Pathogenesis: Ectopic implantation of endometrial glands
Clinical features:
Dyspareunia
Dysmenorrhea
Chronic pelvic pain
Infertility
Dyschezia
Cyclic dysuria, hematuria
Physical exam:
Immobile uterus
Cervical motion tenderness
Adnexal mass
Rectovaginal septum, posterior cul-de-sac, uterosacral ligament nodules
Diagnosis: Direct visualization & surgical biopsy
Treatment / management:
Medical (oral contraceptives, NSAIDs)
Surgical resection
![](https://i.ytimg.com/vi/3Ir51rklaU8/maxresdefault.jpg)