GYNAECOLOGY Abdominal Bloating: An Under-recognized Endometriosis Symptom

Objective: To explore the association between the symptom of abdominal bloating and the diagnosis of endometriosis. Methods: Twenty-six patients with endometriosis diagnosed by laparoscopy and 25 women without endometriosis were recruited to a case-control study. Subjects completed detailed questionnaires regarding perception of abdominal bloating, bloating-related symptoms, and effect on lifestyle. Abdominal girth was measured three times daily for one whole menstrual cycle, as were ratings of perceived abdominal bloating severity and discomfort. Experiences of abdominal and gastrointestinal symptoms were compared. Results: A significantly larger proportion of women with endometriosis than control subjects experienced abdominal bloating (96 % vs. 64%). In women with abdominal bloating, the