-Endometriosis is a disease condition in which there is presence of endometrial tissue both glands and stroma outside the uterus.

-The tissue is confirmed to be endometrial as it responds to hormones in cyclic manner.


  • Genitic factor -risk becomes 7 times more if it is present in first degree relatives
  • Immunological factors
  • previous infection & inflammation


  • Dysmenorrhea
  • Dyspareunia
  • deep pelvic pain
  • hematuria
  • Infertility


  • tenderness & nodularity incul-de-sac
  • retroverted uterus
  • Adnexal tenderness
  • presence of adnexal mass


  • Ultrasonography-trans abdominal & transvaginal
  • laporoscopy
  • cystoscopy for involment of bladder 


  • for asymptomatic cases, close observation should be done for 6-8 month & investigation for infertility
  • for symptomatic cases,there is medical as well as surgical managment

medical managment-

  • combined oral contraceptives
  • oral progesterone
  • Dannazole

surgical management

  • laporotomy 
  • dissection & excision of cyst 
  • if the women has complete her family  salpingo oophorectomy or hysterectomy can be also done



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