There is a significant diagnostic delay of Endometriosis because symptoms of the disease are not easily recognized by health care providers or even by women themselves.
At present the only reliable way to decisively diagnose Endometriosis is by performing laparoscopy and to take a biopsy of the tissue. However, this is an expensive procedure and not everyone would be comfortable to have a surgery. An experienced gynaecologist should be able to recognize symptoms from the history of patient’s symptoms.
There are tests, which the gynaecologist may perform to clinically diagnose Endometriosis.
The cause of Endometriosis remains unknown. However, majority of research done did indicate that Endometriosis is exacerbated by estrogen. At the moment there are no treatments, which can fully cure endometriosis.
Several theories have become more accepted, and reality is that it may be a combination of factors, which make some women develop Endometriosis.
Some possible theories are indicated in some research such as metaplasia, retrograde menstruation, genetic disposition, Immune system dysfunction and environmental influences such as toxins in the environment.These will affect the reproductive hormones and immune system response, though this theory has not been proven and remains controversial.