Main content

Pelvic Endometriosis

Endometriosis occurs when the tissue lining the inside of the uterus (the endometrium) becomes implanted outside the uterus, usually on the ovaries or the lining of the pelvis. Growth of this tissue creates surrounding scar tissue and causes variable amounts of pelvic pain, which can be mild to severe and tends to worsen over time if untreated. The cause of endometriosis is uncertain.

Symptoms of Pelvic Endometriosis | Non-Surgical Treatment Options | Surgical Options

Symptoms of Pelvic Endometriosis

While some with this condition show no symptoms, most women may experience one or more of the following signs:

Painful periods (dysmenorrhea)
Deep pain during intercourse
Pain during urination and/or bowel movements
Infertility

Non-Surgical Treatment Options

Endometriosis is usually treated with medications and/or surgery. The best treatment plan is determined by the location and severity of the symptoms, findings on pelvic exam and planns for future pregnancy. Typical non-surgical treatment options include:

Over-the-counter pain relievers (Advil, Motrin IB, etc.)
Hormone therapy such as birth control pills or progestins alone
Intermittent medical menopause using hormone suppression

Surgical Options

Surgical options are typically conservative, using minimally invasive laparoscopic surgery to remove the burden of endometriosis and scar tissue without removing the reproductive organs. Some CPMC surgeons also specialize in using the DaVinci Robot for treating endometriosis.

For those having failed conservative surgery and completed their childbearing, total laparoscopic hysterectomy with or without removal of the fallopian tubes and ovaries provides the greatest promise for symptom relief.
Back to top