ABSTRACT

Endometriosis is found in up to 60% of women with dysmenorrhea, 40-50% of reproductive age women with pelvic pain or deep dyspareunia, and 30-40% of women with infertility.1 Endometriosis is defined as the presence and proliferation of endometrial tissue outside the uterus. Endometriosis is most frequently found in the dependent portions of the pelvis, including the surface of the ovaries, the uterosacral ligaments, the pelvic sidewalls and the posterior cul-de-sac. Endometriosis may also form so-called chocolate cysts of the ovary (endometriomas), may invade the rectovaginal septum, may appear at the sites of previous surgical incisions, or may even arise in distant parts of the body such as the lung or brain.