Endometriosis, a prevalent gynecological disease, may arise due to changes in the female genital system's development during a crucial fetal life window.
The research involved an extensive review and analysis of recent literature on various proposed pathogenic mechanisms responsible for endometriosis. Central to the methodology was a detailed inspection of the embryologic theory of endometriosis pathogenesis. This theory suggests that an aberration in the developmental program of the female genital system in the fetus could prompt the development of endometriosis.
The discussions highlight the findings of both the research group that authored this work as well as other research groups. These studies have all revealed potential signs of a change in the careful regulation of the female genital system's development during a particularly vital time in fetal development. This alteration, they propose, might set the stage for endometriosis to emerge later in life. While the other traditionally accepted theories, like retrograde menstruation and coelomic metaplasia, are acknowledged, specific emphasis is given to the implications of the embryologic theory.