Does endometriosis affect the tubes and the ovaries at the same time or can it just affected the tubes but not the ovaries?

Typically affects: The ovaries more dramatically (endometriomas are large blood filled, benign masses on the ovary that cause pain) however, the inflammation and scarring associated with endometriosis can cause tubal distortion that could lead to tubal dysfunction but the clinical relevance can only be answered best by understanding each patient's history.