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

Endometrium is a tissue that lines the uterus.

Endometriosis can be found in pelvis, ovaries, abdomen, and others

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

Occurs in approximately 8-10% or 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