Hysteroscopy pp 501-513 | Cite as

Hysteroscopic Findings in the Endometriosis Patient



Endometriosis is a disease of ectopic endometrial-like tissue implanting outside the uterine cavity. While the exact cause of endometriosis is not completely understood, abnormal uterine architecture is thought to play a significant role in endometriosis due to dysperistalsis and retrograde reflux menstruation. The gold standard for diagnosing and treating endometriosis is laparoscopy. However, as patients with uterine structural abnormalities have a higher propensity for developing endometriosis, it is important to perform a thorough assessment of the uterine cavity in the endometriosis patient. Hysteroscopy should be performed routinely at the time of laparoscopy for the endometriosis patient.


Endometriosis Hysteroscopy Laparoscopy Uterine anomaly Arcuate uterus Retrograde reflux menstruation Endometriosis excision surgery 


  1. 1.
    Abbas S, Ihle P, Köster I, Schubert I. Prevalence and incidence of diagnosed endometriosis and risk of endometriosis in patients with endometriosis-related symptoms: findings from a statutory health insurance-based cohort in Germany. Eur J Obstet Gynecol Reprod Biol. 2012;160(1):79–83.CrossRefPubMedGoogle Scholar
  2. 2.
    Van der Linden P. Theories on the pathogenesis of endometriosis. Hum Reprod. 1996;11(Suppl 3):53–65.CrossRefPubMedGoogle Scholar
  3. 3.
    Matsuura K, Ohtake H, Katabuchi H, Okamura H. Coelomic metaplasia theory of endometriosis: evidence from in vivo studies and an in vitro experimental model. Gynecol Obstet Investig. 1999;47(Suppl 1):18–20. Discussion 20–2CrossRefGoogle Scholar
  4. 4.
    Gargett C, Gurung S. Endometrial mesenchymal stem/stromal cells, their fibroblast progeny in endometriosis, and more. Biol Reprod. 2016;94(6):129.CrossRefPubMedGoogle Scholar
  5. 5.
    Stefansson H, Geirsson RT, Steinhorsdottir V, Jonsson H, Manolescu A, Kong A, Ingadottir G, Gulcher J, Stefansson K. Genetic factors contribute to the risk of developing endometriosis. Hum Reprod. 2002;17(3):555–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Du H, Taylor H. The role of HOX genes in female reproductive tract development, adult function, and fertility. Cold Spring Harb Perspect Med. 2015;6(1):a023002.CrossRefPubMedGoogle Scholar
  7. 7.
    Taylor H, Bagot C, Kardana A, Olive D, Arici A. HOX gene expression is altered in the endometrium of women with endometriosis. Hum Reprod. 1999;14(5):1328–31.CrossRefPubMedGoogle Scholar
  8. 8.
    Giudice L. Genomics’ role in understanding the pathogenesis of endometriosis. Semin Reprod Med. 2003;21(2):119–24.CrossRefPubMedGoogle Scholar
  9. 9.
    Giudice L. Application of functional genomics to primate endometrium: insights into biological processes. Reprod Biol Endocrinol. 2006;4(Suppl 1):S4.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    LaMonica R, Pinto J, Luciano D, Lyapis A, Luciano A. Incidence of septate uterus in reproductive-aged women with and without endometriosis. J Minim Invasive Gynecol. 2016;23(4):610–3.CrossRefPubMedGoogle Scholar
  11. 11.
    Silveira S, Laufer M. Persistence of endometriosis after correction of an obstructed reproductive tract anomaly. J Pediatr Adolesc Gynecol. 2013;26(4):e93–4.CrossRefPubMedGoogle Scholar
  12. 12.
    Sanfilippo J, Wakim N, Schikler K, Yussman M. endometriosis in association with uterine anomaly. Am J Obstet Gynecol. 1986;154(1):39–43.CrossRefPubMedGoogle Scholar
  13. 13.
    Matalliotakis I, Goumenou A, Matalliotakis M, Arici A. Uterine anomalies in women with endometriosis. J Endometr Pelvic Pain Disord. 2010;2(4):213–7.Google Scholar
  14. 14.
    Kunz G, Beil D, Huppert P, Leyendecker G. Structural abnormalities of the uterine wall in women with endometriosis and infertility visualized by vaginal sonography and magnetic resonance imaging. Hum Reprod. 2000;15(1):76–82.CrossRefPubMedGoogle Scholar
  15. 15.
    Leyendecker G, Kunz G, Wildt L, Beil D, Deininger H. Uterine hyperperistalsis and dysperistalsis as dysfunctions of the mechanism of rapid sperm transport in women with endometriosis and infertility. Hum Reprod. 1996;11(7):1542–51.CrossRefPubMedGoogle Scholar
  16. 16.
    Seckin T, Newman N, Seckin S. Histological findings following excision of peritoneal endometriosis with and without using aqua blue contrast technique (ABCT™). J Minim Invasive Gynecol. 2015;22(6S):S52.CrossRefPubMedGoogle Scholar
  17. 17.
    Seckin T, Ozkan S, Akdemir A, Seckin S. Single Site Ovarian Suspension (SSOS), Seckin® technique, for endometriosis surgery of pelvic sidewalls and retroperitoneum. Video presentation: Annual Congress of the Middle East Society and the International Society for Gynecological Endoscopy. Dubai, United Arab Emirates, 24–26 April 2014.Google Scholar
  18. 18.
    Woelfer B, Salim R, Banerjee S, Elson J, Regan L, Jurkovic D. Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. Obstet Gynecol. 2001;98(6):1099–103.PubMedGoogle Scholar
  19. 19.
    Chan Y, Jayaprakasan K, Zamora J, Thornton J, Raine-Fenning N, Coomarasamy A. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011;17(6):761–71.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Practice Committee of the American Society for Reproductive Medicine, American Society for Reproductive Medicine. Uterine septum: a guideline. Birmingham, AL: Practice Committee of the American Society for Reproductive Medicine, American Society for Reproductive Medicine; 2016.Google Scholar
  21. 21.
    Nawroth F, Rahimi G, Nawroth C, Foth D, Ludwig M, Schmidt TI. There an association between septate uterus and endometriosis? Hum Reprod. 2006;21(2):542–4.CrossRefPubMedGoogle Scholar
  22. 22.
    Zheng Q, Mao H, Zhao Y, Zhao J, Wei X, Liu P. Risk of endometrial polyps in women with endometriosis: a meta-analysis. Reprod Biol Endocrinol. 2015;13:103.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Lenox Hill HospitalNorthwell HealthGreat NeckUSA

Personalised recommendations