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PATHOPHYSIOLOGY

Risk Factors: Theories of causation


Unknown
Heavy bleeding cause Estrogens
during menses Retrograde
Age 25-35 yrs old menstruation

Uterus (specifically at
the endometrium lining)

MENSTRUAL CYCLE:
Increase Estrogen level

Thickening of the endometrial lining in


preparation for the fertilization of the egg

If the egg is not fertilize; the prostaglandin is


responsible for the sloughing off of the
endometrium lining (menstruation)

Lymphatic and Retrograde


Vascular spread menstruation

Rectum The endometrium Bleeding


build up
Adhesion
Symptoms: Pain
Dysmenorrhea
Chronic pelvic pain
Dyspareunia
Dysuria
Infertility
Gastrointestinal symptoms

Rectal Endometriosis

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