Choose a structure to read about it. Every structure is also described in full in the text-only view.
1 · Uterus
Also called the womb
What it does
A hollow, pear-shaped organ in the pelvis where a pregnancy develops. Its inner lining, the endometrium, builds up and sheds during menstruation.
Endometriosis and this area
Endometriosis is defined by tissue similar to this lining growing outside the uterus. The NHS illustrates small patches on the outside of the womb, as well as on nearby organs.
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2 · Ovaries
A pair, one on each side of the uterus
What they do
Glands where eggs form and where the hormones oestrogen and progesterone are made. They sit against the side walls of the pelvis, one either side of the uterus.
Endometriosis and this area
The NHS lists the ovaries among the places endometriosis is most often found. It can form cysts on an ovary, called endometriomas; NICE notes that a transvaginal ultrasound can help identify them.
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3 · Fallopian tubes
Two slender tubes
What they do
They connect the ovaries to the uterus, and eggs pass along them towards the uterus. The funnel-shaped outer end, fringed with finger-like fimbriae, lies close to the ovary.
Endometriosis and this area
The NHS lists the fallopian tubes among the places around the womb where endometriosis is often found.
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4 · Pelvic peritoneum
The lining of the pelvis
What it does
The peritoneum is the tissue that lines the abdominal wall and covers most of the organs in the abdomen. In the pelvis it forms what the NHS calls the lining of the pelvis. In the 3D view it is drawn as a translucent sheet over the organs.
Endometriosis and this area
The lining of the pelvis is one of the places endometriosis is most often found. NICE refers to “peritoneal endometriosis”, which may be treated during a laparoscopy.
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5 · Bladder
Urinary bladder
What it does
A temporary store for urine. It sits low in the pelvis, behind the pubic bone and beneath the peritoneum.
Endometriosis and this area
Endometriosis sometimes affects the bladder. NICE lists period-related or cyclical urinary symptoms, such as blood in the urine or pain passing urine, among the symptoms that should prompt healthcare professionals to consider endometriosis.
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6 · Bowel
Sigmoid colon and rectum
What it does
The sigmoid colon is the S-shaped section of the colon that connects to the rectum. The rectum follows the curve of the sacrum at the back of the pelvis. The large intestine absorbs water and passes stool.
Endometriosis and this area
Endometriosis sometimes affects the bowel. NICE lists period-related or cyclical bowel symptoms, especially painful bowel movements, among the symptoms to consider, and describes specialist referral for deep endometriosis involving the bowel.
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