I am impressed with the accuracy of your article. Most writers would dish up the same old mythic belief that endometriosis comes from menstrual blood backing up carrying cells from the lining of the uterus. Since endometriosis implants lack hormone receptors, are immature, microscopically different than the lining of the uterus, and behave erratically causing pain and bleeding into the abdomen throughout the cycle, the myth needs to be called into question.
Second, it is true that removal of endometrial implants improves fertility in some women with no further interventions. Removing the implants reduces the fiery inflammatory conditions that are present in the pelvis, there by eliminating such a hostile environment for a sperm and egg to unite and become implanted.
Lastly, however, some advanced endometriosis surgeons committed to removing all disease, are now seeing patients who have been symptom and disease free for 5, 10, 15 and some of us 20 years. In any other disease that would be called a cure. True recurrence does occur, but is rare. Most of the patients we saw from around the world were multiple treatment failures who still had active, painful, often deeply inflitrating disease as confirmed by independent board certified pathologists. The shocking aspect of their histories were that 75% of them had been dismissed as neurotic, but all had active disease.
Endometriosis Treatment Program
St Charles Medical Center