endometriosis

Headline
Etiology endometrial tissue outside of uterus – commonly in pouch of Douglas, uterosacral ligaments.
Epidemiology
Clinical presentation cyclical pain (dyspareunia, dysuria etc.) or GI symptoms - painful defaecation +/- infertility
should offer internal vaginal examination

Ddx:
Pathogenesis cyclical bleeding → inflammation → fibrous adhesions
Diagnostic investigations TVUS; MRI pelvis; diagnostic laparoscopy
Management Complications:
Prevention