Endometriosis 
Defination
Patches of endometrial tissue, normally occurring only in the lining of the uterus (endometrium) appear outside the uterus
Clinical manifestations
Pathophysiology
Treatment
Causes
Nursing management
cramps one or two weeks around menstruation
heavy menstrual bleeding or bleeding between periods
pain in the lower abdomen before and during menstruation
infertility
painful periods
pain following sexual intercourse
Pelvic pain
Leuprolide to supress the activity of the ovaries
Surgery to remove or destroy the misplaced endometrial tissue
Aspirin for pain
discomfort with bowel movements
lower back pain that may occur at any time during your menstrual cycle
Embryonic cell transformation
Surgical scar implantation
Transformation of peritoneal cells
Endometrial cell transport
Retrograde menstruation
Bleeding during the menstrual cycle causes inflammation, which triggers cytokines
Triggers chemokines, growth factors, and protective factors to migrate to the area
The inflammation can lead to fibrosis, scarring, adhesions, and pain
Leading causes of chronic pelvic pain and infertility in reproductive-age women
Avoid large amounts of alcohol
Avoid large amounts of caffeine drinks
Exercise regularly (more than 4 times a week
Analgesics
Talk to a doctor about hormonal birth control methods such as pills, patches or rings with lower doses of oestrogen
Immune system disorder
Surgery to remove only the uterus or the uterus and ovaries
Diagnostic procedures
Endoscopy to check for endometrial tissues
Biopsy
Physical exam
Ultrasound
Stages
Stage 2: There are more implants than in stage 1. They’re also deeper in the tissue, and there may be some scar tissue
Stage 3: There are many deep implants, small cysts on one or both ovaries, and thick bands of scar tissue called adhesions.
Stage 1:There a few small implants or small wounds or lesions
Stage 4: This is the most widespread, many deep implants and thick adhesions.There are also large cysts on one or both ovaries