Endometriosis is estimated to affect about 10% of women of reproductive age, and an unknown number of gender-diverse What causes endometriosis? people.1 It is one of the most prevalent gynecologic conditions, believed to affect roughly 1 million people in Canada.1 Case Many theories have been suggested to explain the development of series have identified endometriosis in 40%–50% of women and endom. [...] Extrapelvic disease is a less com- most common subtype and consists of lesions of various colours mon clinical presentation of endometriosis and may occur at located on the surface of the peritoneum. [...] Endo- between onset of symptoms and start of adequate treatment.28,29 metriosis progressed in 29%–45% of patients, was unchanged in Other factors contribute to a delay in diagnosis, including symp- 33%–42% of patients and regressed in 22%–29% of patients.18,19 tom variability, suboptimal health provider and patient aware- This information changed the long-held belief that endometri- ness and knowl. [...] Use of combined hormonal contraceptives for and the Ferring Women Health Research Institute, royalties from the treatment of endometriosis-related pain: a systematic review of the evi- A bbVie and Baxter, consulting fees from AbbVie and participation dence. [...] Analysis of the levonorgestrel-releasing intra- Institute,the boards of the Canadian Society for the Advancement of uterine system in women with endometriosis.
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