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If the retrograde flow of menstrual bleeding through the fallopian tube is a major mechanism for endometriosis, why don all women have endometriosis?

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If the retrograde flow of menstrual bleeding through the fallopian tube is a major mechanism for endometriosis, why don all women have endometriosis?

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A. Although some degree of menstrual backflow occurs almost universally, only those women who are predisposed to having endometriosis will allow the cells to implant in the pelvic areA. Patients who have some deficiency in their immunological system, women who have more frequent periods (shorter than 27 days), or women who have longer days of bleeding with their period (more than 7 days) are more prone to develop endometriosis.

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