※ 引述《chihuahua (chihuahua)》之铭言： : 医学六　50 : Symptoms — Pain is the most common symptom associated with endometriosis. : Approximately three quarters of symptomatic patients experience pelvic pain : and/or dysmenorrhea [60]. The range of symptoms includes [60,61]: : =Pelvic pain (which may be chronic, but is often more severe during menses : or at ovulation) : =Dysmenorrhea : =Deep dyspareunia : =Cyclical bowel or bladder symptoms : =Subfertility : =Abnormal menstrual bleeding : 资料来源: : Uptodate.com - Pathogenesis, clinical features, and diagnosis of endometriosis : 其它: : http://women.webmd.com/endometriosis/endometriosis-topic-overview : (不知是否具有公信力) : D不算是答案之一吗? : 有人可以查到相关数据吗? Comprehensive Gynecology, 5th ed. Chapter 19 – Endometriosis : Etiology, Pathology, Diagnosis, Management Rogerio A. Lobo Clinical Diagnosis …Symptoms… It is important to reemphasize that endometriosis has many different clinical presentations, with one in three women being asymptomatic. Most importantly, the disease has an extremely unpredictable course. The classic symptoms of endometriosis are cyclic pelvic pain and infertility. The chronic pelvic pain usually presents as secondary dysmenorrhea or dyspareunia (or both). Secondary dysmenorrhea usually begins 36 to 48 hours prior to the onset of menses. However, approximately one third of patients with endometriosis are asymptomatic, with the disease being discovered incidentally during an abdominal operation or visualized at laparoscopy for an unrelated problem. Conversely, endometriosis is discovered in approximately one of three women whose primary symptom is chronic pelvic pain. … Abnormal bleeding is a symptom noted by 15% to 20% of women with endometriosis. The most frequent complaints are premenstrual spotting and menorrhagia. Usually this abnormal bleeding is not associated with an anovulatory pattern. On the other hand, patients with endometriosis frequently have ovulatory dysfunction. Approximately 15% of women with endometriosis have coincidental anovulation. 话说，emdometriosis无症状的女性就占了1/3，abnormal bleeding也占了15%-20% 所以不正常出血也不能算不常见症状吧 若有GYN bible内容，也请补充 建议：无答案，全部送分 -- --

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