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The material that usually lines the uterus grows elsewhere in the abdomen. It can stick to the intestines, the kidneys, the bladder and urethra and the outside of the uterus and fallopian tubes, and it can surround the ovaries. It expands each month as oestrogen levels rise, causing pain and creating adhesions and more inflammation. Women with endometriosis are not always infertile but many need infertility treatments such as IUI or IVF to get pregnant.
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