External Endometriosis

Abstract

External endometriosis is best explained on the basis of retrograde tubal transportation of shed fragments of endometrium with implantation and growth on the ovaries and other pelvic structures and subsequent dissemination, frequently resulting in infertility. In the majority of cases mild analgesics and pregnancy afford relief. Operation is recommended when the symptoms are of sufficient magnitude. The newer progestogens plus estrogens, when used to create a state of pseudopregnancy, have provided relief of symptoms but have not proved curative.