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The Puzzle of Endometriosis

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Book cover Endometriosis

Abstract

Most people, as a pastime, enjoy a puzzle—be it a jigsaw puzzle, a three-dimensional maze, a magician’s sleight-of-hand, a Rubik’s cube, a mystery or detective novel or movie. But real life puzzles are not so much fun. No one tells us the answer at the end. People living with the puzzle have no easy way to explain for themselves and everyone around them what is happening to them. And if we must interact professionally with people afflicted by an illness that is a puzzle, the puzzle can deprive us of meeting some basic human needs—to be successful, to understand the things around us, to be able to help those who come to us for help, to be able to make a difference.

“Endometriosis remains an enigma to the practicing gynecologist.”1 “Endometriosis provides a unique clinical and scientific challenge.”2 “The literature on endometriosis is extensive, but often inadequate or contradictory.”3 “... a riddle wrapped in a mystery inside an enigma.”4

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References

  1. Olive DL. Infertility and Reproductive Medicine Clinics of North America. Philadelphia, WB Saunders Company, 1992;3:3, p xi.

    Google Scholar 

  2. Thomas EJ, Rock JA. Modern Approaches to Endometriosis. Lancaster, UK, Kluwer Academic Publishers, 1991, p ix.

    Book  Google Scholar 

  3. Schenken R. Endometriosis: Contemporary Concepts in Clinical Management. Philadelphia, JB Lippincott, 1989, p ix.

    Google Scholar 

  4. Wilson E. Endometriosis. New York, Alan R. Liss, 1987, p 1.

    Google Scholar 

  5. Olive DL, ed. Future Directions for Endometriosis Research. In Infertility and Reproductive Medicine Clinics of North America, Philadelphia, WB Saunders Co., 1992, p 763.

    Google Scholar 

  6. Rawson JMR. Prevalence of endometriosis in asymptomatic women. J Reprod Med 1991;36:513,514.

    Google Scholar 

  7. Pittaway DE. Diagnosis of Endometriosis. In Infertility and Reproductive Medicine Clinics of North America, Philadelphia, WB Saunders Co., 1992, p 619.

    Google Scholar 

  8. Redwine DB. Treatment of Endometriosis-Associated Pain. In Infertility and Reproductive Medicine Clinics of North America, Philadelphia, WB Saunders Co., 1992, pp 701–706, 708–713.

    Google Scholar 

  9. Nisolle-Pochet M, Casanas-Roux F, Donnez J. Histologic study of ovarian endometriosis after hormonal therapy. Fértil Steril 1988;49:423–426.

    PubMed  CAS  Google Scholar 

  10. Brosens IA. The Endometriotic Implant. In Thomas EJ, Rock JA, eds. Modern Approaches to Endometriosis, Lancaster UK, Kluwer Academic Publishers, 1991, p 30.

    Google Scholar 

  11. Olive DL, Haney AF. Associated infertility: A critical review of therapeutic approaches. Ob Gyn Surv 1986; 41:538.

    Article  CAS  Google Scholar 

  12. Vernon MW, Beard JS, Graves K, et al. Classification of endometriotic implants by morphologic appearance and capacity to synthesize prostaglandin F. Fertil Steril 1986;46:801.

    PubMed  CAS  Google Scholar 

  13. Redwine DB. Age-related evolution in color appearance of endometriosis. Fertil Steril 1987;48:1061–1063.

    Google Scholar 

  14. Murphy AA, Green WR, Bobbie D, et al. Unsuspected endometriosis documented by scanning electron microscopy in visually normal peritoneum. Fertil Steril 1986;46:522.

