Reposted from @endo_j0urney01 • • • • • • Invasion of pain - “Frozen Pelvis” The above picture well illustrates an advanced endometriosis condition (stage 4), known as “a frozen pelvis”. As you can see, the uterus is attached to the bladder wall on anterior side, and a posterior space normally existing between uterus and bowel(rectum) is completely closed by invasion of endometriosis, filled with it’s scar tissues and inflammation. Ovaries often may develop chocolate cysts( which are filled with endometriosis and its secretion)! Fallopian tubes may attach to ovaries/uterus by various adhesions. Adenomyosis is an endometriosis condition located on uterus wall, and its presence on a posterior wall also contributes to “a frozen pelvis” to bowel! A target, advanced laparoscopy excision will be able to release dense scar tissues, remove endometriosis/adenomyosis nodules, open up closed-spaces, and finally place a uterus, tubes, ovaries back to normal positions! Successful excision is not only just removing endometriosis nodules and scar tissues, but also to restore your normal anatomy /functions! Dr Kanayama. #drkanayama #endometriosis #heavybleeding #endometriosissucks https://www.instagram.com/p/Bzqt9srl9V0/?igshid=ilikf3ctii2k