Women with endometriosis can also develop "chocolate" cysts on the ovaries. The cysts are filled with blood and mucus and sometimes rupture. A ruptured cyst is intensely painful and can spread endometriosis to new areas.
Women with endometriosis may have one, some or all of these symptoms.
- Pain before and during periods
- Pain during and after sex
- Infertility
- Fatigue
- Painful urination during periods
- Painful bowel movements during periods
- And other gastro-intestinal upsets such as diarrhea, constipation and nausea.
The only way to confirm a diagnosis of endometriosis is by a surgical procedure known as laparoscopy.