    PubMed  CAS  Google Scholar 

  15. Audebert A, Bäckstrom T, Barlow DH, et al. Endometriosis 1991: A discussion document. Hum Reprod 1992;7:432–435.

    PubMed  CAS  Google Scholar 

  16. Rawson JMR. Prevalence of endometriosis in asymptomatic women. J Reprod Med 1991;36:515.

    Google Scholar 

  17. Thomas EJ, Rock JA. The Future. In Thomas EJ, Rock JA, eds. Modern Approaches to Endometriosis, Lancaster UK, Kluwer Academic Publishing, 1991, p 291.

    Chapter  Google Scholar 

  18. Reiter RC, Shakerin RL, Gambone JC, et al. Correlation between sexual abuse and somatization in women with somatic and nonsomatic chronic pelvic pain. Am J Ob Gyn 1991;165:104–109.

    CAS  Google Scholar 

  19. Gottesfeld I. Chronic Pelvic Pain: Stalking a Clinical Enigma. Today’s Woman, October 1991.

    Google Scholar 

  20. Redwine DB. Conservative laparoscopic excision of endometriosis by sharp dissection: Life table analysis of reoperation and persistent or recurrent disease. Fertil Steril 1991;56:634.

    Google Scholar 

  21. Ballweg ML. Overcoming Endometriosis: New help from the Endometriosis Association. New York, Congdon & Weed, 1987, p 221.

    Google Scholar 

  22. Characteristics of women with endometriosis. From Endometriosis Association Research Registry. In Endometriosis Association Newsletter, 1989;10:2, p 2.

    Google Scholar 

  23. Lamb K, Hoffmann RG, Nichols TR. Family trait analysis: A case control study of 43 women with endometriosis and their best friends. Am J Ob Gyn 1986;154: 596–601.

    CAS  Google Scholar 

  24. Lamb K, Nichols TR. Endometriosis: A comparison of associated disease histories. Am J Prev Med 1986;2: 324–329.

    PubMed  CAS  Google Scholar 

  25. Nichols TR, Lamb K, Arkins JA. The association of atopic diseases with endometriosis. Ann of All 1987;59: 360–363.

    CAS  Google Scholar 

  26. Ballweg ML. Overcoming Endometriosis, pp 198–219.

    Google Scholar 

  27. Ballweg ML. Data bank results are in! From Endometriosis Association Research Registry. In Endometriosis Association Newsletter, May 1983, p 1.

    Google Scholar 

  28. Ballweg ML. Research News—Endometriosis linked to radiation and environmental pollutants in research studies. Endometriosis Association Newsletter, 1992; 13(2)1–2.

    Google Scholar 

  29. Ballweg ML. Research News—Exciting findings in dioxin monkey colony. Endometriosis Association Newsletter, 1992;13(3):l–2.

    Google Scholar 

  30. Cramer DW, Wilson E, Stillman RJ, et al. The relation of endometriosis to menstrual characteristics, smoking, and exercise. JAMA 1986;255:1904.

    Article  PubMed  CAS  Google Scholar 

  31. Wood R. The Pathway to Diagnosis of Women with Endometriosis. Endometriosis Association (Victoria), Melbourne, Australia, Presented at 3rd World Congress on Endometriosis, 1–3 June 1992, Brussels, Belgium.

    Google Scholar 

  32. Redwine DB. The distribution of endometriosis in the pelvis by age groups and fertility. Fertil Steril 1987;47: 173.

    PubMed  CAS  Google Scholar 

  33. Thomas EJ, Rock JA. Modern Approaches to Endometriosis, p 300.

    Google Scholar 

  34. Kennedy S. What is important to the patient with endometriosis? Discussion. Brit J Clin Prac 45:3, Suppl. 72, Autumn 1991, p 11.

    Google Scholar 

  35. Ballweg ML. A few comparative findings: Endometriosis Association, British Endometriosis Society and Australian Endometriosis Association. In Overcoming Endometriosis: New Help from the Endometriosis Association. New York, Congdon & Weed, 1987, p 297.

    Google Scholar 

  36. Rosen GF. Treatment of endometriosis-associated infertility. In Infertility and Reproductive Medicine Clinics of North America. Philadelphia, WB Saunders Co., 1992, p 721.

