Perineal endometrioma in episiotomy incisions

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Abstract
Patients (4), 23-34 yr old, who developed endometriomas at the site of an episiotomy 19 mo. to 11-yr postpartum are reported. Pain, swelling and pruritus varying in intensity with the menstrual cycle were present in all. Complete excision is curative. Symptoms of incompletely excised endometriomas may be controlled by local hormonal injections [medroxyprogesterone] or systemic hormonal manipulation. The anatomy of the endometrium and its physiologic behavior are reviewed. A concept of why endometriomas develop is presented which is compatible with the theories of how they occur.

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