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ENDOMETRIOSIS

Endometriosis is a chronic oestogenic inflammatory disease where functioning endometrial tissue grows outside the uterine cavity, most commonly in the ovaries, pouch of Douglas, uterosacral ligaments, and broad ligaments. It affects 6-10% of women of reproductive age and risk factors include early menarche before age 11. Endometrial tissue can implant via retrograde menstruation, direct implantation, or through coelomic metaplasia and spread to sites through the lymphatic or vascular systems, with genetic and immunological factors also playing a role.

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Meera Nandan
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159 views11 pages

ENDOMETRIOSIS

Endometriosis is a chronic oestogenic inflammatory disease where functioning endometrial tissue grows outside the uterine cavity, most commonly in the ovaries, pouch of Douglas, uterosacral ligaments, and broad ligaments. It affects 6-10% of women of reproductive age and risk factors include early menarche before age 11. Endometrial tissue can implant via retrograde menstruation, direct implantation, or through coelomic metaplasia and spread to sites through the lymphatic or vascular systems, with genetic and immunological factors also playing a role.

Uploaded by

Meera Nandan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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ENDOMETRIOSIS

 Presence of
functioning
endometrium
outside the uterine
cavity
 Chronic oestogenic
inflammatory
disease
• Affects 6%- 10% of women of reproductive
age
• Early menarche (< 11yrs)
Site

• Abdominal
• Extra abdominal - abdominal scars
Hysterorotomy
Caesarean section
myomectomy
• Remote sites
pleura
Lungs
Deep tissues of arms and thighs
Abdominal endometriosis

Ovary
Pouch of douglas
Uterosacral ligament
Broad ligament
Rectovaginal septum
Bladder
Pathogenesis
• Retrograde menstruation(sampson’s theory)
• Coelomic metaplasia (mayer and ivanoff)
• Direct implantation
• Lymphatic theory(Halban)
• Vascular theory
• Genetic and immunological factors

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