Dysmenorrhoea - Endometriosis

SYMPTOMS

A 16 year old girl presented with her mother.  She complained of severe dysmenorrhoea. The pain was not alleviated with the OCP.

DIAGNOSIS

She was requesting a Laparoscopy. This revealed early active endometriosis over the back of the cervix and extending to both side walls.

PROCEDURE

This area was excised and a Mirena inserted.

OUTCOME

It is likely that this has interrupted the growth of endometriosis to prevent it becoming worse in the years to come.

Endometriosis over posterior cervix

The endometriosis over the posterior cervix is excised

The endometriosis over the posterior cervix and both pelvic side walls has been excised