Endometriosis is a condition where tissue similar to the lining of the uterus, which should only be located inside the uterus, is found in other places in the body. Endometriosis lesions can be found anywhere in the pelvic cavity: on the ovaries, the fallopian tubes, and on the pelvic sidewall. Other common sites include the uterosacral ligaments, the cul-de-sac, the Pouch of Douglas, and in the rectal-vaginal septum.
Less common sites include caesarian-section scars, laparoscopy or laparotomy scars, on the bladder, bowel, intestines, colon, appendix, and rectum.
Choosing a treatment therefore comes down to the individual woman's needs, depending on her symptoms, age, and fertility wishes. Each woman should discuss treatment options with her physician so that they, together, can determine which long-term treatment plan is best for her individual needs.
Treatment may include: