Endometriosis arising during estrogen and testosterone treatment 17 years after abdominal hysterectomy: a case report
Case report
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This case report describes endometriosis occurring in the abdominal wall 17 years after hysterectomy in a patient undergoing estrogen and testosterone treatment.
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Abstract
OBJECTIVE: To report the possible association between the use of oestrogen replacement therapy and endometriosis in a postmenopausal woman.
METHODS: We present a case of a postmenopausal, previously hysterectomised, woman who received hormonal replacement therapy and developed a large broad ligament cyst. Two years prior to her presentation she had been complaining of pelvic pain and deep dyspareunia.
RESULTS: Pelvic ultrasound showed an adnexal cyst that was increasing in size. CA-125 was normal. Laparoscopy revealed multiple endometriotic deposits and a broad ligament cyst. Cystectomy and oophorectomy were done. Histology confirmed a diagnosis of endometriosis including the broad ligament cyst.
CONCLUSIONS: Hormonal replacement therapy can be associated with de novo endometriosis including at sites, which are unusual.
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References (12)
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- Etiology and epidemiology of endometriosis via openalex
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Cited by (26)
- Endometriosis 2025
- Endometriosis and menopausal health: An EMAS clinical guide 2025
- Clinical Management of Endometriosis in Menopause: A Narrative Review 2024
- Adenomiosis: diagnóstico 2023
- Postmenopausal endometriosis, where are we now? 2019
- Endométriose 2019
- Surgical challenges in the treatment of perimenopausal and postmenopausal endometriosis 2018
- Postoperative Levonorgestrel-Releasing Intrauterine System Insertion After Gonadotropin-Releasing Hormone Agonist Treatment for Preventing Endometriotic Cyst Recurrence: A Prospective Observational Study 2017
- Gastric wall endometriosis in a postmenopausal woman 2016
- Endometriosis after menopause 2015
- The unexpected conundrum of endometrioid carcinoma in deep rectal endometriosis arising 11 years after total hysterectomy bilateral salpingo-oophorectomy 2015
- Prevention of the recurrence of symptom and lesions after conservative surgery for endometriosis 2015
- Diagnóstico de la adenomiosis 2014
- Recurrence of endometriosis after hysterectomy 2014
- Potential role of aromatase inhibitors in the treatment of endometriosis 2014
- Endometriosis: a life cycle approach? 2013
- History of endometriosis may adversely affect the outcome in menopausal recipients of sibling oocytes 2012
- Aromatase inhibitors for the treatment of endometriosis 2012
- Aromatase inhibitors in post-menopausal endometriosis 2011
- Endometriosis in postmenopausal women without previous hormonal therapy: report of three cases 2008
- Postmenopausal intestinal obstructive endometriosis: case report and review of the literature 2008
- The link between environmental toxicant exposure and endometriosis 2007
- De novo postmenopausal endometriosis during tibolone treatment: a case report and review of the literature 2007
- Endometriosis: harmful survival of an ectopic tissue 2006
- Postmenopausal endometriosis and malignant transformation of endometriosis: a case series 2005
- Successful treatment of an aggressive recurrent post-menopausal endometriosis with an aromatase inhibitor 2005
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- europepmc
- last seen: 2026-10-14T06:08:39.101224+00:00
- openalex
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- pubmed
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- unpaywall
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