This condition is when there is an excess amount of endometrial cells that are found in areas where they shouldn’t.

Endometrium is a tissue normally lines the uterus.

This can be seen in ovaries, abdomen, pelvis, and in other locations.

The most common location appears to be the ovaries.

The medical cause is referred to as “retrograde menstruation“.

However the course and complete cause are not well understood.

Symptoms are often more pronounced during menstrual period.

This condition can be seen in approximately 8-10% of women.

This condition often affects those of reproductive age.

*** There is an increase risk of Infertility in women with endometriosis.

Symptoms

-    Pelvic pain that can be extreme
-    Infertility
-    Rectal pain
-    Vaginal bleeding
-    Painful menstrual period  [dysmenorrhea]
-    Pain during sexual activity  [dyspareunia]
-    Pain during urination  [dysuria]
-    Nausea
-    Fatigue
-    Constipation
-    and others

Imaging is often needed to distinguish from other diseases but is not often helpful in endometriosis.

Laparoscopy and tissue biopsy are often more helpful.

Treatment is often hormonal in nature
·      GnRH products: nafarelin nasal spray or leuprolide acetate
·      Danzol [4-6 months]
·      Oral contraceptives
·      Medroxyprogesterone acetate + oral estrogen or estradiol valerate [6-9 months]
·      NSAIDS
·      Other Analgesics

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