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Abstract

Endometriosis is a chronic gynecological disorder affecting approximately 10% of women of reproductive age. Characterized by the presence of endometrial tissue outside the uterus, it often leads to pelvic pain, menstrual irregularities, and infertility. Despite its association with infertility, some women with endometriosis can conceive, either naturally or with assisted reproductive techniques. Pregnancy can influence the course of endometriosis, often providing temporary symptom relief due to elevated progesterone levels, which help suppress the growth of endometrial tissue. However, endometriosis during pregnancy presents unique challenges and potential risks, including increased chances of preterm labor, placental complications such as placenta previa and placental abruption, cesarean delivery, and a heightened risk of miscarriage and ectopic pregnancy.Managing endometriosis in pregnant women requires a tailored approach to ensure the safety of both the mother and the fetus. Non-pharmacological pain management, regular prenatal monitoring, and involvement of a multidisciplinary healthcare team are essential in minimizing risks. Surgical intervention is rarely recommended during pregnancy unless complications such as large endometriotic cysts pose a significant threat. Postpartum, hormonal shifts can lead to the recurrence of endometriosis symptoms, requiring careful planning for future symptom management, including hormonal therapy or surgical options.