“Endometriosis” describes the presence of small spots of endometrium (lining of the womb) on the surfaces of pelvic organs – including the uterus, ovaries, rectum and bladder.
In the “traditional view” of endometriosis these, often-tiny, deposits are alleged to cause chronic pelvic pain, painful sex, painful periods and infertility.
Ih the “new view” of “endometriosis” these symptoms are caused by injuries to pelvic nerves caused by (1) difficult vaginal deliveries, (2) straining during defaecation, (3) minor gynaecological surgery (D&C) for conditions such as miscarriage, (4) occasional direct trauma. These injuries to uterine nerves cause the uterus to contract in an incoordinate fashion leading to “retrograde menstruation” and deposits of endometrium on pelvic organs – BUT these deposits of “endometriosis” do not cause symptoms; it is the injuries to pelvic nerves that cause pain.
When nerves are injured they re-grow in a chaotic fashion which causes pain 4-5 years after the original injury. (Look how “angry” these abnormal nerves look in this image). Clinical presentations will depend on the site, nature and extent of these injuries – so no two women have the same experience of these injuries. Not only do these injuries affect your uterus but also your Fallopian tubes as their nerves are the continuation of the uterine nerves.
Recently-published, peer-reviewed, articles on endometriosis and other conditions affecting women:
(1) Endometriosis and your Fallopian tubes. (Abstract) (Full text)
(2) Endometriosis – the denervation-reinnervation view (Abstract) (Full text)
(2) Preeclampsia: two placental phenotypes; one aetiology ? (Abstract) (Full text)
(3) Preeclampsia – the “uterine reinnervation” view. (Abstract) (Full text)