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What is
Cause of Endometriosis?
The cause of endometriosis is still unknown. One theory is that during menstruation some of
menstrual tissue backs up through
fallopian tubes into
abdomen, where it implants and grows. Another theory suggests that endometriosis may be a genetic process or that certain families may have predisposing factors to endometriosis. In
latter view, endometriosis is seen as
tissue development process gone awry.
According to
theory of traditional chinese medicine, endometriosis is a disease which is caused by
stagnation of blood. Blood stagnation may occur due to one or more abortions or lower abdominal or pelvic surgeries.
Additionally, engaging in sexual intercourse during menstruation may very likely over time cause blood stagnation. Emotional trauma, severe stress, physical or emotional abuse can all lead to
stagnation of blood.
Additionally, diet may be a precipitating factor. The constant, long term ingestion of cold foods can congeal blood and thus contribute to
stagnation thereof. Cold foods include raw vegetable, ices, ice cream, ice in drinks, frozen yogurt, etc. Remember, cold congeals. Think about what happens to a normal glass of water when put in
freezer. It turns to ice.
The blood is affected similarly. That is to say, it congeals, doesn't flow smoothly and can form endometrial adhesions, chocolate cysts, uterine fibroids. Whatever
cause of endometriosis, its progression is influenced by various stimulating factors such as hormones or growth factors. In this regard, investigators are studying
role of
immune system in activating cells that may secrete factors which, in turn, stimulate endometriosis.
In addition to these new hypotheses, investigators are continuing to look into previous theories that endometriosis is a disease influenced by delaying childbearing. Since
hormones made by
placenta during pregnancy prevent ovulation,
progress of endometriosis is slowed or stopped during pregnancy and
total number of lifetime cycles is reduced for a woman who had multiple pregnancies.
How is Endometriosis Diagnosed?
Diagnosis of endometriosis begins with a gynecologist evaluating
patient's medical history. A complete physical exam, including a pelvic examination, is also necessary. However, diagnosis of endometriosis is only complete when proven by a laparoscopy, a minor surgical procedure in which a laparoscope (a tube with a light in it) is inserted into a small incision in
abdomen.
The laparoscope is moved around
abdomen, which has been distended with carbon dioxide gas to make
organs easier to see. The surgeon can then check
condition of
abdominal organs and see
endometrial implants. The laparoscopy will show
locations, extent, and size of
growths and will help
patient and her doctor make better-informed decisions about treatment. Endometriosis is a long-standing disease that often develops slowly. What is
Treatment?
While
treatment for endometriosis has varied over
years, doctors now agree that if
symptoms are mild, no further treatment other than medication for pain may be needed. Endometriosis is a progressive disorder.
It is my opinion that by not treating endometriosis it will get worse. Treatment should immediately after a positive diagnosis is made. The pain associated with endometriosis can be diminished by using acupuncture and herbal medicine. I have treated many women with endometriosis and have successfully alleviated pain and slowed down growth and recurrence of endometriosis.
For those patients with mild or minimal endometriosis who wish to become pregnant, doctors are advising that, depending on
age of
patient and
amount of pain associated with
disease,
best course of action is to have a trial period of unprotected intercourse for 6 months to 1 year. If pregnancy does not occur within that time, then further treatment may be needed. Again, these patients should consider herbal medicine to aid in
process of conception.

Dr. Mike Berkley is the founder and director of The Berkley Center for Reproductive Wellness, in New York. He works exclusively in the area of reproductive medicine and enjoys working in conjunction with some of New York’s most prestigious reproductive endocrinologists. Sign up for his free newsletter at www.BerkleyCenter.com