Endometriosis Stromal

Stromal endometriosis

Stromal endometriosis (e. stromalis; syn. adenomyoma) is a hormone-dependent benign disease characterized by the presence of tissue similar to the endometrium outside the uterine cavity. Stromal endometriosis mainly affects the endometrial stroma.

Endometrioid lesions are most often localized in the muscular layer of the uterus, less often in the ovaries, vagina, intestines, and bladder. The disease is asymptomatic or manifests itself as pain in the lower abdomen and menstrual irregularities.

Diagnosis of stromal endometriosis is based on ultrasound, MRI, hysteroscopy, and laparoscopy. Treatment includes hormone therapy and surgery. The prognosis is favorable with timely and adequate treatment.

The endometrium, or uterus, consists of three layers: the inner mucous membrane (endometrium), the middle muscular layer (myometrium) and the outer serosa (perimetry). In stromal endometriosis, the inner mucosa grows into the myometrium and perimeter, which leads to the development of lesions that superficially resemble endometrial tissue. These lesions can be large or small and may present with a variety of symptoms depending on their location.

Endometriosis typically begins during puberty and can develop throughout life. Women suffering from this disease often experience pain during or before menstruation, as well as more