Intended for healthcare professionals

Letters Endometriosis

More on the missed disease

BMJ 2010; 341 doi: (Published 21 July 2010) Cite this as: BMJ 2010;341:c3727
  1. Caroline Overton, consultant obstetrician and gynaecologist1,
  2. Claire Park, clinical teaching fellow1
  1. 1St Michael’s Hospital, University Hospital Bristol NHS Trust, Bristol BS2 8EG
  1. clairethornley{at}

    Engemise and colleagues do not mention dyschezia as a symptom of endometriosis.1 Excruciating pain in the rectum, worst premenstrually and during menstruation, is indicative of deep endometriosis in the rectovaginal septum and should prompt a general practitioner (GP) to refer to a gynaecologist.2

    The 7025 women with endometriosis in the survey …

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