Diagnosis*	Characteristic signs and symptoms
Endometriosis	Infertility; pain with intercourse, urination, or bowel movements
Ovarian cysts	Sudden onset and resolution; if twisted, can cause ovarian torsion
Uterine polyps	Irregular vaginal bleeding
Uterine leiomyomas	Heavy, prolonged periods; constipation or difficulty emptying the bladder possible; more common in older people
Adenomyosis	Heavy bleeding, blood clots, pain with intercourse, abdominal tenderness; more common in older people
Pelvic inflammatory disease	Abdominal pain, fever, vaginal discharge and odor, pain with intercourse, bleeding after intercourse
Congenital obstructive müllerian malformations	Amenorrhea, infertility, miscarriage
Pelvic adhesions	History of surgery, infertility, bowel obstruction, painful bowel movements, pain with change in position
Pelvic masses	Bloating, frequent urination, nausea
Cervical stenosis	Amenorrhea, infertility