Oral contraceptives and endometriosis

have wide experience, the rate of vaginal fornix removal has significantly increased year on year (Matsuzaki et al., 2009).(iv) We agree that 32 papers to date have documented clinical outcome after bowel resection anastomosis, however we disagree with the received wisdom that 'histologically proven recurrence rate' is 2.5%.We consider this highly unlikely, and in support of our argument we present studies by Anaf et al. (2009) and Roman et al. (2010) who report that bowel margins are not free of disease in .10% of cases, meaning that histologically proven recurrence (or persistence) is already in excess of 10% at the end of the surgical procedure.(v) In our opinion, the populations of women suffering from deep endometriotic nodules are not so different in Louvain and Leuven.Moreover, we have successfully used the shaving technique on numerous patients consulting us for a second opinion, having been told they need extensive surgery with bowel resection and possible colostomy at elsewhere.We also dispute Meuleman's view that 'long duration has to be balanced against the low rate of complications'.Bowel resection is demonstrably associated with a higher rate of complications and reducing the duration of surgery that will not decrease this rate (Donnez and Squifflet, 2010).