Increasing Trends in Deep Infiltrating Endometriosis (DIE) with Bilateral Endometrioma from Adolescence till Menopause.

ABSTRACT

Endometriosis is a clinical and a pathological entity characterised by the presence of tissue resembling functional endometrial gland and stroma outside the uterine cavity. Endometriosis most commonly affects women in the age group of 24-35 yrs.1 Postmenopausal endometriosis accounts for less than 3% of the cases.2 The common clinical presentation in a case of endometriosis include chronic pelvic pain, dysmenorrhoea, infertility, dyschezia, dyspareunia and adnexal mass. Diagnosis is usually suspected on basis of signs and symptoms and confirmed on imaging. Transvaginal ultrasound and MRI (especially in DIE) remains not only a diagnostic modality but also the best guide to decide the management.3 Many a times, gravity of symptoms may not correlate with severity of disease and patient may remain asymptomatic even with severest form of disease. Many a years may be lost before the definitive diagnosis and management of endometriosis is established.