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Endometriosis: Clinical manifestations and diagnosis of rectovaginal or bowel disease

Nicola Berlanda, MD
Paolo Vercellini, MD
Luigi Fedele, MD
Section Editor
Tommaso Falcone, MD, FRCSC, FACOG
Deputy Editor
Kristen Eckler, MD, FACOG


Endometriosis is the presence of endometrial glands and stroma at extrauterine sites throughout the pelvis and beyond. Endometriosis lesions can be superficial, ovarian, or deep. Endometriosis lesions that invade into the rectovaginal space and/or bowel are forms of deep infiltrating endometriosis. The invasive nature of these implants causes significant pain, bowel dysfunction, and treatment challenges.

This topic will review the clinical manifestations and diagnosis of rectovaginal and bowel endometriosis. General principles of endometriosis, treatment options, and urinary tract endometriosis (another form of deep infiltrating endometriosis) are presented separately.

(See "Endometriosis: Pathogenesis, clinical features, and diagnosis".)

(See "Endometriosis: Treatment of pelvic pain".)

(See "Endometriosis: Surgical management of pelvic pain".)

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Literature review current through: Dec 2017. | This topic last updated: Jun 18, 2017.
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