|Lesions were created by swelling and breakdown of endometrial tissue outside the uterus.|
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- Menstrual tissue backs up through the fallopian tubes and spills into the abdomen
- Immune system may allow the tissue to implant on other organ surfaces and develop into endometriosis
- Lymph system may carry endometrial cells from the uterus
- Certain cells on abdominal organs turn into endometrial tissue
- Family history (a mother or sister with endometriosis)
- Early onset of menstruation
- Not having children—Pregnancy slows or stops the disease from progressing. The condition usually resolves at menopause . The symptoms may return with hormone replacement therapy .
- Prolonged menstrual bleeding (more than 7-8 days)
- Abnormal development of the uterus, with a blocked segment
- Control pain
- Slow endometrial growth
- Restore or preserve fertility
- Severity of symptoms
- Size, number, and location of growths
- Degree of scarring
- Extent of the disease
- Age and whether you want to have a baby
- Over-the-counter pain relievers to ease mild symptoms
- Prescription pain relievers (often needed)
- Nonsteroidal anti-inflammatory drugs to reduce inflammation and help with cramping (best when taken on a regular basis)
The American College of Obstetricians and Gynecologists http://www.acog.org
Endometriosis Association http://www.endometriosisassn.org
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org/index%5Fe.asp
Women's Health Matters http://www.womenshealthmatters.ca
The American College of Obstetricians and Gynecologists. The Management of Endometriosis . Practice bulletin No. 114; July 2010.
Dambro MR. Griffith's 5-Minute Clinical Consult . Philadelphia, PA: Lippincott Williams & Wilkins; 1999.
Endometriosis. The National Institute of Child Health and Human Development website. Available at: http://www.nichd.nih.gov/health/topics/endometri/Pages/default.aspx . Updated February 2006. Accessed June 17, 2008.
Endometriosis: what you should know. American Academy of Family Physicians website. Available at: http://www.aafp.org/afp/2006/0815/p601.html . Published August 2006. Accessed June 17, 2008.
Rakel RE, Bope ET. Conn's Current Therapy 2001 . 53rd ed. Philadelphia, PA: WB Saunders Company; 2001.
Ryan K, Berkowitz R, Barbieri R, et al. Kistner's Gynecology and Women's Health . 7th ed. Philadelphia, PA: Mosby-Year Book; 1999.
3/12/2010 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Seracchioli R, Mabrouk M, Frascà C, et al. Long-term cyclic and continuous oral contraceptive therapy and endometrioma recurrence: a randomized controlled trial. Fertil Steril . 2010;93(1):52-56.
- Reviewer: Andrea Chisholm
- Review Date: 09/2012 -
- Update Date: 09/10/2012 -