Uterus Exhibiting Features Of The Stage 3 Endometriosis

Description

Uterine body and fundus occupy the center of the frame, with the serosal surface interrupted by multiple stage 3 endometriosis implants. Large, deep lesions appear as irregular masses embedded in the outer myometrium and along the peritoneal reflection, with smaller satellite deposits extending laterally toward the broad ligament region and inferiorly toward the isthmus. The relationship between lesion depth and the uterine contour is easy to appreciate from this fixed pelvic perspective, with the organ’s anterior and posterior surfaces differentiated by surface topography rather than by mucosal landmarks. Deep disease dominates. Stage 3 endometriosis corresponds to moderate disease by common surgical staging and often combines deep infiltrating implants with adhesions and ovarian involvement, even when symptoms do not match lesion burden. This illustration targets the teaching point clinicians care about: lesion depth and proximity to structures at risk during excision, including the uterine arteries near the cervico-isthmic region, the uterosacral ligaments posteriorly, and the ureters as they course medial to the internal iliac system and pass beneath the uterine artery. It also supports discussion of why superficial ablation can miss active disease when implants extend beneath the peritoneal surface, contributing to persistent dysmenorrhea, dyspareunia, and infertility. Use this illustration in gynecology and reproductive medicine courses when introducing rASRM staging, deep infiltrating endometriosis, and operative planning, or in clinical publications that contrast imaging impressions with intraoperative findings. It also fits patient-education materials for counseling on laparoscopic excision versus hysterectomy-sparing approaches and on expected recurrence risk when deep lesions remain. Anatomical accuracy verified by SciePro's Medical Advisory Board.