Endometriosis

Parts of endometrium migrate to other areas in pelvis and still respond to hormones, but are “stuck”: can’t exit body. Thus causes inflammation, pain, and subfertility. There then becomes a distortion of anatomy- “toxic” substances in the pelvis.

Unfortunately, there is no cure for endometriosis but there are tx options to relieve symptoms and prevent damage. These include:

• Continuous OCPs, aromatase inhibitors, GnRH agonists (create a
  hypoestrogenic state)
  • Stop Ovulation and alleviate pain
• Laser ablation and resection of Stage 3 and 4 (grading system correlates with disease severity, not pain level)
• Stage 1 and 2: Either Clomiphene / IUI or laser ablation (similar pregnancy rates)

---

Endometriosis

---

Scar Tissue