“Endometriosis” describes deposits of ectopic endometrium outside the uterus. Traditionally, gynaecologists believe that these “deposits” of endometrium bleed during your period and cause pain. A better view is that the pain is caused by injuries to your pelvic nerves. These injuries are caused by difficult first labours, straining on the loo, and, gynaecological surgery (GS Atwal, 2005).
”Endometriosis” was first described in 1860 though it has had many reincarnations since that date. The theory associated with deposits of ectopic endometrium has, therefore, had 150 years to cement itself into medical minds and habits. Injured nerves were discovered in 2005 ! So it is going to take a little while to change hearts and minds ? And it is not going to be easy because many doctors make enormous sums of money ablating, or excising, ectopic endometrium. However, in the injured nerves theory, there is no difference between women with pelvic pain with “endo” and women with pelvic pain without “endo”. They are the same because they both have injured nerves. Treatment is to “reduce pelvic blood flow” using OCP, Mirena IUS (with or without endometrial ablation) and, in very severe cases, oophorectomy.
This website will provide the relevant evidence to support the “autonomic denervation” (injuries to nerves) view.