- Endometriosis is a chronic condition in which tissue similar to the endometrium grows outside the uterus.
- The exact cause is unknown, and factors such as family history and menstrual patterns may influence the risk.
- Lesions outside the uterus can respond to hormonal changes, causing pain and inflammation.
- Representative manifestations include menstrual-related pelvic pain, heavy bleeding, dyspareunia, pain during defecation or urination, and infertility.
- The risk may be higher in those with a family history of menstruation, early menarche, short cycles, or heavy menstrual flow, though there is significant individual variation.
- Symptoms often appear in connection with menstruation and may worsen over time, sometimes accompanied by fatigue and gastrointestinal symptoms.
- Diagnosis involves a comprehensive assessment of symptoms and medical history, pelvic examination, and imaging studies if necessary; laparoscopy and biopsy may be utilized.
- It may be difficult to confirm the diagnosis with imaging studies alone, and since surgical confirmation is used for definitive diagnosis, test results must be interpreted alongside symptoms.
- Management is determined on an individual basis, considering pain control, evaluation of lesions and symptoms, and pregnancy planning.
- Current treatment focuses on managing symptoms such as pain and bleeding and supporting the possibility of pregnancy, rather than achieving a complete cure.