21. MedlinePlus Medical Encyclopedia: Endometriosis endometriosis. Causes, incidence, and risk factors Return to top. The cause ofendometriosis is unknown. However, a number of theories have been proposed. http://www.nlm.nih.gov/medlineplus/ency/article/000915.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Endometriosis Contents of this page: Illustrations Definition Causes, incidence, and risk factors Symptoms ... Prevention Illustrations Pelvic laparoscopy Endometriosis Abnormal menstrual periods Definition Return to top Endometriosis is a condition in which the tissue that normally lines the uterus (endometrium) grows in other areas of the body, causing pain, irregular bleeding , and frequently infertility The tissue growth typically occurs in the pelvic area, outside of the uterus, on the ovaries, bowel, rectum, bladder, and the delicate lining of the pelvis, but it can occur in other areas of the body as well. Causes, incidence, and risk factors Return to top The cause of endometriosis is unknown. However, a number of theories have been proposed. The retrograde-menstruation theory proposes that endometrial cells (loosened during menstruation) may "back up" through the fallopian tubes into the pelvis, where they implant and grow in the pelvic and/or abdominal cavities. The immune-system theory suggests that a deficiency in the immune system allows menstrual tissue to implant and grow in areas other than the uterine lining. Another theory suggests that the cells lining the abdominal cavity may spontaneously develop endometriosis. A genetic theory proposes that certain families may exhibit predisposing factors that lead to endometriosis.

22. Center For Endometriosis Care | Welcome The Center for endometriosis Care was founded to diagnose, treat, and educate women with endometriosis. Free literature and a quarterly newsletter are available. http://www.CenterForEndo.com/

The Center for Endometriosis Care was founded to diagnose, treat, and educate women with endometriosis. Free literature and a newsletter are available. Endometriosis is a troubling disease that affects millions of women worldwide. It is responsible for hundreds of thousands of missed work hours, pain ranging from mild to crippling, and, for some women, infertility. Introduction The Center for Endometriosis Care (CEC) is formed around four principles: Recognizing subtle disease in all its manifestations. Removing all endometriosis while preserving a woman's organs. Performing pathological examination on all excised tissue. Treating women with respect as partners in health care. Recognize Disease Historically, medical textbooks teach that endometriosis looks like black powder burns. However, many studies have shown that black implants are not even the most common. Clear, white, red, yellow, blue and gray implants can also occur. A surgeon who looks only for black spots can miss significant disease. The CEC medical staff has many years and thousands of cases of experience in disease recognition. At the Center for Endometriosis Care, we consider any abnormal area of the peritoneum to be endometriosis until proven otherwise by pathology. Remove Disease Once endometriosis is recognized, it is removed via laparoscopic excision (LAPEX). Although this is a meticulous, highly detailed operation, most women are treated on an out-patient basis.

23. Welcome To The Endometriosis Zone endometriosis News. May June 2004. Expert views on endometriosis. Exposureto dioxin and endometriosis the link that never was? by Sun-Wei Guo PhD. http://www.endozone.org/

Welcome Log-in/out; Register Editorial Board Contact ... Share your endometriosis story Resources Job Opportunities In the Literature Medline Cochrane Database ... Glossary Endometriosis News May - June 2004 Professor Anthony Luciano and Professor Thomas D'Hooghe discuss the diagnosis and long-term management of endometriosis following their presentations at the recent World Congress on Gynaecological Endocrinology. From New Zealand, Dr Michael Cooper and Professor Cindy Farquhar share their views on an evidenced based approach to treating endometriomas Dr Ken Sinervo provides a comprehensive look at new therapies for dealing with adhesions and Dr Ossie Petrucco and Dr Roberta O'Shea address adhesions specifically in relation to laparoscopic surgery for endometriosis. How are values and ideals maintained in healthcare? Dr Skip Granai shares his thoughts from his own experience. The Coping Zone provides support group news and strategies for dealing with endometriosis Expert views on endometriosis Exposure to dioxin and endometriosis: the link that never was?

