Surgical management for endometriosis

A case of a 42 year old patient with cyclical pelvic pain, pain with intercourse, and dysmenorrhea with worsening characteristics is presented. The patient had already been treated for her pelvic pain based on a diagnosis by ultrasound of fibroids and an ovarian cyst with no improvement of her symptoms. On physical examination she had pain with palpation of the pelvic floor muscles, tenderness along ischial spines bilaterally, and tenderness along the posterior uterus. An MRI of the pelvis demonstrated endometriosis with visible lesions at the site of uterine retroflexion, along the right anterior uterus and a left ovarian endometrioma.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Source Type: research