    Google Scholar 

  37. Haney AF. The pathogenesis and aetiology of endometriosis. In Thomas EJ, Rock JA, eds. Modern Approaches to Endometriosis. Lancaster UK, Kluwer Academic Publishers, 1991, p 4.

    Google Scholar 

  38. Yap AL. Endometriosis and the urinary tract: endometriosis of the bladder, bladder and urinary tract symptoms, new directions in understanding and treatment, and related problems. Endometriosis Association Newsletter, 1992;13(l):2–3.

    Google Scholar 

  39. Ballweg ML. Endometriosis and the intestines: endometriosis of the bowel, intestinal symptoms, new directions in understanding and treatment. Endometriosis Association Newsletter, 1988;9(1):5.

    Google Scholar 

  40. Grimes DA, LeBolt SA, Grimes KRT, et al. Two-fold risk of endometriosis in hospitalized patients with lupus. Am J Ob Gyn 1985;153:179.

    CAS  Google Scholar 

  41. Brush MG. Increased incidence of thyroid autoimmune problems in women with endometriosis. Endometriosis: A collection of papers written by PGs, researchers, specialists and sufferers about endometriosis. Compiled by the Conventry Branch of the Endometriosis Society, March 1987.

    Google Scholar 

  42. Ballweg ML. Overcoming Endometriosis, pp 228–231.

    Google Scholar 

  43. Fletcher N. Mitral valve prolapse. Endometriosis Association Newsletter, 1992;13(2):l–2.

    Google Scholar 

  44. Jessop C. Clinical features and possible etiology of CFIDS. Chronic Fatigue and Immune Dysfunction Syndrome: Unravelling the mystery conference, Charlotte, North Carolina, November 18, 1990. Summary: The CFIDS Chronicle 1991; Spring:70–73.

    Google Scholar 

  45. Ballweg ML. Fibromyalgia/endometriosis link? Endometriosis Association Newsletter, 1991;12(3):6–8.

    Google Scholar 

  46. Ballweg ML. Overcoming Endometriosis. New York, Congdon & Weed, 1987, p 205.

    Google Scholar 

  47. Science Magazine, January 1985.

    Google Scholar 

  48. Ballweg ML. Overcoming Endometriosis, p 219.

    Google Scholar 

  49. Campbell J. Is Simian Endometriosis an Effect of Immu-notoxicity? Ontario Assocation of Pathologists, October 1985.

    Google Scholar 

  50. Cornillie FJ, D’Hooghe TM, Bambra CS, et al. Morphological characteristics of spontaneous endometriosis in the baboon (Papio anubis and Papio cynocephalus). Gyn Obstet Invest 1992;34:225–228.

    Article  CAS  Google Scholar 

  51. Fanton JW, Golden JG. Radiation-induced endometriosis in Macaca mulatta. Radiation Research 1991;126:141–146.

    Article  PubMed  CAS  Google Scholar 

  52. Rier SE, Martin DC, Bowman RE, et al. Endometriosis in rhesus monkeys (Macaca mulatta) following chronic exposure to 2,3,7,8 tetrachlorodibenzo-p-dioxin. Fundamental and Applied Toxicology, 1993;21(4):433–441.

    Article  PubMed  CAS  Google Scholar 

  53. Rier SE. Research News—Immunological Findings in Dioxin Monkey Colony. Endometriosis Association Newsletter 1992;13(4):1,6.

    Google Scholar 

  54. Martin DC, Rier SE, Bowman DE, et al. Dioxin-induced endometriosis in rhesus monkeys (Macaca mulatta). Abstracts, p 330, Annual Meeting of the Society for Gynecologic Investigation, Toronto, Canada (April 1993).