24. Endo Akron Home Page Official support group for people interested in exchanging information about endometriosis, offering mutual support and helping to educate the public. http://members.aol.com/endoakron/

Pain and Infertility Endometriosis Association Support Group of Akron Welcome to The Endo Akron Support Group Web Page...We Hold Our Meeting on the Fourth Tuesday of the Month at Akron City Hospital at 7:00 p.m....Call (330) 864-0631 For More Information..... This site best viewed through Microsoft Internet Explorer Last updated November 5, 2000 T he Endometriosis Support Group of Akron, founded by Susan Shuber, is an official support group of the International Endometriosis Association. The Endometriosis Association International Headquarters is an independent, international self-help organization. Members are women with endometriosis, physicians, researchers, and others interested in exchanging information about endometriosis, offering mutual support and help, with educating the public and medical community about endometriosis, and conducting research on endometriosis I f you are interested in becoming a member of the national association please click here. The Endometriosis Association International Upcoming Events M eetings are held at 7:00 pm on the fourth Tuesday of each month at Akron City Hospital , 44 Arch Street, Akron, in the Main Nursing Lounge. Women with endo and their significant other are invited.

25. Endometriosis Information, diagnosis, treatment resources about endometriosis endometriosis. endometriosis is a common gynecological disease that occurs when cells from the womb are found The most common http://www.endometriosis.allbio.org/

Endometriosis Endometriosis is a common gynecological disease that occurs when cells from the womb are found outside the womb. The most common symptom of endometriosis is pain. Usually it begins with menstruation, or it may build up a few days before your period. Other symptoms include: nausea, vomiting, diarrhea, pain with intercourse or bowel movements and for some, infertility. Diagnosis is currently based on surgical visualisation by laparoscopy. It involves placement of a fiber optic (lighted) scope into the abdomen. This is then followed by placement of small additional ports in the lower abdomen to allow placement of instruments for evaluation and treatment of endometriosis. Acne Allergy Antibiotics Antioxidants ... Endometriosis - from Walter Reed Army Medical Center. Endometriosis - Current Concepts and Treatment - by James H. Liu, MD and Marcelle I. Cedars, MD. Endometriosis - by Richard W.Tureck, M.D., Professor and Director of Reproductive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania School of Medicine. Endometriosis and Dioxin - by Lone Hummelshoj, European Representative, Endometriosis Association.

26. Endometriosis | Basic Questions And Answers endometriosis Basic Questions and Answers. by Robert B. Albee, MD. Although manywho visit this site know a great deal about endometriosis, many more do not. http://www.centerforendo.com/QandA.htm

Endometriosis: Basic Questions and Answers by Robert B. Albee, M.D. Although many who visit this site know a great deal about endometriosis, many more do not. In light of this, we present some basic information about endometriosis. We hope you find it helpful. The medical definition of endometriosis is: Endometrium including both endometrial glands and stroma in an ectopic location. What that means is, tissue similar to the lining of the uterus (the endometrium) that is found living outside the uterus, usually in the female pelvis. Both glands and stroma must be present for a diagnosis of endometriosis. In the vast majority of cases, endometriosis is found in the female pelvis. Specific locations of endometriosis (also known as lesions or implants) have been found on every pelvic organ, including the uterus, ovaries, tubes, ligaments, ureters, bowel, bladder, and other peritoneal surfaces. The location of the implants, the depth to which they penetrate the tissue they rest upon, and their overall size contribute to the unique nature of this disease. Although there are many differing opinions concerning aspects of endometriosis, one thing everyone agrees on is that every case of endometriosis is different from every other case. We may find similar cases, but none that are exactly alike. The magnitude of endometriosis pain depends in part on where it is and how much you have. A spot (focus) of endometriosis may stay small and relatively inactive for many years. However, even the tiniest implant can cause incapacitating pain if it irritates a nearby nerve.

27. CNN - Endometriosis And Sexuality - July 9, 1999 CNN http://www.cnn.com/HEALTH/women/9907/09/sex.endometriosis/index.html

[an error occurred while processing this directive] MAIN PAGE WORLD U.S. LOCAL ... daily almanac MULTIMEDIA: video video archive audio multimedia showcase ... more services E-MAIL: Subscribe to one of our news e-mail lists. Enter your address: document.write(' '); Or: Get a free e-mail account E-MAIL DISCUSSION: message boards chat feedback CNN WEB SITES: AsiaNow Svenska Norge Danmark ... Italian FASTER ACCESS: europe japan TIME INC. SITES: Go To ... Time.com People Money Fortune EW CNN NETWORKS: more networks transcripts SITE INFO: help contents search ad info ... jobs WEB SERVICES: health women > story page Endometriosis and sexuality July 9, 1999 Web posted at: 11:43 AM EDT (1543 GMT) In this story: A mysterious malady How do I know if I have endometriosis? How might endometriosis affect my sex life? What are the treatments and how might they affect my sex life? ... RELATEDS By Sandor Gardos, Ph.D. (WebMD) It is estimated that up to 10 million American women suffer from a chronic, painful condition known as endometriosis. This illness occurs when pieces of the normal lining of the uterus (the endometrium) "migrate" to other areas of the body most commonly, the pelvic region. Because the endometrium normally sheds during a woman's monthly menstrual cycle, internal bleeding, inflammation and pain usually result if this tissue locates itself in a part of the body that has no way of draining it. Although pain during or following intercourse is one of the most common reasons for women with this condition to see a doctor, the issue of how endometriosis affects sexuality is almost never discussed. This is especially troubling since almost all of the available treatments will also affect a woman's sexual functioning in one way or another.

