The presence and proliferation of endometrial tissue outside the uterine cavity, usually within the pelvis. It may manifest as dysmenorrhoea, dyspareunia and chronic pelvic pain. Diagnosis is made by laparoscopy.
For women who wish to conceive, referral for surgery.
- Combined oral contraceptives for 6 months. OR
- Medroxyprogesterone acetate, oral, 30 mg daily for at least 3 months.
The recurrence of symptoms is common following cessation of treatment.
» Women with infertility.
» No response to treatment after 3 months.