![]() For instance, the extent of endometriosis is not generally related to the symptoms someone experiences. This system provides a useful tool to describe the extent of endometriosis. Peer reviewed by: Dr Fiona Connell and Dr Simon McDowell Information collated by: Endometriosis New Zealand Severe or stage IV endometriosis: infiltrative and affecting many pelvic organs and ovaries, often with distortion of the anatomy and adhesions. Sometimes there is also scarring and adhesions. Moderate or stage III endometriosis: sometimes more widespread and starting to infiltrate pelvic organs, peritoneum (pelvic side walls) or other structures. Mild or stage II endometriosis: more extensive than stage I but infiltration of pelvic organs still very limited, without a great deal of scarring or adhesions. If there is endometrial tissue in the muscle of the uterus we call it adenomyosis.in the pelvic cavity. This can not diagnose most forms of endometriosis, but it can pick up cysts on the ovaries ( endometrioma).Įndometriosis is commonly associated with adhesions, which can make surgery more challenging. Often if you see your doctor with concern about your periods they will order an ultrasound scan. Endometriosis is occasionally found in places outside the pelvis such as in scar tissue, the bellybutton or lungs. It may be also be found on the pelvic ligaments, ovaries and bowel. Endometriosis is commonly found in the pelvic region on the thin pelvic lining called the peritoneum. The tissue can form nodules or plaques which may be visualised at surgery. Endometriosis occurs when tissue similar to the lining of the uterus (endometrium), is found in places outside of the uterus.
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