You have endometrial tissue spread out and deposited in all these areas where it’s not supposed to be. Endometriosis is a condition in which endometrial tissue from the lining of the uterus moves through the fallopian tubes and gets on your ovaries, in your pelvis, on your bladder or in other areas. If the woman does not get pregnant, part of the endometrium is shed, causing menstrual bleeding.”Įndometrial tissue is usually only inside your uterus. It becomes thick and rich with blood vessels to prepare for pregnancy. The endometrium changes throughout the menstrual cycle. “The endometrium is the mucous membrane that lines the inside of the uterus (womb). The word “endometriosis” = endometrium + the suffix -osis (which means condition). Aromatase inhibitor (AI) – Letrozole or Anastrozole. Limit use to 6-12 months because of side effects (hot flashes and decrease bone density). GnRH agonists (Leuprolide, Goserelin, Nafarelin). The goal of treatment is to relieve pelvic pain, NOT to improve infertility. However, transvaginal U/S is the noninvasive test of choice.ĬA-125 will often be elevated but is nonspecific. Laparoscopy (with histology) is the gold standard for diagnosis. Infertility, dysmenorrhea, and dyspareunia with postcoital bleeding are common. Patient with dysmenorrhea, pelvic pain, and dyspareunia.Įndometriosis is caused by menstrual tissue in the pelvic peritoneal cavity.
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