Endometriosis and Chronic Endometritis
Both endometriosis and chronic endometritis are often associated with infertility. But is there a correlation between these two clinical entities? A recent review of the existing literature attempted to provide the answer (Kalaitzopoulos et al., 2025). Chronic endometritis, a chronic inflammation of the endometrium (inner lining of the uterus), often does not give any symptoms […]
Endometriosis and fibroids: is there an association?
Both endometriosis and fibroids are common, benign conditions in women of reproductive age. But are fibroids more common in women with endometriosis? A recent scientific publication attempted to answer that very question. Specifically, Fiore and co-workers included 23 articles, totaling over 3,000,000 patients. What was the main finding? Women with endometriosis had 3 to 10 […]
Superficial Endometriosis and Infertility: the Role of Laparoscopy
Superficial endometriosis is linked to infertility. Laparoscopic management of superficial endometriosis improves fecundity rates, particularly natural conception rates, in appropriately selected patients. On the other hand, laparoscopy cannot be routinely recommended in all cases of unexplained infertility, particularly if there are no symptoms of co-existent pelvic pain, neither can it be routinely recommended routinely prior […]
Endometriosis: Age at Diagnosis and Disease Severity
Is there a link between age at diagnosis of endometriosis and disease severity? What does research suggest? In this article, I am reviewing a relevant paper by Comptour et al. (1), a prospective study with data collected between 2004 and 2012, aiming to identify a possible correlation between age at diagnosis and severity of […]
Adenomyosis: Ultrasound Diagnosis
Adenomyosis is a common gynecological disease associated with heavy, painful periods as well as infertility. Recent advances in imaging methods allow us to diagnose adenomyosis with conventional, transvaginal ultrasound, opening new horizons in the application of novel management methods. Are there, however, certain criteria based on which we can confidently diagnose adenomyosis by ultrasound? […]
Recurrent Endometrioma: A Marker of Disease Severity?
According to a new study, patients operated for recurrent endometrioma had more deep endometriosis lesions and more severe disease, compared to those with no previous endometrioma surgery.
Stages of Endometriosis
Other than the 3 types of disease, we also have stages of endometriosis. As we now know, endometriosis is a heterogeneous disease and, therefore, staging of endometriosis is not always an easy task. This is why there are, up to this date, more than one staging systems of endometriosis. The 3 most commonly used are: […]
Diagnosis of Endometriosis
The diagnosis of endometriosis is often difficult and this is secondary to a number of factors: Lack of awareness, incomplete understanding of the disease, heterogeneity of endometriosis, and co-existing diseases make the diagnosis complex. The mean delay from first symptom to diagnosis of endometriosis is around 8 years1. Many symptoms may first appear during adolescence […]