-cyclic or chronic pelvic pain, occurring as dysmenorrhea. or dyspareunia, low back ache
may have irregular uterine bleeding or hypermenorrhea
may be asymptomatic
uterus fixed, tender to movement
-small firm nodular masses tender to palpation on posterior aspect of fundus, uterosacral ligaments, ovaries, sigmoid colon.
ovaries often enlarged
-masses are aberrant growths of endometrial tissue scattered throughout pelvis, probably as a result of transplantation of tissue by retrograde menstruation.
-ectopic tissue responds to hormone stimulation, builds up during menstruation
-ectopic tissue responds to hormone stimulation, builds up between periods, sloughs during menstration
may cause infertilityfrom pelivic adhesions from pelvic adhesions , tubal obstruction, decreased ovarian function