Gastrointestinal Symptoms in Endometriosis

Shakeela Ishrat, Farzana Deeba, Parveen Fatima
In: Bangladesh Journal of Obstetrics & Gynaecology · 2020 · vol. 33(2) , pp. 140–142 · doi:10.3329/bjog.v33i2.43568 · W3047180786
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This study found that gastrointestinal symptoms, particularly bloating, occurred in 37.5% of infertile women with endometriosis and were more prevalent in severe stage IV disease.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This cross-sectional study in Bangladesh examined 55 infertile women with surgically diagnosed endometriosis to determine how often gastrointestinal symptoms occur and whether they relate to endometriosis severity, with GI involvement not assumed in all symptomatic cases. The authors found a high prevalence of gastrointestinal symptoms (37.5%), with bloating reported as the most frequent symptom; among women with severe stage IV disease, 57.6% had gastrointestinal symptoms. The paper’s main caveat is its limited sample size and observational cross-sectional design, which constrains conclusions about causality and generalizability beyond the studied clinic population. This paper is centrally about endometriosis — it specifically quantifies gastrointestinal symptom frequency and examines associations with endometriosis stage.

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Abstract

Background: Endometriosis is frequently associated with gastrointestinal symptoms, inaddition to dysmenorrhoea, dyspareunia and infertility. Gastrointestinal tract is not alwaysinvolved when gastrointestinal symptoms are present. Method: A cross sectional study was conducted in the department of Obstetrics &Gynaecology of Bangladesh Sheikh Mujib Medical University (BSMMU) on 55 infertile womenwith surgical diagnosis of endometriosis with the objective to determine the frequency ofgastrointestinal symptoms in our population of women with endometriosis and to find outwhether they were relevant to severity of endometriosis. Results: There was a high prevalence (37.5%) of gastrointestinal symptoms in women withendometriosis. Bloating was the most frequent gastrointestinal symptom. Among the womenwith severe stage IV endometriosis, 57.6% had gastrointestinal symptoms. Conclusion: A gynecologist must consider the gastrointestinal symptoms while dealing withthe women with endometriosis. Further evaluation of gastrointestinal tract involvement isnecessary for counseling and comprehensive management of the women with endometriosis. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 140-142
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Background

Endometriosis is frequently associated with gastrointestinal symptoms, inaddition to dysmenorrhoea, dyspareunia and infertility. Gastrointestinal tract is not alwaysinvolved when gastrointestinal symptoms are present.

Method

A cross sectional study was conducted in the department of Obstetrics &Gynaecology of Bangladesh Sheikh Mujib Medical University (BSMMU) on 55 infertile womenwith surgical diagnosis of endometriosis with the objective to determine the frequency ofgastrointestinal symptoms in our population of women with endometriosis and to find outwhether they were relevant to severity of endometriosis.

Results

There was a high prevalence (37.5%) of gastrointestinal symptoms in women withendometriosis. Bloating was the most frequent gastrointestinal symptom. Among the womenwith severe stage IV endometriosis, 57.6% had gastrointestinal symptoms.

Conclusion

A gynecologist must consider the gastrointestinal symptoms while dealing withthe women with endometriosis. Further evaluation of gastrointestinal tract involvement isnecessary for counseling and comprehensive management of the women with endometriosis. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 140-142 Downloads 233 276

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Condition tags

endometriosisdysmenorrheadyspareuniainfertility

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