28. Maryland Women Clinical Trials - The Womens Health Research Center Specializing Offers treatment and clinical trials for a wide range of conditions including osteoporosis, menopause, endometriosis, gynecological disorders, and various other medical conditions that affect women. http://www.whrc.net/

29. Carolina Center For Fertility Doctor Edward Moore, MD; find out about services including IUI, IVF, tubal reversals and treatment for endometriosis. http://www.infertility-sc.com/

The Fertility Network W elcome to the Carolina Center for Fertility and Endocrinology . We are located in the heart of downtown Columbia, South Carolina. Columbia’s central location puts us in a perfect spot to offer convenient and up-to-date fertility treatments to all residents of South Carolina and the surrounding areas. Our center was established in 1988 by Dr. Edward Moore as a private practice dedicated to gynecological endocrinology and to addressing the problems of the infertile couple. While our practice specializes in infertility and endocrinology, we offer treatment for a wide range of related gynecological disorders. These include: Endometriosis , Irregular menstruation, Habitual miscarriages, Hirsutism and Polycystic Ovarian Disease, Amenorrhea/Galactorrhea, Uterine fibroids, Menopausal symptoms Our infertility services include: Diagnostic testing, Ovulation Induction with

30. Endometriosis Information Page endometriosis (pronounced endoh-mee- tree-oh-sis) is a condition where the cellsthat are normally found lining the uterus are also found in other areas of http://www.endo.org.uk/info.html

Endometrium is the tissue that lines the uterus (the womb). During the menstrual cycle the thickness of the endometrium increases in readiness for the fertilised egg. If pregnancy does not occur the lining is shed as a 'period'. Endometriosis (pronounced end-oh-mee- tree-oh-sis) is a condition where the cells that are normally found lining the uterus are also found in other areas of the body but usually within the pelvis. Each month this tissue outside of the uterus, under normal hormonal control, is built up and then breaks down and bleeds in the same way as the lining of the uterus. This internal bleeding into the pelvis, unlike a period, has no way of leaving the body. This leads to inflammation, pain and the formation of scar tissue. Endometrial tissue can also be found in the ovary where it can form cysts, called 'chocolate' cysts. You can also have endometrial tissue that grows in the muscle layer of the wall of the uterus. This is called adenomyosis. Each month this tissue within the muscle wall bleeds in the same way as the endometrial tissue in the pelvis bleeds. Adenomyosis can also be found in the muscle layer of the perineum - in the pouch of Douglas or cul de sac. Endometrial deposits can also be found in more remote sites than the pelvis. Endometriosis can be found in or on the bowel, in or on the bladder, in operation scars and in the lungs. The only site that endometriosis has not been found is the spleen.

31. Oklahoma Infertility And IVF Therapy Provider of medical and surgical therapies for the treatment of infertility, congenital anomalies, recurrent miscarriage, pubertal problems, polycystic ovary syndrome and endometriosis. http://www.fertilitynetwork.com/DrHTML/OKC.htm

