Aetiology of pain with endometriotic implants

Summary

‘IT has been casually assumed that the classic association in the uterus itself of cyclic endometrial breakdown and bleeding also no doubt occurs in similar but ectopic endometrial fragments, and that such miniature menses into blind pockets readily explain the clinical incidence of periodic pelvic pain. This simple but in large part erroneous explanation is responsible, we believe, for several areas of misunderstanding.’