What is a symptom of endometriosis that might be seen in reproductive-aged females?

Painful menstruation, known as dysmenorrhea, is a common symptom associated with endometriosis in reproductive-aged females. This occurs because endometrial-like tissue grows outside the uterus and continues to respond to hormonal changes throughout the menstrual cycle. This tissue can lead to inflammation, scarring, and adhesions, contributing to severe pelvic pain during menstruation. The pain often begins well before menstruation and can persist for several days, significantly impacting the quality of life for those affected.

In contrast, while weight gain and acne, abnormal hair growth, and increased frequency of menstruation can be associated with other conditions, they are not specific symptoms of endometriosis. Endometriosis primarily manifests through painful symptoms rather than general hormonal imbalances or weight changes that might be seen in conditions like polycystic ovary syndrome (PCOS) or other hormonal disorders.