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===Localization=== Most often, endometriosis is found on the: * Ovaries * Fallopian tubes * Tissues that hold the uterus in place ([[ligament]]s) * Outer surface of the uterus<ref name="WH2014" /> Less common pelvic sites are: * [[Vagina]] * [[Cervix]] * [[Vulva]] * Bowel * Bladder * [[Rectum]]<ref name="WH2014" /> Rectovaginal or bowel endometriosis affects approximately 5-12% of those with endometriosis, and can cause severe pain with bowel movements.<ref>{{cite journal | vauthors = Weed JC, Ray JE | title = Endometriosis of the bowel | journal = Obstetrics and Gynecology | volume = 69 | issue = 5 | pages = 727β30 | date = May 1987 | pmid = 3574800 }}</ref>{{Citation needed|reason=correct information but dated 1987|date=November 2020}} Deep infiltrating endometriosis (DIE) has been defined as the presence of endometrial glands and stroma infiltrating more than 5 mm in the subperitoneal tissue. The prevalence of DIE is estimated to be 1 to 2% in women of reproductive age. Deep endometriosis typically presents as a single nodule in the vesicouterine fold or the lower 20 cm of the bowel. Deep endometriosis can be associated with severe pain. However, it can be present without severe levels of pain.<ref name="Van den Bosch Van Schoubroeck 2018 pp. 16β24">{{cite journal | vauthors = Van den Bosch T, Van Schoubroeck D | title = Ultrasound diagnosis of endometriosis and adenomyosis: State of the art | journal = Best Practice & Research. Clinical Obstetrics & Gynaecology | volume = 51 | pages = 16β24 | date = August 2018 | pmid = 29506961 | doi = 10.1016/j.bpobgyn.2018.01.013 | s2cid = 3759091 | url = https://lirias.kuleuven.be/handle/123456789/621035 }}</ref> ====Male endometriosis==== Endometriosis has been reported in people who were [[assigned male at birth]]. [[Prostate]] endometriosis has been reported following estrogen therapy for prostate cancer<ref>{{cite journal | vauthors = Beckman EN, Pintado SO, Leonard GL, Sternberg WH | title = Endometriosis of the prostate | journal = The American Journal of Surgical Pathology | volume = 9 | issue = 5 | pages = 374β379 | date = May 1985 | pmid = 2418693 | doi = 10.1097/00000478-198505000-00008 }}</ref> and [[feminizing hormone therapy]].<ref>{{cite journal | vauthors = Coleman-Belin J, Amakiri UO, Deng FM, Hoskoppal D, Safer JD, Reisman T | title = Hematospermia in a Transgender Woman with Evidence for Endometrial Tissue in the Prostate | journal = AACE Clinical Case Reports | volume = 10 | issue = 3 | pages = 80β83 | date = May 2024 | pmid = 38799045 | pmc = 11127599 | doi = 10.1016/j.aace.2024.01.006 | doi-access = free }}</ref> Abdominal endometriosis also happens in men following cirrhosis.<ref>{{cite journal | vauthors = Jabr FI, Mani V | title = An unusual cause of abdominal pain in a male patient: Endometriosis | journal = Avicenna Journal of Medicine | volume = 4 | issue = 4 | pages = 99β101 | date = October 2014 | pmid = 25298953 | pmc = 4183904 | doi = 10.4103/2231-0770.140660 | doi-access = free }}</ref><!-- 29670782 collects a heck more reports, but it's Hindawi. ugh. --> ====Extrapelvic endometriosis==== Rarely, endometriosis appears in extrapelvic parts of the body, such as the lungs, brain, and [[skin]].<ref name="WH2014" /><ref name=McCann2020p1419>{{cite journal | vauthors = McCann MR, Schenk WB, Nassar A, Maimone S | title = Thoracic endometriosis presenting as a catamenial hemothorax with discordant video-assisted thoracoscopic surgery | journal = Radiology Case Reports | volume = 15 | issue = 9 | pages = 1419β1422 | date = September 2020 | pmid = 32642009 | pmc = 7334551 | doi = 10.1016/j.radcr.2020.05.064 }}</ref> Risk factors for scar endometriosis include previous abdominal surgeries, such as a hysterotomy or cesarean section, or ectopic pregnancies, salpingostomy puerperal sterilization, laparoscopy, amniocentesis, appendectomy, episiotomy, vaginal hysterectomies, and hernia repair.<ref>{{cite journal | vauthors = Dwivedi AJ, Agrawal SN, Silva YJ | title = Abdominal wall endometriomas | journal = Digestive Diseases and Sciences | volume = 47 | issue = 2 | pages = 456β461 | date = February 2002 | pmid = 11855568 | doi = 10.1023/a:1013711314870 | s2cid = 7362461 }}</ref><ref>{{cite journal | vauthors = Kaunitz A, Di Sant'Agnese PA | title = Needle tract endometriosis: an unusual complication of amniocentesis | journal = Obstetrics and Gynecology | volume = 54 | issue = 6 | pages = 753β755 | date = December 1979 | pmid = 160025 }}</ref><ref>{{cite journal | vauthors = Koger KE, Shatney CH, Hodge K, McClenathan JH | title = Surgical scar endometrioma | journal = Surgery, Gynecology & Obstetrics | volume = 177 | issue = 3 | pages = 243β246 | date = September 1993 | pmid = 8356497 }}</ref> Less commonly, lesions can be found on the diaphragm or lungs. Diaphragmatic endometriosis is rare, almost always on the right hemidiaphragm, and may cause the cyclic pain of the right [[scapula]] (shoulder) or [[cervical vertebrae|cervical area]] (neck) during a menstrual period.<ref name=Andres2020p373>{{cite journal | vauthors = Andres MP, Arcoverde FV, Souza CC, Fernandes LF, AbrΓ£o MS, Kho RM | title = Extrapelvic Endometriosis: A Systematic Review | journal = [[Journal of Minimally Invasive Gynecology]] | volume = 27 | issue = 2 | pages = 373β389 | date = February 2020 | pmid = 31618674 | doi = 10.1016/j.jmig.2019.10.004 | title-link = doi | doi-access = free }}</ref> Pulmonary endometriosis can be associated with a [[Hemothorax#Nontraumatic|thoracic endometriosis syndrome]] that can include [[Uterine cycle|catamenial]] (occurs during menstruation) pneumothorax seen in 73% of women with the syndrome, catamenial hemothorax in 14%, catamenial hemoptysis in 7%, and pulmonary nodules in 6%.<ref name=McCann2020p1419/>
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