Clinical presentation of incisional (cesarean section scar) endometriosis vary with the size of the lesion

Endometriosis is described as a growth of ectopic endometrial tissue outside the uterine cavity which usually occurs in pelvic sites like ovaries, posterior cul-de-sac, ligaments of uterus, pelvic peritoneum and rectovaginal septum. It consists of 8 % 15 % of all menstruating women and responds to hormonal stimulation.