Endometriosis Pelvic Pain
Endometriosis Pelvic Pain is an oestrogen-dependent disease, in which endometrial tissue is present outside the uterus. It affects most commonly the ovaries (up to 88% of all cases), uterine ligaments, fallopian tubes, rectum, cervical-vaginal region, and rarely the urinary tract (1-2% of all cases).
Endometrial lesions can be divided into:
1. Superficial peritoneal endometriosis
2. Deeply infiltrating endometriosis (DIE)
3. Ovarian endometriosis
Only DIE lesions are associated with chronic pelvic pain, especially when this involves the bowel or urinary tract. (1)