Endometriosis - Dysmenorrhoea & Infertility
Symptoms
A 35 year old woman presented with dysmenorrhoea and primary infertility.
Diagnosis
She was an ex-smoker. All investigations were normal.
Procedure
She elected to undergo laparoscopy. This revealed pigmented endometriosis which was excised. There was very minimal disease on both ovaries and this was very carefully diathermied.
Outcome
The pain resolved. She had a successful pregnancy following IVF.
Laparoscopic view of uterus and both ovaries
Pigmented endometriosis in Pouch of Douglas and right Pelvic Side Wall
The endometriosis is excised
Appearance of the Pouch of Douglas after endometriosis has been excised
Pigmented endometriosis on left ovary
Left ovary after very careful diathermy of endometriosis