Endometriosis involves adhesive disease of the ovaries, tubes, lining of the pelvis and may involve the bowel, bladder or nearby structures. It can cause:
- painful periods
- pain with intercourse
- heavy menstrual periods, and
- pain passing a bowel motion
It should be completely excised via keyhole surgery to restore normal anatomy and this should be done by a high volume surgeon with expertise in endometriosis surgery. Merely applying diathermy to the surface of a deposit of endometriosis will not necessarily treat the disease and should be avoided.