Infertility (Non Conception) with Regular Menstruation Predisposes to Endometriosis – A Hypothesis

In: Chettinad Health City Medical Journal · 2017 · vol. 6(3) · doi:10.36503/chcmj6(3)-01 · W4245628874
article OA: diamond CC0 ⤵ 1 in-corpus citation
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This hypothesis proposes that infertility or non-conception with regular menstruation likely leads to endometriosis, rather than endometriosis causing infertility.

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Abstract

Endometriosis is the most challenging and intriguing gynecological enigma.The true incidence of pelvic endometriosis in women still remains largely unknown, despite several studies quoting variable figures.Chronic pelvic pain and infertility have been the most common features in women with endometriosis.However the cause/effect relationship is a subject of debate.Endometriosis is found to be more in nulliparous women & women with pelvic pain and rare among fertile women and women with amenorrhoea.We now believe that retrograde menstruation is probably the cause for the occurrence of pelvic endometriosis.We here propose that infertility or non conception with persistent menstruation most likely leads to endometriosis and not the other way around as is commonly believed.

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Condition tags

endometriosischronic_pelvic_paininfertility

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