Endometriosis content helpful for all nursing students

1. ENDOMETRIOSIS
Kshyanaprava Behera
Assistant Professor
SUM Nursing College

3. AETIOLOGY
• Hormonal influence.
• Immunological factors.
• Genetics

4. RISK FACTORS
Single/nulliparous
Early menarche
Non oral contraception
Non smoker shorter cycle/longer duration
of flow
Dysplastic naevus syndrome, melanoma

7. SITES OF ENDOMETRIOSIS
Common sites
• Ovaries.
• Pelvic peritoneum.
• Pouch of Douglas .
• Utero sacral ligaments.
• Retro-vaginal septum.
• Sigmoid colon.
• Appendix.
• Pelvic lymph nodes.
• Fallopian tubes.
Rare & remote sites
• Umbilicus.
• Abdominal scars.
• Episiotomy scar.
• Lungs.
• Pleura.
• Ureter.
• Kidney.
• Arms.
• Legs.
• Nasal mucosa

9. CLINICAL FEATURES
• chronic pelvic Pain, abdominal
pain, dysmenorrhoea and
dyspareunia.
• Abnormal menstruation.
• Infertility.

21. Case selection for expectant
management
• Minimal endometriosis with no other
abnormal pelvic findings.
• Unmarried.
• Young married who are ready to start
family.
• Approaching menopause.

28. COMPLICATIONS OF ENDOMETRIOSIS
• Endocrinopathy.
• Infection & Rupture of chocolate cyst.
• Obstructive features-
• Intestinal obstruction.
• Ureteral obstruction -hydroureter -
hydronephrosis- renal infection
• Malignancy.