Endometriosis for the Colorectal Surgeon

Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity. Although the exact pathophysiology is unclear, endometriosis is a well-known cause of pelvic pain and infertility in reproductive-aged women. Endometriosis can have extrapelvic manifestations relevant for colorectal surgeons to appreciate, such as cyclic constipation, diarrhea, hematochezia, and dyschezia. The treatment of endometriosis involves a combination of medical and surgical interventions where close collaboration between the gynecologist and colorectal surgeon can help achieve prolonged periods of symptom remission.

Endometriosis - pelvic pain - reproductive-aged women - infertility

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Hum Reprod Update. 2009; 15(4) 441-461 Rajiv B GalaM.D. Department of Obstetrics and Gynecology, Ochsner Clinic Foundation 1514 Jefferson Hwy., New Orleans, LA 70121 Email: [email protected]