Last reviewed: 3 Feb 2021
Last updated: 12 Feb 2021

Summary

Differentials

Common

  • Primary dysmenorrhoea
  • Pelvic inflammatory disease
  • Endometriosis
  • Adenomyosis
  • Uterine leiomyoma (fibroids)
  • Uterine polyps

Uncommon

  • Ovarian cyst with haemorrhage
  • Ovarian torsion
  • Obstructive Mullerian duct anomalies
  • Cervical stenosis
  • Intrauterine devices
  • Asherman's syndrome
  • Pelvic congestion syndrome

Contributors

Professor and Deputy Head

Department of Obstetrics and Gynaecology

University of Melbourne

Parkville

Victoria

Australia

Disclosures

MH declares that she has no competing interests.

Professor of Gynaecology and Reproductive Sciences, Honorary Consultant Gynaecologist

MRC Centre for Reproductive Health

University of Edinburgh

Edinburgh

UK

Disclosures

AWH declares that the MRC Centre for Reproductive Health has received grant funding from the NIHR, MRC, Chief Scientist’s Office, Wellcome Trust, Wellbeing of Women, Ferring and Roche, to investigate treatments for endometriosis. The MRC Centre for Reproductive Health has received honoraria for consultancy work that AWM has carried out on endometriosis diagnosis and management for Ferring, Roche Diagnostics, Nordic Pharma and Abbvie. AWH receives royalties for his book "Endometriosis: an experts' guide to live well and manage your symptoms".

Consultant in Gynaecology and Sexual Health

Chalmers Centre

NHS Lothian

Edinburgh

UK

Disclosures

MC declares that she has no competing interests.

Professor Martha Hickey, Professor Andrew Wemyss Horne, and Dr Michelle Cooper would like to gratefully acknowledge Dr Mary Ann Lumsden, Dr Stamatina Iliodromiti, Dr Suketu M. Mansuria, and Dr Linda C. Lang, the previous contributors to this topic. MAL, SI, SMM and LCL declare that they have no competing interests.

Peer reviewersVIEW ALL

Associate Professor

Ob/Gyn and Urology

Director

Division of Urogynecology

Associate Residency Program Director

Temple University Hospital

Philadelphia

PA

Disclosures

VD declares that he has no competing interests.

Medical Director

Reproductive Endocrinology & Infertility Department

Baptist Medical Center

Odessa Reproductive Medicine

San Antonio

TX

Disclosures

MM declares that he has no competing interests.

Professor and Chair

Department of Neurology

Wake Forest University School of Medicine

Winston-Salem

NC

Disclosures

RS declares that he has no competing interests.

Specialist Gynaecologist

Peel Health Campus

Mandurah

Australia

Disclosures

PR declares that he has no competing interests.

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