Anterior Vaginal Wall Pain and Endometriosis

There is an interesting study in the most recent Journal of Reproductive Medicine. The author evaluated women with unexplained infertility. He found that, if they had vaginal pain during the examination in the anterior vagina (under the bladder) , 78% of these women had endometriosis at the time of laparoscopy. What was also interesting about this study was that, when they were treated laproscopically, 67% of these women went on to have successful pregnancies without the need for advanced reproductive technologies such as IVF. The take home point is this: if you have unexplained infertility consider looking for endometriosis, even if the classic symptoms of painful periods and painful intercourse are absent.