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Endometriosis is a painful condition which is hallmarked by the development of uterine tissue outside of the uterus. The endometrium is the tissue that lines the inside of the uterus, and which thickens each month, in preparation for pregnancy. With endometriosis, a tissue very much like the uterine tissue grows elsewhere, including in your fallopian tubes, ovaries, and even on other internal organs. This can result in endometriosis infertility.
Like the tissue in your uterus, this "lost" tissue thickens with the hormonal changes that accompany your menstrual cycle, but it cannot "shed" like your uterine tissue, because there is no where for the shedded materials to go. Instead, the shedded tissue accumulates in abnormal places, causing pain, irritation, inflammation and scarring. This scarring of pelvic tissues, which can include the fallopian tubes and ovaries, is a prime contributor to endometriosis infertility.
There are several options for managing endometriosis. If you have having trouble conceiving, and are also experiencing pelvic pain, abdominal pain or other usually symptoms, especially during your cycle, see your physician to be evaluated for endometriosis and discuss your options.