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PATHOPHYSIOLOGY

Risk Factors: Theories of causation


Unknown
• Heavy bleeding cause • Estrogens
during menses • Retrograde
• Age 25-35 yrs menstruation
old

Uterus (specifically
at the endometrium
lining)
MENSTRUAL CYCLE:
Increase Estrogen
level
Thickening of the endometrial
lining in preparation for the
fertilization of the egg
If the egg is not fertilize; the
prostaglandin is responsible for the
sloughing off of the endometrium lining
(menstruation)
Lymphatic and Retrograde
Vascular spread menstruation

Rectum The endometrium Bleeding


build up

Adhesion
Symptoms: Pain
• Dysmenorrhea
• Chronic pelvic pain
• Dyspareunia
• Dysuria
• Infertility
• Gastrointestinal symptoms

Rectal Endometriosis