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|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 left behind on abdominal organs during embryonic development can 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
- Nonsteroidal anti-inflammatory drugs to reduce inflammation and help with cramping—best when taken on a regular basis
- Prescription pain relievers—often needed
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
Women's Health Matters http://www.womenshealthmatters.ca
American Academy of Family Physicians. Endometriosis: what you should know. Am Fam Physician. 2006 Aug 15;74(4):601-2. Available at: http://www.aafp.org/afp/2006/0815/p601.html. Accessed September 23, 2014.
The American College of Obstetricians and Gynecologists. The Management of Endometriosis. Practice bulletin No. 114; July 2010.
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 June 24, 2013. Accessed September 23, 2014.
3/12/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: 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, MD
- Review Date: 08/2014
- Update Date: 09/23/2014