Endometriosis is a very challenging condition. It is a gynecological enigma. The true incidence of pelvic endometriosis in women still remains largely unknown, despite several studies quoting variable figures. Chronic pelvic pain and infertility have been the most common features in women with endometriosis. However the cause/effect relationship is a subject of debate.
Endometriosis is found to be more in nulliparous women & women with pelvic pain and rare among fertile women and women with amenorrhoea. We now believe that retrograde menstruation is probably the cause for the occurrence of pelvic endometriosis. We here propose that infertility or non conception with persistent menstruation most likely leads to endometriosis and not the other way around as is commonly believed. For more information click here .