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Endosalpingiosis is a rare gynecological condition where fallopian tube-like epithelium is found outside the fallopian tube. Here are some key points about it: Causes The exact cause of endosalpingiosis is not clear, but it is thought to develop from changes in the coelomic tissue. It is often associated with estrogen, which can cause the tissues of the fallopian tube to grow outside the fallopian tubes. Symptoms Common symptoms include: Pelvic pain Infertility Menstrual irregularities Dyspareunia (painful intercourse) Chronic back pain Diagnosis Diagnosis is typically made through a surgical biopsy or excision of the ectopic tissue, which is then analyzed in a lab. Imaging tests may also be used to detect cysts with tubal-like epithelium2. Treatment Treatment is not always necessary, as endosalpingiosis is often an incidental finding. However, if it causes significant symptoms, treatment options may include: Excision surgery to remove the ectopic tissue, cysts, and adhesions Progesterone therapy to help reduce symptoms by maintaining a specific time in the menstrual cycle and preventing high estrogen levels Dietary changes to reduce estrogen intake, such as avoiding foods like soy, black licorice, and tofu #Endosalpingiosis