Endometriosis
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What are the symptoms of Endometriosis?
Patches of endometriosis can vary in size from the size of a pinhead to large clumps. Many women with endometriosis have no symptoms. If symptoms develop they can vary, and include those listed below.

In general, the bigger the patches of endometriosis, the worse the symptoms. However, this is not always the case. Some women have large patches of endometriosis with no symptoms. Some women have just a few spots of endometriosis, but have bad symptoms.
• Painful periods. The pain typically begins a few days before the period and usually lasts the whole of the period. It is different to normal period pain which is   
   usually not as severe, and doesn't last as long.

• Painful sex. The pain is typically felt deep inside, and may last a few hours after sex.

• Pain in the lower tummy (abdomen) and pelvic area. Sometimes the pain is constant, but is usually worse on the days just before and during a period.

• Other menstrual symptoms may occur. For example, bleeding in between periods.

• Difficulty becoming pregnant (reduced fertility). This may be due to clumps of endometriosis blocking the passage of the egg from an ovary to the Fallopian tube. Sometimes, the reason for reduced fertility is not clear.
How is the diagnosis of Endometriosis confirmed?
The symptoms caused by endometriosis can be caused by other conditions. Therefore, if any of the above symptoms become persistent then tests are usually advised to find the cause of the symptoms. Endometriosis is usually confirmed by a laparoscopy
Surgery for Endometriosis
Sometimes an operation is advised to remove some of the larger patches of endometriosis. There are various techniques that can be used. Most commonly, a thin telescope-like instrument (a laparoscope) is pushed through a small cut in the tummy (abdomen). The surgeon then uses the laparoscope to see inside the abdomen and to direct heat, or a laser, or a beam of special helium gas to destroy patches of endometriosis. Cysts can also be removed via this kind of 'laparoscopic surgery' (keyhole surgery).
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Recurrences

Once the Endometriosis has gone with treatment, it may recur again in the future. Further treatment may need to be considered if symptoms recur.
What is Endometriosis?
The endometrium is the tissue that lines the inside of the womb (uterus).

Endometriosis is a condition where endometrial tissue is found outside the uterus. It is 'trapped' in the pelvic area and lower tummy (abdomen) and, rarely, in other areas in the body