The presented material describes the clinical case of newly diagnosed endometriosis in a woman who is in the postmenopausal period. The prevalence of this pathology in individuals after the onset of menopause is 2-5% with a malignancy probability of 0.9%. However, in spite of the low risk of malignancy, according to existing recommendations it is necessary to conduct operative treatment. In the presented case, a histological study confirmed the presence of endometrioid tissue in the macro preparation.