Center for Reproductive Health, PC 1000 N. Lincoln Blvd., Suite 300 Oklahoma City, OK 73104 (405) 271-9200; Fax (405) 271-9222 Gilbert G. Haas , Jr, MD, Medical Director Board Certified Reproductive Endocrinologist Michael Zavy , PhD, HCLD, Laboratory Director The Center for Reproductive Health is a private practice group providing a full range of medical and surgical therapies for the treatment of infertility, congenital anomalies, recurrent miscarriage, pubertal problems, polycystic ovary syndrome, endometriosis, and menapausal disorders. Infertility management includes treatment of anovulation, postcoital testing, hysterosalpingography with transcervical tubal cannulation, artificial insemination with or without clomiphene citrate or gonadotropins, and in vitro fertilization (IVF). Surgical treatments include laparoscopic tuboplasty, lysis of adhesions, excision or laser vaporization of endometriosis, excision of ovarian cysts, electrocautery of polycystic ovaries, removal of hydrosalpinges, and myomectomy; hysteroscopic removal of polyps, fibroids, uterine septae or synechiae; abdominal myomectomy, and sterilization reversal performed via minilaparotomy or lapoaroscopy. Assisted reproductive technology options include in vitro fertilization, intracytoplasmic sperm injection (ICSI), embryo cryopreservation, donor oocytes and embyros, and microsurgical epididymal sperm aspiration. Our delivery rate per embryo transfer for in vitro fertilization both with and without ICSI in 1999 was 48% for women under age 38. Our center was the first in western Oklahoma to achieve a pregnancy through blastocyst embryo transfer.

32. Welcome To Dekalb Women's Specialists Specializing in highrisk pregnancies and the treatment of endometriosis, fibroids, infertility, menopause, and PMS, located in Decatur, Georgia. http://www.dekalbwomen.com/

33. Endometriosis endometriosis. endometriosis is a common gynecological disease that occurs when cellsfrom the womb are found outside the womb. endometriosis clinical, X-ray. http://endometriosis.allbio.org/

Endometriosis Endometriosis is a common gynecological disease that occurs when cells from the womb are found outside the womb. The most common symptom of endometriosis is pain. Usually it begins with menstruation, or it may build up a few days before your period. Other symptoms include: nausea, vomiting, diarrhea, pain with intercourse or bowel movements and for some, infertility. Diagnosis is currently based on surgical visualisation by laparoscopy. It involves placement of a fiber optic (lighted) scope into the abdomen. This is then followed by placement of small additional ports in the lower abdomen to allow placement of instruments for evaluation and treatment of endometriosis. Acne Allergy Antibiotics Antioxidants ... Endometriosis - from Walter Reed Army Medical Center. Endometriosis - Current Concepts and Treatment - by James H. Liu, MD and Marcelle I. Cedars, MD. Endometriosis - by Richard W.Tureck, M.D., Professor and Director of Reproductive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania School of Medicine. Endometriosis and Dioxin - by Lone Hummelshoj, European Representative, Endometriosis Association.

34. Endometriosis own keywords. endometriosis. Printerfriendly version PDF file,235 Kb. Why do I need to know about endometriosis? endometriosis is http://www.4woman.gov/faq/endomet.htm

Search our database by Health Topic or enter your own keywords ENDOMETRIOSIS Printer-friendly version PDF file, 235 Kb] Why do I need to know about endometriosis? What is endometriosis? What are the symptoms of endometriosis? How would I know if I have endometriosis? ... How do I cope with a disease that has no cure? See also: Infertility Menstruation Why do I need to know about endometriosis? Endometriosis is a common disease that can affect any menstruating woman from the time of her first period to menopause . Sometimes, the disease can last after menopause. There is no cure for endometriosis and it can be hard for a health care provider to figure out if a woman has it. It can also be hard to figure out the best way to treat it if a woman has the disease. Endometriosis can affect a woman in many ways, such as her ability to work and have children, and her relationships with her partner, children, friends, and co-workers. Researchers are working to find out both causes and ways to manage this disease, so that women who have it can lead full lives. What is endometriosis?

35. Connecticut Children's Medical Center: Gynecology Provides comprehensive care for children and teenagers in all areas of gynecology and reproductive health, including vaginal infections, abnormal bleeding, pelvic pain, ovarian problems, adolescent endometriosis, congenital anomalies of the reproductive system, vulvar disorders, contraceptive issues in teenagers, evaluation of abnormal pap tests, and gynecological problems in teenagers with medical or surgical illness and in developmentally challenged individuals. http://www.ccmckids.org/departments/gynecology.htm

Staff Office Locations Links A fellowship-trained pediatric and adolescent gynecologist provides comprehensive care for children and teenagers in all areas of gynecology and reproductive health. Great care is taken to provide a supportive and positive atmosphere in this very sensitive area. Common problems dealt with include vaginal infections, abnormal bleeding, pelvic pain, ovarian problems, adolescent endometriosis, congenital anomalies of the reproductive system, vulvar disorders, contraceptive issues in teenagers, evaluation of abnormal pap tests, and gynecological problems in teenagers with medical or surgical illness and in developmentally challenged individuals. Staff Frederick J. Rau, M.D. - Director University of Pennsylvania, 80, B.A. University of Connecticut, 84, M.D. Internship/Residency: Hartford Hospital, Obstetrics and Gynecology, 84-88 Fellowship: University of Tennessee, Pediatric and Adolescent Gynecology, 90-91 Board Certification: Obstetrics and Gynecology, 90

