Fibroids and Endometriosis
A 34 year old woman presented for a second opinion. She had extreme dysmenorrhoea.
An earlier laparoscopy had not alleviated her symptoms. At Laparoscopy an 8cm fibroid at the fundus of the uterus was noted.
This was removed by dividing the attachment between the fibroid and the uterus.
The fibroid (right) is attached to the uterus on a small base
The base of the fibroid is tied off
The normal uterus after the fibroid is removed
Endometriosis behind the uterus (Pouch of Douglas)
The endometriosis has been removed from the Pouch of Douglas