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EndometriosisTen percent of women will develop endometriosis characterized by the presence of endometrial tissue at sites outside the endometriosis, pelvic pain, dysmenorrhea, menstrual pain uterine cavity. The ectopic endometrial cells cause the cyclical dysmenorrhea of endometriosis endometrosis endometreosis. The most common sites are the ovaries, posterior cul-de-sac, uterosacral ligaments, posterior broad ligament, and anterior cul-de-sac. The uterine serosa, rectovaginal septum, cervix, vagina rectosigmoid, endometriosis, pelvic pain, dysmenorrhea, menstrual pain and bladder are less frequent locations. Endometriosis is characterized by cyclical pain, usually beginning prior to menses. Deep dyspareunia and sacral backache with menses are common. Infertility is a frequent consequence of endometriosis. Premenstrual tenesmus or diarrhea may indicate rectosigmoid endometriosis. Cyclic dysuria or hematuria may indicate bladder endometriosis. Diagnosis Tender nodules are often palpable through the posterior vaginal fornix on bimanual examination and along the uterosacral ligaments on rectovaginal Endometriosis Endometriosis examination. Ovarian enlargement, endometriosis, pelvic pain, dysmenorrhea, menstrual pain endometriosis, pelvic pain, dysmenorrhea, menstrual pain fixation of the adnexal endometriosis, pelvic pain, dysmenorrhea, menstrual pain structures, and uterine Endometriosis Endometriosis retrodisplacement may also be detected. Ultrasound may identify adnexal endometriosis, pelvic pain, dysmenorrhea, menstrual pain masses. Endometriosis can be treated with |