    Google Scholar 

  55. Rier SE, Spangel BL, Martin DC, et al. Production of IL-6 and TNF by peripheral blood mononuclear cells from rhesus monkeys with endometriosis. American Association of Immunology, Denver, Colorado (May 1993).

    Google Scholar 

  56. Gerhard I, Runnebaum B. Grenzen der Hormonsubstitution bei Schadstoffbelastung und Fertilitätsstörungen. Zentralblatt für Gynäkologie 1992;114:593–602.

    PubMed  CAS  Google Scholar 

  57. Consensus Statement: Chemically induced alterations in sexual development: The Wildlife/Human Connection. Wingspread Conference, Racine, WI, USA, July 26–28, 1991.

    Google Scholar 

  58. Hong R, Taylor K, Abonour R. Immune abnormalities associated with chronic TCDD exposure in rhesus. Chemosphere 1989;18(l-6):313–320.

    Article  Google Scholar 

  59. Haney AF. The pathogenesis and aetiology of endometriosis. In Thomas EJ, Rock JA, eds. Modern Approaches to Endometriosis. Lancaster UK, Kluwer Academic Publishers, 1991, p 14.

    Google Scholar 

  60. Migrant workers have many menstrual problems and endometriosis according to comments of Cesar Chavez. Personal communication from Russell Jaffe, M.D., Ph.D.

    Google Scholar 

  61. Halstead L, Pepping P, Dmowski WP. The woman with endometriosis: ignored, dismissed and devalued. Second International Symposium on Endometriosis, Houston, TX, USA, May 1989.

    Google Scholar 

  62. Halstead L, Pepping P, Haile L, et al. Women’s experiences with endometriosis: delay and disbelief. Abstracts, 3rd World Congress on Endometriosis, June 1992, Brussels, Belgium.

    Google Scholar 

  63. Ballweg ML. Endometriosis: the patient’s perspective. In Olive DL, ed. Infertility and Reproductive Medicine Clinics of North America. Philadelphia, WB Saunders Co., 1992, pp 747–761.

    Google Scholar 

  64. Armitage KJ, Schneiderman LJ, Bass BA. Response of physicians to medical complaints in men and women. JAMA 1979;241:2186–2187.

    Article  PubMed  CAS  Google Scholar 

  65. Rasmussen N, Avant R. Somatization disorder in family practice. American Family Practice 1989;40(2):206–212.

    CAS  Google Scholar 

  66. American Psychiatric Association: Diagnostic and Statistical Manual of Disorders, 3rd ed., rev. Washington, DC, 1987, pp 261–262.

    Google Scholar 

  67. Delaney J, Lupton MJ, Toth E. The Curse: A Cultural History of Menstruation. Urbana and Chicago, University of Illinois Press, 1988.

    Google Scholar 

  68. Martin E. The Woman in the Body: A Cultural Analysis of Reproduction. Boston, Beacon Press, 1987.

    Google Scholar 

  69. Hysterectomies in the United States, 1965–1984. Vital and Health Statistics, U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Center for Health Statistics, Series 13, No. 92, 1987.

    Google Scholar 

  70. Rosenthal AM. Female Genital Torture. New York Times, December 29, 1992.

    Google Scholar 

  71. Donoghue PJ, Siegel ME. Sick and Tired of Feeling Sick and Tired: Living with Invisible Chronic Illness. New York, WW Norton & Company, 1992.

    Google Scholar 

  72. Lamb K, Breitkopf L, Hamilton K, et al. Does total hysterectomy offer a cure for endometriosis? Endometriosis Association Newsletter, 1991;12(3):l–5.

    Google Scholar 

  73. Delaney J, Lupton MJ, Toth E. The Curse: A Cultural History of Menstruation. Urbana, University of Illinois Press, 1988, p 62.

    Google Scholar 

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Ballweg, M.L. (1995). The Puzzle of Endometriosis. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_28

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  • DOI: https://doi.org/10.1007/978-1-4613-8404-5_28

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8406-9

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