Which of these is true for pain in endometriosis?
Dysmenorrhea in endometriosis is usually congestive type that stas prior to onset of menstruation. All endometriosis lesions are associated with pelvic pain including minimal to mild endometriosis. IN regards to option 'b' , dysmenorrhea is less frequent in women with 'only ovarian endometrioma' compared with other locations. A strong association is found between pelvic pain, dyspareunia and posterior cul-de-sac ( POD) lesions. Distribution of pain is usually variable but its mostly bilateral.
Dysmenorrhea usually stas from day 2 of periods and subsides with end of menstrual flow
Dysmenorrhea is more common in ovarian endometriomas than peritoneal lesions
Dyspareunia is more common with peritoneal lesions in pouch of douglas
Pelvic pain is usually unilateral
Endometriosis, Adenomyosis