Such pelvic distortion does not occur in mild endometriosis yet symptoms still may be severe. Women in affected families develop endometriosis at an earlier age and are more likely to have advanced disease. These changes include the presence of cysts on the ovaries, scarring around the uterus, and painful nodules around the support ligaments to the uterus. The smallest areas of growth appear as blue-black raised lesions covering the surfaces of the internal organs. Older lesions are often puckered as a result of scarring.
Larger lesions can form cystic areas on the ovaries.
For infertile women with endometriosis the infertility evaluation should be completed and factors contributing to infertility should be addressed. Endometriosis can be treated with either medication or an operation. A variety of different drugs have been used to treat endometriosis. By establishing such a hormonal state, endometriosis has been found to stop growing and symptoms have resolved partially or completely. The use of another medication called danazol has been used to stop ovulation and decrease the growth of the endometriosis.