Occasionally, heavier menstrual bleeding called menorrhagia and irregular bleeding or bleeding in between periods are symptoms related to endometriosis. Dysmenorrhea or severely painful periods is another common symptom. The debilitating pain and cramping may begin before and extend several days into a period. Some women will have lower back and abdominal pain. Women with endometriosis are most likely to experience pain with bowel movements and urination, fatigue, diarrhea, constipation, nausea or bloating during a menstrual period.
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