Specific features | Classical features of endometriosis (pelvic pain, dysmenorrhoea, dyspareunia and infertility)2,5,9,14 | Pain (pelvic pain, dyspareunia, dysmenorrhoea) Menstrual (flow) Infertility Ovarian (for example, cysts) |
Non-specific symptoms | Abdominal pain and gastrointestinal symptoms, fatigue, urinary symptoms; additional diagnoses, including irritable bowel syndrome5 | Menstrual (timing) Genital/other gynaecological Urinary Lower GI Upper GI Fatigue |
Diagnostic tests and procedures | Primary care tests, referred investigations such as diagnostic ultrasound, and specialist procedures such as laparoscopy | Full blood count Genital swabs Laparoscopy Abdominal or pelvic ultrasound Thyroid function |
Treatments | Hormonal treatment for endometriosis (for example, gonadotropin-releasing hormone agonists) Prescriptions for contraception Analgesic drugs Antidepressant drugs | Hormonal treatment Contraception NSAID Codeine or other opioids Tricyclic SSRI and related antidepressants |