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Causes of Endometriosis

There are several theories about what causes endometriosis (none of which have been proven). Following is just a sample of common ones.

• The retrograde menstruation theory (transtubal migration theory) suggests that during menstruation endometrial cells back up from the uterus through the fallopian tubes, implant in the abdomen and grow. Some experts believe that all women experience some menstrual tissue backup and that an immune system problem or a hormonal problem allows this tissue to grow in the women who develop endometriosis.The theory does not explain why women who undergo tubal ligation or hysterectomy can still experience symptoms of endometriosis.

• Another theory suggests that endometrial tissue is distributed from the uterus to other parts of the body through the lymph system or through the blood system.

• A genetic theory suggests that it may be carried in the genes in certain families or that some families may have predisposing factors to endometriosis, though the mode of inheritance remains unknown. Women with an affected mother or sister are more likely to have severe endometriosis than those without affected relatives.

• Another theory suggests that remnants of tissue from when the woman was an embryo may later develop into endometriosis, or that some adult tissues retain the ability they had in the embryo stage to transform reproductive tissue in certain circumstances.

• Immune - Immunological changes have been observed in women with endometriosis. According to this theory, an abnormality in the immune system allows the endometrial cells that are shed normally to attach elsewhere and to grow. It is uncertain whether the immunological changes are responsible for the endometriosis or the result of the inflammation caused by the disease.

• Environmental causes - There may also be a link between exposure to chemicals or allergens and endometriosis. Research on rhesus monkeys shows a link between exposure to dioxin and endometriosis. The greater the exposure to dioxin, the more severe the endometriosis. Dioxin is a byproduct of pesticide and bleached pulp and paper products manufacturing. The chemical can also be produced through burning of hazardous waste.



Research by the Endometriosis Association revealed a startling link between dioxin (TCCD) exposure and the development of endometriosis. Dioxin is a toxic chemical byproduct of pesticide manufacturing, bleached pulp and paper products, and medical and municipal waste incineration. The EA discovered a colony of rhesus monkeys that had developed endometriosis after exposure to dioxin. 79% of the monkeys exposed to dioxin developed endometriosis, and, in addition, the more dioxin exposure, the more severe the endo.

There are many other theories being investigated. Some believe that it may actually be "a combination of several factors."

Reproduce with kind permission from Endometriosis Assiciation

 


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