COMAT Family Medicine

fallopian tubes and becoming affixed to the extra-uterine structures, although the tissue can travel in the bloodstream to distant sites.

The symptoms of endometriosis differ according to where the implants are located. The most common symptom is dysmenorrhea or painful periods because of the extra-uterine bleeding. Other symptoms include dyspareunia or pain with intercourse, infertility, pain with defecation, and dysuria. Figure 1 shows where endometriosis can be seen:

Figure 1.

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