Description
Characterized by the appearance of tissue that normally lines the uterus (endometrium) outside the uterine cavity. This tissue may be found on the surface of the ovary, behind the uterus, in the abdominal cavity, on the intestinal wall and even at sites further away. The disorder causes pain and can result in infertility.
Symptoms
Painful periods, painful intercourse, pain with bowel movements, and pelvic or back pain. While the location of the pain varies (depending on where the endometrium is located), it is often worse during periods. Other symptoms include premenstrual spotting and infertility.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Transvaginal ultrasound and pelvic laparoscopy may be recommended to establish the diagnosis.
Tests:
Pregnancy (BHCG) test, Ultrasound
Other Specific Tests: Pelvic laparoscopy
Specialists:
Obstetrics and Gynecology
Workup:
A history and physical exam will be performed. Transvaginal ultrasound and pelvic laparoscopy may be recommended to establish the diagnosis.
Tests:
Pregnancy (BHCG) test, Ultrasound
Other Specific Tests: Pelvic laparoscopy
Specialists:
Obstetrics and Gynecology
Treatment
Pain medications are used. Hormonal therapy to stop menstruation is sometimes helpful. In severe cases surgery is performed including hysterectomy.