Association of Dysmenorrhea with Endometriosis: a Literature Review

Ramiro Cabrera, Andrea Carrillo, Félipe Esparza Salazar, Sylvia Salmun
In: Acta Scientific Women's Health · 2023 · pp. 24–29 · doi:10.31080/aswh.2023.05.0537 · W4388459839
review OA: bronze CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This literature review examines the association between dysmenorrhea and endometriosis, aiming to validate symptom-based questionnaires as a first-line diagnostic tool for the condition.

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Abstract

Endometriosis is a chronic and inflammatory disease that affects women of any age.It is a benign inflammatory condition in which endometrial-like tissue is located outside the endometrial cavity.In women of reproductive age, the global incidence of endometriosis is approximately 10-15%, but it can escalate to as high as 35-50% in women experiencing infertility.Presentation varies widely, ranging from asymptomatic individuals to those experiencing varying levels of dysmenorrhea, chronic pelvic pain, dysuria, dyschezia, dyspareunia, asthenia, headaches, and infertility.Diagnostic supporting tools such as imaging studies, primarily ultrasound and magnetic resonance imaging with an endometriosis mapping protocol, demonstrate exceptional sensitivity and specificity when utilized by expert professionals.However, there is a significant delay in diagnosis, typically ranging from 7 to 12 years.Multiple factors contribute to this delay, including challenges in making differential diagnoses, insufficient expert healthcare professionals, lack of clinical judgment and social awareness regarding the disease, and difficulties accessing necessary resources.Today, there is a solid effort to minimize this delay by training healthcare professionals and promoting social awareness among patients, as well as developing easily accessible tools to identify high-risk patients enabling the prompt initiation of appropriate study protocols.Implementing symptom-based questionnaires has been a subject of ongoing debate, primarily due to the controversial results obtained from previous studies.This review aims to contribute to the scientific literature by providing robust evidence to validate their utilization as a first-line tool.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareuniainfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (31)

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last seen: 2026-06-04T00:00:01.174412+00:00
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