Dysmenorrhoea - Dyspareunia


A 38 year old woman presented with dysmenorrhoea and dyspareunia (pain during intercourse).


She recalled significant pelvic pain prior to commencing the OCP at 18 years. The pain was controlled until she discontinued the OCP.


Laparoscopy revealed endometriosis on the left pelvic side wall. This was excised.


The pain resolved.

Pigmented endometriosis on Left Uterosacral Ligament

The endometriosis is being excised from Left Pelvic Side Wall and Left Uterosacral Ligament

The Left Pelvic Side Wall at the end of the operation