Ovaries: Formation of an endometrioma (a 2 - to 10-cm cystic mass localized to an ovary), which occasionally ruptures or leaks, causing acute abdominal pain and peritoneal signs Adnexal structures: Formation of adnexal adhesions, resulting in a pelvic mass or pain Bladder: Dysuria, hematuria, suprapubic or pelvic pain (particularly during urination), urinary frequency, urge incontinence, or a combination Large intestine: Pain during defecation, abdominal bloating, diarrhea or constipation, or rectal bleeding during menses Extrapelvic structures: Vague abdominal pain (sometimes) Pelvic examination may be normal, or findings may include a retroverted and fixed uterus, enlarged or tender ovaries, fixed ovarian masses, thickened rectovaginal septum, induration of the cul-de-sac, nodules on the uterosacral ligament, and / or adnexal masses.