Snapshot A 29-year-old nulligravida presents to her gynecologist for severe pain with menses and inability to conceive after 2 years of unprotected intercourse. She says she feels pain with defecation and intercourse. On pelvic exam, her uterus is found to be retroverted, and there is nodularity of the uterosacral ligament on retrovaginal examination. Introduction Overview login to view 1 more bullet Epidemiology login to view 14 more bullets Pathophysiology login to view 2 more bullets Associated conditions login to view 4 more bullets Prognosis login to view 2 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 3 more bullets Imaging Ultrasonography login to view 2 more bullets Studies Seurm labs login to view 1 more bullet Laparoscopic visualization with histologic confirmation login to view 2 more bullets Histology login to view 1 more bullet Differential Adenomyosis login to view 2 more bullets Treatment Conservative login to view 3 more bullets Medical login to view 17 more bullets Surgical login to view 6 more bullets Complications Infertility Ectopic pregnancy