We evaluated angiogenesis in eutopic endometrium and ectopic endometri
um from patients with endometriosis. Microvessels were identified by i
mmunohistochemistry using anti-von-Willebrand factor antibody and vasc
ular parameters were measured using a computerized image analysis syst
em. No relationship was observed between vascular density and type of
endometriotic lesion. Heterogeneity in vascular density was observed i
n different lesions within the same patient. Between red and black per
itoneal lesions a significant difference was observed in the frequency
distribution of luminal diameter. In black lesions the variability of
luminal diameter was decreased and most microvessels were less than 2
0 mm in diameter. We suggest that the frequency distribution of microv
essel luminal diameter of red and black peritoneal Angiogenesis lesion
s may be different and should be important when studying the regulatio
n of angiogenesis in endometriotic implants.