ABSTRACT

The ovaries are not the most common area of the pelvis to be involved by endometriosis, and almost all patients with ovarian disease will have disease in other pelvic or intestinal locations. Ovarian endometriosis is a marker for the presence of more severe pelvic and intestinal disease than exists in women without ovarian involvement.1 Thus, one of the most important clinical features of ovarian endometriosis is that if a surgeon treats only ovarian disease, then incomplete treatment will almost certainly have occurred.