• Endometriosis is the abnormal growth of cells

(endometrial cells) similar to those that form the

inside of the uterus, but in a location outside of the
uterus.
• Endometrial cells are cells that are shed each
month during menstruation.
• The cells of endometriosis attach themselves to
tissue outside the uterus and are called
endometriosis implants.

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• These implants are most commonly found on the
ovaries, the Fallopian tubes, outer surfaces of the
uterus or intestines, and on the surface lining of the
pelvic cavity.

• They can also be found in the vagina, cervix, and

bladder, although less commonly than other locations
in the pelvis. Rarely, endometriosis implants can occur
outside the pelvis, on the liver, in old surgery scars,
and even in or around the lung or brain. Endometrial
implants, while they can cause problems, are benign

• Retrograde menstrual flow (when your period flows

upward through your fallopian tubes and into your
pelvis instead of out your vagina)
• Adhesions
• Fusion (Union) of pelvic organs
• Bladder dysfunction
• Puerperal Sepsis (infection of the genital tract
occurring at labour or within 42 days of the
postpartum period)
• Sterility

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• A health history, including an account of the
menstrual pattern, is necessary to elicit specific
symptoms.
• On pelvic examination fixed tender nodules are
sometimes palpated and uterine mobility may be
limited, indicating adhesions.
• Laparoscopic examination
• Ultrasound
• C.T Scan

• The main complication of endometriosis is

impaired fertility.
• Approximately one-third to one-half of women
who have endometriosis have difficulty getting
pregnant.
• Bleeding tendency

Endometriosis can be treated with medications and/or

surgery. The goals of endometriosis treatment may
include pain relief and/or enhancement of fertility.
MEDICAL MANAGEMENT :
Antibiotics
Inj: Velosef 500 mg I/M 8hrly for 07 days,
Cap: Velosef 500 mg 1 x 8 hrly for 07 days,
Tab: Tarivid 1 + 1 for 07 days.
Analgesic
Inj: Dicloron I/M SOS,
Tab: Ponstan Forte 1+1,
Anti-inflammatory inj: Chymar I/M BD.
Anti-protozoa:
Tab: Flagyl 400mg 1+1+1 for 07 days.
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• Laparoscopy may be used to fulgurate (cut with high-

frequency current) endometrial implants
• and to release adhesions.
• Laser surgery is another option made possible by
laparoscopy.
• Laser therapy vaporizes or coagulates the
endometrial implants, thereby destroying this tissue.

• Other surgical options include endocoagulation and

electrocoagulation, laparotomy, abdominal
hysterectomy, oophorectomy (surgical removal of
overies), bilateral salpingo-oophorectomy (The
removal of an ovary together with the Fallopian
tube), and appendectomy.

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• Health History
• Physical Examination
• Brief about effects of prescribed medication.
• Woman’s reproductive plan
• Brief about treatment plan
• Explain diagnostic procedures before performing
• Relief pain
• In patient education encourage the patient to seek
care.
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Pre Operative Care

• NPO patient at least 8 hours.
• Check all vital signs.
• Prepare the patient for surgery.(sign consent).
• Check & arrange all the needed equipments.

• Smeltzer.S.C., & Bare, B. (2004). Brunner and

Suddarth’s Textbook of Medical-Surgical Nursing
(10th Ed). Philadelphia. Lippincott Williams &
Wilkins.

• Black, J. Hawks, J.(2005). Medical Surgical

Nursing.(7th Ed:).Lippincott

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