scar endometriosis



Associated with the branch of gynecology, scar endometriosis is a rare condition believed to be affecting only about 0.03 to 0.15 percent of the entire population of people suffering from endometriosis in general.

Rare it may be, it is a very complex disease. Thus, a basic knowledge among all regarding the condition is essential. Ranging from the basic definition to the causes, symptoms, and all the possible treatments available as of present, learn all the details, right here!


Endometriosis is a condition that involves the development of tissues similar to endometrial tissue (a lining inside the uterus), in other parts of the body. The presence of this condition is evident in places like ovaries, abdominal walls, bladder, bowel, and even at the incision site in case of cesarean delivery. This is why it is also referred to as cesarean scar endometriosis.

Scar endometriosis can be described as an uncommon kind of extra-pelvic endometriosis. Uncommon it may be, it can be present in any woman who has recently undergone an obstetric or gynecologic procedure. This is obviously after all other possible reasons for the symptoms are ruled out.

The reason behind the condition is the attachment of endometrial implants to the region of the incision after a surgery like a C-section.


The most common symptoms of scan endometriosis can be listed as:

  1. The most obvious symptom among 90% of the patients is a tender, raised scar on the surface of the body.
  2. Pain in the abdominal wall during menstruation. The pain is dominant at the site of the incision.
  3. Pelvic pain is a major symptom.
  4. The formation of a lump in the site of the surgical incision is also very common. The size of the lump is variable and can be very painful.
  5. Bleeding from the discolored mass formed around the incision site. It may appear to look as if the region is not healing well, but in actuality, it is just the scar tissue that is developing.{1}


There are many health conditions that might have similar symptoms as that of scar endometriosis. This is why a medical check-up is essential. How will you ever know what’s the best treatment if you do not know what exactly are you suffering from?

A few of the other conditions that may be considered in case of the given symptoms:

  1. Soft tumor tissue: The fact that tumors can grow in any part of the body, be it nerves, or muscles or ligaments, or any other site, is why it can be one of the possible conditions instead of scar endometriosis.
  2. Hematoma: It can be described as the pool of blood outside the blood vessel, or collection of blood outside the blood vessel. It may appear to be like a lump, which makes it reasonable to be considered as a condition behind the given symptoms.
  3. Abscess: In simple terms, it is a pus pocket under the skin, that can develop in any part of the body.
  4. Suture Granuloma: These are the developments that are issued by the immunity system in the body. They can be defined as the grouping of immune cells that can be a result of sutures being embedded into the skin. These can lead to the formation of structures that appear to be like lumps.
  5. Incisional hernia: These are the protruded tissue that is formed at the site of the surgical incision. They are one of the most common types of hernias associated with the abdomen.


Diagnosis is important primarily to figure out the exact reason behind the symptoms experienced by the patient.

  1. The diagnosis for scar endometriosis happens through testing of a sample tissue that may be obtained by biopsy. It is the only exact way of knowing the presence of the endometrial cells in the region of the incision.
  2. CT Scan can be used to not confirm if or not the symptoms are associated with a tumor or not.
  3. MRI is also helpful in a similar manner. It can be helpful in confirming whether or not the above-listed symptoms are associated with the other alternative medical conditions.


The treatment for scar endometriosis is limited to surgery, Medications may be helpful in dealing with endometriosis in general, but in this particular situation, they are of no use.

Is there no other option? No, there isn’t!

Doctors always recommend surgery that involves the removal of the portion that contains the developed endometrial-like cells. Other than that, a small portion of the surroundings of the incision site is cut off to ensure no cell is left behind. Gone, once and for all!

Why are surgeries the most suitable option in scar endometriosis treatment?

Studies have shown that people who opt for surgeries have a recurrence rate of hardly 4% in the case of scar endometriosis.


Scar endometriosis is an extremely complex medical condition that requires immediate treatment. Small it may seem, but it is definitely a very uncomfortable situation for those who fall victim to it.

The right way to deal with it is to trust your medical expert and rule out the problems with the help of the best treatment possible.

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