Endometriosis and pelvic pain

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AI-generated summary by claude@2026-06, 2026-06-08

Endometriosis is a condition characterized by ectopic endometrial tissue, causing variable symptoms like chronic pelvic pain and affecting fertility, with surgery as the gold standard but non-invasive methods and medical treatments also utilized.

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Abstract

Endometriosis is a chronic, benign, gynecological disorder characterized by the presence of ectopic \nendometrial tissue outside the uterine cavity, affecting up to 10% of women of reproductive age. Endometriosis is a complex and heterogeneous disease, whose symptoms are widely variable and \nsometimes unrelated to the site or to the stage of the disease 2. Some patients are asymptomatic, while others report severe painful symptoms, such as chronic pelvic pain (CPP), dysmenorrhea, \ndyspareunia, dyschezia or dysuria, compromising the health status and the quality of life (QoL) . It represents the first cause of school absenteeism and seems to involve up to 60% of adolescents with \npelvic pain. In 30%-40% of cases, endometriosis is associated with infertility . At present, surgery remains the gold standard for the endometriosis’s diagnosis and treatment, but it \nis burdened by the inherent risks of surgical morbidity and potential decrease in ovarian reserve. Non-invasive diagnostic methods, such as transvaginal sonography (TVUS) and magnetic resonance \nimaging (MRI), identify and characterize endometriotic lesions with a high accuracy and help in the management decision making. Several medical treatments have been suggested to control pain, \ndelay surgery, prevent recurrences and preserve fertility; the medical approach is hugely accepted and proves to be effective and safe.

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Condition tags

mesh:D004715mesh:D017699endometriosischronic_pelvic_paindysmenorrheainfertility

MeSH descriptors

Endometriosis Endometriosis Female Humans Pelvic Pain Pelvic Pain

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europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
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