Which of the following is NOT a common manifestation of endometriosis?

• A. Acute infection and fever.
• B. Dysmenorrhea.
• C. Heavy irregular periods.
• D. Infertility.

Answer: (A)

Endometriosis shows up as chronic pelvic pain and reproductive symptoms because ectopic endometrial tissue responds to hormonal cycles, causing inflammation, scarring, and pain. The most typical features are painful periods (dysmenorrhea), sometimes heavy or irregular bleeding, and infertility due to distortion of pelvic anatomy and the inflammatory environment around the implants. Acute infection with fever, on the other hand, points to an infectious process like pelvic inflammatory disease rather than endometriosis. So the description of acute infection and fever doesn’t fit this condition, while dysmenorrhea, heavy irregular periods, and infertility are common manifestations.