Excess amount or unusual growth of endometrium are found in areas that typically do not have this tissue.

Endometrium is a tissue that lines the uterus.

Female hormones cause startling changes in the uterus.

Endometriosis can be found in the pelvis, ovaries, abdomen, and other locations.

The most common location appears to be the ovaries.

The cause is referred to as “retrograde menstruation” however the course and complete cause are not well understood.

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

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

Symptoms

-    Pelvic pain that can be extreme
-    Infertility
-    Rectal pain
-    Vaginal bleeding
-    Nausea
-    Fatigue
-    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