It is time to change the definition: Endometriosis is no longer a pelvic disease

It is time to change the definition: Endometriosis is no longer a pelvic disease Endometriosis is a chronic, inflammatory, hormone-dependent gynecologic condition characterized by the presence of endometrial-like tissue outside the uterine cavity, 1 including pelvic peritoneal surfaces, rectovaginal space, ligaments, ovaries, as well as the bowel and bladder. 2 The presentation of endometriosis is highly variable, ranging from superficial peritoneal lesions of different colors to ovarian cysts (endometrioma), deep infiltrating nodules, and extra pelvic lesions. 3In relation to symptoms, women with endometriosis may experience cyclic or constant severe pelvic pain, which can also occur during and after sexual intercourse (dyspareunia), accompanied by dysuria, dyschesia, dysmenorrhea, and infertility, among others.