness or a mass
Answered on Dec 2, 2014

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