LYCOS RETRIEVER 
Endometriosis: Patients
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It has been shown that the chance of having endometriosis is four times greater in patients with severe menstrual cramps as compared to women with mild menstrual cramps. Another point is that patients with a prolonged menstrual flow are apt to have endometriosis. It has ... been found that if the menstrual flow is longer than a week, the risk of developing endometriosis is 2.5 times greater than in women who have a menstrual flow lasting less than a week.
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Medical therapy used to be prescribed in the hope that it would cause the endometriosis to shrink sufficiently so that it would no longer interfere with conception after the treatment is stopped. However, since pregnancy cannot occur during the medical therapy of endometriosis, and because the treatment has been shown not to be helpful in improving fertility, medical therapy for endometriosis is no longer advised for infertile patients.
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Besides infertility, women suffering from endometriosis experience severe pain during their menstrual cycle or during intercourse, excessive or irregular bleeding, urinary or bowel problems in conjunction with menstruation. Other symptoms associated with endometriosis may include fatigue, acute pain with bowel movements, lower back pain, diarrhea, constipation or other intestinal upset, bleeding during bowel movement or urination during a patient's period.
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Many times the lesion of endometriosis may not have any color at all. These lesions are called nonpigmented endometriosis. Many experts believe that a young patient or a patient in the reproductive ages (15 to 50) who has an area on the peritoneal surface that does not look normal, and who is having symptoms of endometriosis (i.e., pelvic pain, pain with periods or intercourse, and infertility), should be considered as having endometriosis until it is proven otherwise.
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