![]() When found inactive, it has less than a 10 percent chance of being associated with future problems. A surgeon may coincidentally find the disease in these women while performing another surgery, such as tubal ligation. When the immune and clearance systems are adequate, a woman can have endometriosis, but it can be inactivated. It’s a combination that, in many ways, can ruin a woman’s life. The physical pain can be severe, which can lead to psychological distress. Endometriosis then causes inflammation, which can lead to adhesions, scarring, internal bleeding, bowel or urinary dysfunction, constipation, painful intercourse, or infertility. When the body’s immune system and clearance are not adequate, it can grow. ![]() These implants are endometriosis-menstrual period tissue literally stuck inside a woman’s body that clings like a leech to whatever organs it can find. In transgender men, these changes can begin before they undergo hormonal transition. During this cycle, estrogen serves like a food for the implants, causing them to grow. These implants respond to the monthly fluctuations of a woman’s hormones (estrogen and progesterone) during her menstrual cycle. It occurs when tissue similar to the interior lining of the uterus, or endometrium, mistakenly migrates and implants in areas outside the uterus, primarily in the pelvic region.
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