36. MayoClinic.com - Endometriosis endometriosis is a common and painful disorder in which tissue that normally linesthe inside of your uterus becomes implanted on tissue outside your uterus. http://www.mayoclinic.com/invoke.cfm?id=DS00289

37. Virginia Infertility And IVF - Richmond Center For Fertility IVF clinic providing in vitro fertilzation and infertility treatment, including care for endometriosis, sperm abnormalities, and female sterilization reversals. http://www.eggdoc.com/

Home Our Doctors Office Hours Directions ... Acknowledgement Form About us... The Richmond Center for Fertility and Endocrinology, Ltd. opened in August 1985. It was originally founded by Dr. Sanford Rosenberg (Board Certified in Reproductive Endocrinology and Infertility) after leaving his academic position at the Medical College of Virginia, where he was on the faculty for five years. Desiring to provide clinical care exclusively; he also founded the Henrico Doctor's Hospital IVF clinic, the first private practice IVF clinic in Central Virginia. In 1996, Dr. Geof Tidey (also Board Certified in Reproductive Endocrinology and Infertility) joined the Center after an academic position at the University of Texas and has since greatly strengthened our clinical team with his expertise. Doctors Rosenberg and Tidey are also two of the co-founders of the Virginia IVF and Andrology Center, a highly successful IVF clinic whose laboratory director and staff have attained success rates of 50% pregnancy rates or more per embryo transfer in recent years. [IVF statistics] In our practice, we provide the full spectrum of state-of-the-art infertility diagnosis and treatment in addition to specialized care for endometriosis, uterine fibroids, sperm abnormalities, and female sterilization reversals.

38. OXEGENE Study Oxford endometriosis Gene Study. More recently, we began recruiting women with surgicallyconfirmed endometriosis whether they had affected relatives or not. http://www.medicine.ox.ac.uk/ndog/oxegene/oxegene.htm

Oxford Endometriosis Gene Study The OXEGENE study, based at the University of Oxford, is part of the International Endogene Study, a world-wide collaboration which aims to find genes responsible for causing endometriosis. Initially, we were recruiting families with two or more affected members. More recently, we began recruiting women with surgically confirmed endometriosis whether they had affected relatives or not. We are now no longer asking for new participants because of the extraordinarily good response that we have had. In the future, however, we may restart recruitment and it would be worthwhile revisiting this site late this year to receive up-to-date news about the study. Information about the study How to contact us International Endogene Study press release (August 2001) Genetic epidemiology web-site Useful links to other endometriosis related pages Publications On 4th April 2004, Stephen Kennedy ran his first marathon in Paris, in a time of 3.53.19, to raise money for research in Oxford into certain types of ovarian cancer, which rarely are associated

39. Dr. Cook's Endometriosis And Pelvic Pain Information Center A comprehensive endometriosis site, including an endometriosis glossary, pictures, video clips and answers to many questions regarding the diagnosis and treatment of endometriosis. http://www.drcook.com

40. Christopher J. Riegel, M.D., FACOG A specialist in women's healthcare, providing gynecology care, routine and high risk obstetrical care, treatment of endometriosis, laparoscopic hysterectomy, infertility treatment and surgical alternatives to hysterectomy. http://www.drriegel.com/

Welcome! Thanks for giving us the opportunity to serve you. We offer women of all ages a truly personalized experience through our many services: Well-women annual exams and osteoporosis screening Office gynecology, including adolescent gynecology Routine and high-risk obstetrics In-office ultrasound Treatment of endometriosis and polycystic ovarian disease (PCOD) Advanced laparoscopic surgery, including laparoscopic hysterectomy Medical and surgical alternatives to hysterectomy Reproductive endocrinology and infertility Investigation and treatment of abnormal PAP smears Menopausal therapies Treatment of premenstrual syndrome (PMS) Dr. Riegel is a specialist in women's healthcare. He successfully completed his training in Obstetrics and Gynecology and received distinction as an award-winning resident at one of the best training programs in the country, Parkland Memorial Hospital and the University of Texas Southwestern Medical School. He is certified by The American Board of Obstetrics and Gynecology and a Fellow of The American College of Obstetricians and Gynecologists.

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